Kraeft H, Kriz-Klimek H, Holschneider A M
Z Kinderchir. 1981 Nov;34(3):272-4. doi: 10.1055/s-2008-1063358.
48 children who underwent high ligature of the internal spermatic vein for varicocele were re-examined. In one patient (2,1%) a hydrocele appeared postoperatively. In 30 boys (62,5%) the varicocele disappeared completely following surgery, in 18 patients (37,5%) the varicocele persisted which was in 9 boys only palpable and in another 9 boys clearly visible. High spermatic vein ligature according to Bernardi turned out to be a method providing good postoperative results and with few complications in childhood. In the case of persisting varicocele collateral veins should be considered and ligated in a second operation.
对48例因精索静脉曲张接受精索内静脉高位结扎术的儿童进行了复查。1例患者(2.1%)术后出现鞘膜积液。30例男孩(62.5%)术后精索静脉曲张完全消失,18例患者(37.5%)精索静脉曲张持续存在,其中9例男孩仅可触及,另外9例男孩明显可见。事实证明,根据贝尔纳迪方法进行的精索静脉高位结扎术是一种术后效果良好且儿童期并发症少的方法。对于持续存在的精索静脉曲张,应考虑在二次手术中结扎侧支静脉。