Fernandez H, Pons J C, Chambon G, Frydman R, Papiernik E
Department of Gynaecology and Obstetrics, Hôpital Antoine Béclère, Clamart, France.
Eur J Obstet Gynecol Reprod Biol. 1988 Jul;28(3):213-20. doi: 10.1016/0028-2243(88)90031-7.
Between 1978 and 1986, internal iliac artery ligation was performed on eight patients undergoing treatment for severe post-partum hemorrhage, and disseminated intra-vascular coagulation (DIVC) combined with causal pathology was detected in five patients. This procedure was effective in controlling bleeding in eight patients and no hysterectomy was necessary. Post-operative follow-up was uncomplicated in six patients. One patient suffered from post-operative occlusion. Another patient suffered from renal failure, due to secondary cortical renal necrosis. Surgery is usually simple and does not pose any technical problems. This technique allows for the conservation of the reproductive functions, and two of the women became pregnant at a later stage. Obstetric hysterectomy can be avoided by using this technique. It is recommended in cases where DIVC does not respond to medical treatment and can furthermore be used by all surgeons.
1978年至1986年间，对8例严重产后出血患者进行了髂内动脉结扎术，其中5例检测到弥散性血管内凝血（DIVC）并伴有相关病理改变。该手术对8例患者的出血控制有效，无需进行子宫切除术。6例患者术后随访无并发症。1例患者术后出现血管闭塞。另1例患者因继发性皮质肾坏死而出现肾衰竭。手术通常简单，不存在任何技术问题。该技术可保留生殖功能，其中2名女性后来怀孕。采用该技术可避免产科子宫切除术。建议在DIVC对药物治疗无反应的情况下使用，而且所有外科医生均可采用。
