Ardela Díaz E, Gutiérrez Dueñas J M, Díaz Gómez L, Domínguez Vallejo F J, Cano López C
Servicio de Cirugía Pediátrica, Hospital General Yagüe, Burgos, España.
Arch Esp Urol. 1994 Apr;47(3):263-9.
Nine boys, aged 11-13 years with left varicocele grade II or III, were treated by percutaneous embolization of internal spermatic vein at the General Yagüe hospital in the last four years. The procedure was performed under local anesthesia. Percutaneous selective retrograde left spermatic venography was done via the right transfemoral vein. For embolization, sclerosing agents were used in eight cases and coil in one. Follow-up ranged from six months to four years. The control clinical examination and ultrasonographic evaluation showed treatment was successful in eight cases (89%) and persistence of a left varicocele in one case (11%). No serious complications were observed and the mean duration of hospital stay was 1.6 days. The safety, efficacy and feasibility of percutaneous embolization are discussed.
在过去四年中，9名年龄在11至13岁之间、患有左侧II级或III级精索静脉曲张的男孩在亚圭将军医院接受了经皮精索内静脉栓塞治疗。该手术在局部麻醉下进行。经皮选择性逆行左精索静脉造影通过右股静脉进行。栓塞治疗中，8例使用硬化剂，1例使用弹簧圈。随访时间为6个月至4年。临床对照检查和超声评估显示，8例（89%）治疗成功，1例（11%）左侧精索静脉曲张持续存在。未观察到严重并发症，平均住院时间为1.6天。本文讨论了经皮栓塞术的安全性、有效性和可行性。
