Frang D, Rózsahegyi G, Than E
Int Urol Nephrol. 1978;10(2):131-9. doi: 10.1007/BF02082133.
High retroperitoneal ligation of the internal spermatic vein has been performed in 30 cases of varicocele. Renospermatic reflux had been demonstrated by preoperative phlebography in every case. Retrograde pressure brought to bear on the spermatic vein from the renal vein has been ascertained by intraoperative measurements of the pressures in the internal spermatic vein. On the ground of the results, high ligation of the spermatic vein is regarded as suitable for the surgical management of varicocele in case of renospermatic reflux.
对30例精索静脉曲张患者进行了腹膜后高位结扎精索内静脉手术。术前静脉造影证实每例均存在肾精索反流。术中通过测量精索内静脉压力确定了从肾静脉向精索静脉施加的逆行压力。基于这些结果，对于存在肾精索反流的精索静脉曲张患者，精索静脉高位结扎术被认为适用于手术治疗。
