小儿精索静脉曲张顺行静脉造影

Anterograde Venography in Children with Varicocele

目的:了解精索静脉曲张与精索内静脉的解剖关系,探讨发病原因,指导临床治疗。方法:对13例5～12岁左侧精索静脉曲张患儿,在施行精索内静脉高位结扎术中,静脉插管作顺行性造影检查。结果:发现精索内静脉属正常解剖型者5例(39%),8例(61%)伴有血管变异畸形。结论:静脉顺行性造影可充分显示精索内静脉的走行及与交通支连接情况,提示血管变异畸形是导致小儿精索静脉曲张的重要原因之一,治疗时必须重视血管畸形的存在。

Objective:In order to investigate the anatomic relationship between varicocele and the internal spermatic vein,and to discuss the pathogenic factors and the treatment of varicocele. Methods:13 children(aged 5-12 years)with left varicocele were examined by anterograde venography through the internal spermatic vein during operation.Results:Normal internal sper- matic vein was found in 5 cases(39%)and abnormal internal spermatic vein in 8(61%).The an- teograde venography may display the pathways and connexions with the communicating branches of the internal spermatic vein.Conclusions:It suggests that certain variations of the internal sper- matic vein might be one of the important factors in children with varicocele,and special attention should be paid during operation.