Bruns T, Born O, Ergün S, Tauber R
Urologische Abteilung, Allgemeines Krankenhaus Barmbek, Hamburg.
Rofo. 1997 Jan;166(1):44-50. doi: 10.1055/s-2007-1015376.
The study was conducted to clarify whether the use of classifications in base of retrograde phlebography would be sufficiently suitable for typifying the findings of antegrade phlebography examinations of the internal spermatic vein with regard to antegrade sclerotherapy.
In course of antegrade sclerotherapy in 236 patients with previously untreated idiopathic left-sided varicocele, phlebography via scrotal approach was performed. The results were compared with the relevant findings of the pre-existing classifications of the retrograde exams.
Comparison with the classifications of Bähren and Braedel showed distinct discrepancies. In 28.8% (Bähren) respectively 36.4% (Braedel) of our findings, typification was unsuccessful. Correspondence was found with the Riedl-classification. Collateral vessels however, are not sufficiently differentiated.
Retrograde classifications proved insufficient in typifying the findings of antegrade phlebography of the internal spermatic vein. A more subtle classification is required. This has been worked out and presented.
本研究旨在阐明基于逆行静脉造影的分类对于顺行硬化疗法中精索内静脉顺行静脉造影检查结果的典型化是否足够适用。
在236例先前未经治疗的特发性左侧精索静脉曲张患者的顺行硬化治疗过程中，通过阴囊途径进行静脉造影。将结果与逆行检查的现有分类的相关结果进行比较。
与Bähren和Braedel的分类相比存在明显差异。在我们的研究结果中，分别有28.8%（Bähren）和36.4%（Braedel）的典型化不成功。发现与Riedl分类相符。然而，侧支血管没有得到充分区分。
逆行分类在精索内静脉顺行静脉造影结果的典型化方面被证明是不够的。需要更精细的分类。已经制定并提出了这种分类。
