精索静脉曲张中精索内静脉的硬化疗法。正常解剖变异的意义
[Sclerotherapy of the internal spermatic vein in varicocele. Significance of normal anatomical variants].
作者信息
Lenz M, Hof N, Strotzer M, Brandstetter K, Bautz W
机构信息
Institut für Röntgendiagnostik, Technische Universität München.
出版信息
Rofo. 1994 Dec;161(6):531-9. doi: 10.1055/s-2008-1032581.
During a period of four years, 386 patients with left sided varicoceles were treated by sclerotherapy of the left internal spermatic vein. This was successful in 93.8%. The most common complication was perforation of the vein in 6.2%. Technical success and complications depended on anatomical variations. Of particular significance was Bähren type IVb (competent main vein, incompetent collaterals) which occurred in 18.9%. This accounted for 66.5% of all perforations and 54.2% of unsuccessful interventions. The recurrence rate was 3.8%.
在四年的时间里，386例左侧精索静脉曲张患者接受了左侧精索内静脉硬化疗法治疗。成功率为93.8%。最常见的并发症是静脉穿孔，发生率为6.2%。技术成功率和并发症取决于解剖变异。特别重要的是Bähren IVb型（主静脉功能正常，侧支静脉功能不全），发生率为18.9%。这占所有穿孔的66.5%和不成功干预的54.2%。复发率为3.8%。
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