Chatel A, Bigot J M, Dectot H, Helenon C
J Chir (Paris). 1978 Aug-Sep;115(8-9):443-50.
The authors analyse the results of 152 retrograde phlebographic explorations in the investigation of varicocoele: anatomical variations of the right and left spermatic veins (site of arrival, number of venous trunks, existence or not of valvules). They emphasise the importance of anastomoses with other venous systems, not only the inferior vena cava, but also the portal veins. These anastomoses which are essential, explain certain relapses of varicocoele after surgery, and explain the spontaneous portacaval anastomoses which form through the genital veins in certain cases of portal hypertension.
作者分析了152例逆行静脉造影检查精索静脉曲张的结果：左右精索静脉的解剖变异（汇入部位、静脉干数量、有无瓣膜）。他们强调了与其他静脉系统吻合的重要性，不仅是下腔静脉，还有门静脉。这些至关重要的吻合解释了精索静脉曲张手术后的某些复发情况，并解释了在门静脉高压的某些病例中通过生殖静脉形成的自发性门腔静脉吻合。
