杨宁介入医学网

硬化治疗 （Sclerotherapy）【1】
 

• 2 ml  3% STS (Sotradecol) + 8 ml 空气

• 2~10ml注射器用三通连接 Place in 2 – 10 ml syringes connected with a 3-way stopcock

• 4-5F导管 选择性进入卵巢静脉内4-5 F catheter in the ovarian vein

• 评价需要充盈静脉的量 Evaluate the volume required to fill vein

• Valsalva 动作注射30ml Injection of 30 ml performs Valsalva maneuver

Gandini, et al. Cardiovasc IR 2008; 31:778-84

	Gandini, et al. Cardiovasc IR 2008; 31:778-84

硬化治疗还包括应用 Cyanoacrylate Glue

• 按1:3的比例与碘油混合 Mixed at a ratio of 1:3 with Ethiodol
• 微导管与5F导管共轴  Used microcatheter through 5 F catheter
• 放置微导管在静脉的远端 Placed microcatheter at distal vein
• 沿卵巢静脉全长缓慢注射，分支点加注射。Slow injection along entire length of gonadal vein with extra administered at branch points【2】

硬化治疗的局限性

1. 硬化剂可能会移位
2. 可能造成肺栓塞
3. 过敏

1. Gandini R, Chiocchi M, Konda D, Pampana E, Fabiano S, Simonetti G. Transcatheter foam sclerotherapy of symptomatic female varicocele with sodium-tetradecyl-sulfate foam. Cardiovasc Intervent Radiol. 2008 Jul-Aug;31(4):778-84. doi: 10.1007/s00270-007-9264-6. Epub 2008 Jan 3.

2. Sze DY, Kao JS, Frisoli JK, McCallum SW, Kennedy WA 2nd, Razavi MK. Persistent and recurrent postsurgical varicoceles: venographic anatomy and treatment with N-butyl cyanoacrylate embolization. J Vasc Interv Radiol. 2008 Apr;19(4):539-45. doi: 10.1016/j.jvir.2007.11.009.