Fahmy K
Department of Obstetrics and Gynaecology, Benha Faculty of Medicine, Egypt.
Int J Gynaecol Obstet. 1987 Oct;25(5):363-7. doi: 10.1016/0020-7292(87)90341-9.
Bilateral uterine artery ligation was performed for 32 patients in order to control intractable postpartum hemorrhage in 25 of them (currative ligation) and as prophylaxis against postpartum hemorrhage in seven (elective ligation). Mass ligation was used for 29 patients and isolation ligation for three. Among the 25 patients for whom curative ligation was performed, successful hemostasis was achieved in 20 patients (80%) and the technique failed in five (20%). This failure was due to a clotting defect in three and placenta previa accreta in two patients. Twenty-four patients (96%) survived and one died as a result of a clotting defect. Among five patients followed up, normal menstruation occurred with pregnancy in three of them.
对32例患者进行了双侧子宫动脉结扎术，其中25例用于控制难治性产后出血（治疗性结扎），7例用于预防产后出血（选择性结扎）。29例采用集束结扎，3例采用孤立结扎。在进行治疗性结扎的25例患者中，20例（80%）成功止血，5例（20%）技术失败。失败原因3例为凝血缺陷，2例为胎盘植入。24例（96%）存活，1例因凝血缺陷死亡。在随访的5例患者中，3例月经正常且怀孕。
