Maione G
II Divisione di Chirurgia, Ospedale di Rho, Milano, Italie.
J Chir (Paris). 1990 Apr;127(4):236-8.
We operated on 34 patients with varicocele employing microsurgical anastomosis. A direct anastomosis of veins of varicocele with the saphenous vein was performed in 29 patients. Microsurgical spermaticoepigastric anastomosis was performed in 5 patients. The distal stump of the epigastric vein was end-to-end anastomosed with the spermatic vein in one case of type 2 varicocele. Clinical results were satisfactory with varicocele disappearing 33 times out of 34 cases. The shunt between a high regimen pressure with a lower one improve the venous drainage of the testis. These new techniques must be selected according to the pathogenic mechanism of varicocele.
我们对34例精索静脉曲张患者采用显微外科吻合术进行手术。29例患者进行了精索静脉曲张静脉与大隐静脉的直接吻合。5例患者进行了显微精索内腹壁下静脉吻合术。在1例2型精索静脉曲张患者中，腹壁下静脉远端残端与精索静脉进行了端端吻合。临床结果令人满意，34例中有33例精索静脉曲张消失。高压与低压之间的分流改善了睾丸的静脉引流。这些新技术必须根据精索静脉曲张的发病机制来选择。
