Pozza D, Gregori A, Pulone M
Studio di Andrologia e di Chirurgia Andrologica, Roma, Italia.
Acta Chir Hung. 1994;34(3-4):263-6.
The problem of the surgical treatment of varicocele at adolescence is discussed. We tried to establish a good method for surgical operation capable eliminating the renal-spermatic reflux, the stasis of blood into the pampiniformis plexus with the increase of temperature and the altered metabolic exchanges with the spermatogenetic tissue. The technique of high ligation and division of the spermatic veins with Bilateral Scrotal Exploration (BSE), spermatic venography, microsurgical excision of dilated veins of the plexus and eversion of vaginalis membrane in order to avoid the frequent appearance of postoperative hydrocele is presented in a group of 150 adolescent patients.
讨论了青春期精索静脉曲张的外科治疗问题。我们试图建立一种良好的手术方法，能够消除肾-精索反流、随着温度升高血液在蔓状静脉丛中的淤积以及与生精组织代谢交换的改变。本文介绍了对150例青春期患者采用双侧阴囊探查（BSE）、精索静脉造影、显微手术切除扩张的静脉丛以及翻转鞘膜以避免术后鞘膜积液频繁出现的精索静脉高位结扎和切断技术。
