1990年初以来。我们采用经皮无水酒精加钢丝圈作精索静脉曲张的栓塞疗法,经临床应用15例,获得满意效果,现报告如下。一、对象与方法本组年龄23～38岁(平均26岁),临床上都有明显的左侧精索精脉曲张,3例伴有右侧精索静脉曲张,10例有不育史。方法:局麻下,采用Seldinger法,经皮股静脉穿刺,将眼镜蛇导管送入左肾静脉内进行造影,观察肾静脉有无变异,精索静脉开口情况及有无逆流。然后将导管超选择插入精索静脉内,在直导丝引导下,将导管送入4～6cm,用60%泛影葡胺10ml,在病人平静呼吸时手推造影,快速点片2张,观察了解精索静脉曲张情况以及导管头端位置。明确诊断后,给予10～20ml无水酒精(与等量造影剂混合),在X线电视监视下,分3～6次缓慢注入防止反流。15min后,手推造影观察精索静 Since early 1990 We use percutaneous dry ethanol plus traveler for varicocele embolization therapy, the clinical application of 15 cases, to obtain satisfactory results, are as follows. First, the object and method The group aged 23 to 38 years (mean 26 years), clinically obvious left varicocele varicose vein, 3 cases with right varicocele, 10 cases of infertility. Methods: Under local anesthesia, the Seldinger method was used. Percutaneous femoral vein puncture was used to send the cobra catheters into the left renal vein for angiography to observe the presence or absence of variability of the renal veins, the opening of the varicocele and the presence or absence of reflux. Then the catheter over the selection into the varicocele, under the guidance of the guide wire, the catheter into the 4 ~ 6cm, with 60% of the diatrizoate 10ml, calm breath in the patient hand pushing the film, the rapid film 2, Observe the situation of varicocele and catheter tip position. Clear diagnosis, given 10 ~ 20ml anhydrous alcohol (with the same amount of contrast medium mixed), under the supervision of X-ray television, 3 to 6 times slowly injected to prevent reflux. After 15min, hand shadowing observation Jingjing quiet