Derevianko I M, Panchenko I A
Urol Nefrol (Mosk). 1996 Nov-Dec(6):29-31.
Regional trans-scrotal antegrade venotesticulophlebography was used to study elements of renocaval anastomosis in 154 males suffering from varicocele. In 153 patients varicocele was caused by renal vein obstruction and hypertension, in 1 patient it resulted from iliac vein aneurysm obstructive for pelvic veins. In cases of renal vein obstruction on the left all the venous blood runs from the kidney along the testicular vein to the pampiniform plexus flowing further to the system of the iliac veins. Ligation or endovascular embolization of the testicular vein aggravates renal venous hypertension, but varicocele collapsed. The authors suggest discussion on methods of varicocele treatment.
采用经阴囊顺行性静脉睾丸静脉造影术，对154例精索静脉曲张男性患者的肾腔静脉吻合情况进行了研究。153例患者的精索静脉曲张由肾静脉梗阻和高血压引起，1例患者的精索静脉曲张是由髂静脉动脉瘤阻塞盆腔静脉所致。在左侧肾静脉梗阻的病例中，所有静脉血从肾脏沿睾丸静脉流向蔓状静脉丛，进而流向髂静脉系统。结扎或经血管内栓塞睾丸静脉会加重肾静脉高压，但精索静脉曲张会消失。作者建议对精索静脉曲张的治疗方法进行讨论。
