Chudnovets L G, Plechev V V, Garipov R M, Ishmetov V Sh, Shestakov A I, Shimkov O S
Vestn Rentgenol Radiol. 2007 Sep-Oct(5):25-9.
The topographic radiological anatomy of the left internal spermatic vein was studied in 95 patients with varicocele, of them 76 had secondary impaired spermatogenesis. Recurrent varicocele after Ivanissevich's operation was observed in 23 patients. The left internal spermatic vein has been found to empty as one trunk into the renal vein in 97.8% of cases. The renal capsular vein always falls into the proximal segment of the left internal spermatic vein. Intersystemic overflows, if present, also empty into the latter. A unified procedure for double-level occlusion of the left internal spermatic vein is described. The proposed procedure was used to operate on 46 patients. Long-term results were studied in periods of 3 months to 2 years. Recurrent varicocele was not revealed.
对95例精索静脉曲张患者的左精索内静脉进行了局部放射解剖学研究，其中76例伴有继发性生精功能障碍。23例患者在伊万尼塞维奇手术后出现复发性精索静脉曲张。发现97.8%的病例中左精索内静脉作为一个主干汇入肾静脉。肾包膜静脉总是汇入左精索内静脉的近端段。如果存在系统间溢流，也会汇入后者。描述了一种对左精索内静脉进行双层闭塞的统一手术方法。该手术方法用于46例患者的手术。对3个月至2年期间的长期结果进行了研究。未发现复发性精索静脉曲张。
