Forte Flavio, Sorrenti Salvatore, Felici Laura Maria, Carbotta Sabino, Foti Nicola, Falvo Laura, Vanni Benedetta, Biancafarina Alessia, Catania Antonio, Bronzetti Elena
Cattedra di Urologia, Università di Roma Tor Vergata.
Chir Ital. 2003 May-Jun;55(3):417-24.
The anatomy of the gonadal vein has been the subject of several studies relating particularly to the aetiology and therapy of varicocele and left ovarian vein syndrome. Venography shows the presence of valves, the collateral branches, the anastomoses between the left gonadal vein and the retroperitoneal venous networks and the effective pathways of venous reflux. The authors observed a particular congenital anomaly of the left gonadal vein in the dissection of a female cadaver, and studied the venographic pattern of a male patient with left idiopathic varicocele. The aim of this study was to investigate, with the aid of a review of the literature, the embryo-pathogenetic basis of congenital abnormalities of the left gonadic vein, stressing those factors most conducive to errors in the diagnosis and therapy of varicocele and left ovarian vein syndrome, particularly in the scleroembolisation therapy of idiopathic varicocele.
性腺静脉的解剖结构一直是多项研究的主题，这些研究尤其涉及精索静脉曲张和左卵巢静脉综合征的病因及治疗。静脉造影显示了瓣膜的存在、侧支分支、左性腺静脉与腹膜后静脉网络之间的吻合以及静脉回流的有效途径。作者在一具女性尸体解剖中观察到左性腺静脉的一种特殊先天性异常，并研究了一名患有左侧特发性精索静脉曲张男性患者的静脉造影模式。本研究的目的是借助文献综述，探讨左性腺静脉先天性异常的胚胎发病机制基础，强调那些最易导致精索静脉曲张和左卵巢静脉综合征诊断及治疗错误的因素，尤其是在特发性精索静脉曲张的硬化栓塞治疗中。
