Bähren W, Lenz M, Porst H, Wierschin W
Rofo. 1983 Feb;138(2):172-9. doi: 10.1055/s-2008-1055705.
The results of 230 retrograde phlebographies of the V. spermatica int., 165 percutaneous sclerotherapies and 60 follow-up phlebographies on subfertile patients are presented. In 24 patients (10%) complications occurred, yet in none of the cases clinical damage became evident. Percutaneous sclerotherapie is contraindicated, when selective probing of the V. spermatica int. is impossible or massive collaterals to other venous systems could lead to an uncontrolled spread of the sclerosing agent. Treatment of idiopathic varicocele in subfertile men by percutaneous sclerotherapy is a safe and effective method, which can be performed on an outpatient basis. In our opinion the so far used surgical treatment can be replaced by it as a method of choice.
本文展示了230例精索内静脉逆行静脉造影、165例经皮硬化疗法以及60例对不育患者的随访静脉造影结果。24例患者（10%）出现了并发症，但无一例出现明显的临床损害。当无法对精索内静脉进行选择性探查，或者与其他静脉系统存在大量侧支循环，可能导致硬化剂不受控制地扩散时，经皮硬化疗法是禁忌的。经皮硬化疗法治疗不育男性的特发性精索静脉曲张是一种安全有效的方法，可以在门诊进行。我们认为，迄今为止使用的手术治疗方法可以被它替代，作为首选方法。
