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本文引用的文献

1
The anatomy of the internal iliac artery: a meta-analysis.髂内动脉解剖：荟萃分析。
Folia Morphol (Warsz). 2024;83(3):517-530. doi: 10.5603/fm.97800. Epub 2024 Mar 21.
2
Internal Iliac Artery Ligation in Obstetrics and Gynecology: Surgical Anatomy and Surgical Considerations.妇产科中髂内动脉结扎术：手术解剖与手术考量
Clin Pract. 2023 Dec 27;14(1):32-51. doi: 10.3390/clinpract14010005.
3
Epidemiological trends and risk factors related to lower urinary tract symptoms around childbirth: a one-year prospective study.与分娩前后下尿路症状相关的流行病学趋势和危险因素：一项为期一年的前瞻性研究。
BMC Public Health. 2023 Oct 31;23(1):2134. doi: 10.1186/s12889-023-17065-w.
4
Urinary incontinence in the postpartum 1-year period: Its prevalence and effect on psychosocial status of women.产后 1 年内尿失禁：其流行率及其对女性社会心理状况的影响。
Low Urin Tract Symptoms. 2023 Sep;15(5):191-199. doi: 10.1111/luts.12495. Epub 2023 Jun 26.
5
Randomized Trial of Early Detection and Treatment of Postpartum Hemorrhage.随机试验：产后出血的早期检测与治疗。
N Engl J Med. 2023 Jul 6;389(1):11-21. doi: 10.1056/NEJMoa2303966. Epub 2023 May 9.
6
Effects of nonselective internal iliac artery angioembolization on pelvic venous flow in the swine model.非选择性髂内动脉血管栓塞对猪模型盆腔静脉血流的影响。
J Trauma Acute Care Surg. 2021 Aug 1;91(2):318-324. doi: 10.1097/TA.0000000000003190.
7
The prevalence of urinary incontinence.尿失禁的患病率。
Climacteric. 2019 Jun;22(3):217-222. doi: 10.1080/13697137.2018.1543263. Epub 2018 Dec 21.
8
Ovarian reserve after internal iliac artery ligation.髂内动脉结扎术后的卵巢储备功能。
J Obstet Gynaecol Res. 2018 Sep;44(9):1761-1765. doi: 10.1111/jog.13719. Epub 2018 Jul 5.
9
Impact of urinary incontinence types on women's quality of life.尿失禁类型对女性生活质量的影响。
Rev Esc Enferm USP. 2017 Dec 21;51:e03266. doi: 10.1590/S1980-220X2016032603266.
10
Does ligation of internal iliac artery for postpartum hemorrhage affect clitoral artery blood flow and postpartum sexual functions?结扎髂内动脉治疗产后出血会影响阴蒂动脉血流及产后性功能吗？
Eur J Obstet Gynecol Reprod Biol. 2017 Dec;219:124-128. doi: 10.1016/j.ejogrb.2017.10.029. Epub 2017 Oct 31.

髂内动脉结扎术对应激性和急迫性尿失禁的影响：一项回顾性评估

Effects of Internal Iliac Artery Ligation on Stress and Urge Incontinence: A Retrospective Evaluation.

作者信息

Akay Emrullah, Uzun Gül Alime Dilayda, Mutlu Enes Burak, Nalbant Ayşe Ceren, Irmak Kübra, Ersan Fırat

机构信息

Obstetrics and Gynecology, Başakşehir Çam and Sakura City Hospital, Istanbul, TUR.

Obstetrics and Gynecology, Başakşehir Çam and Sakura City Hospital, istanbul, TUR.

出版信息

Cureus. 2024 Jun 29;16(6):e63465. doi: 10.7759/cureus.63465. eCollection 2024 Jun.

DOI:10.7759/cureus.63465
PMID:39077305
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11285719/
Abstract

INTRODUCTION

Does bilateral internal iliac artery ligation (BIIAL), a fundamental intervention in the treatment of postpartum hemorrhage, increase the risk of urinary incontinence (UI)? This study aims to shed light on the effects of BIIAL on bladder perfusion and urinary system integrity, thereby elucidating urinary function disorders following pelvic surgery.

METHODS

Demographic and medical data were collected from a total of 192 female patients, with and without the application of BIIAL. Urinary incontinence conditions were assessed using the Questionnaire for Urinary Incontinence Diagnosis (QUID) test. The data collection process was conducted according to ethical standards, and the results were analyzed to determine the types of incontinence.

RESULTS

In the group that underwent BIIAL, the number of pregnancies and births was statistically higher compared to the control group. A significant effect of BIIAL was seen in cases of urge urinary incontinence (UUI), while no meaningful impact was detected on stress urinary incontinence (SUI). After the BIIAL procedure, an increase in the rate of urinary leakage was seen in certain cases.

CONCLUSION

Bilateral internal iliac artery ligation has proven to be a safe and effective intervention in the management of postpartum hemorrhage. The findings suggest a potential impact of BIIAL on UUI but not on SUI. Comprehensive and long-term prospective studies are needed to further investigate the effects of BIIAL on pelvic blood flow and bladder functions.

摘要

引言

双侧髂内动脉结扎术（BIIAL）作为产后出血治疗的一项基本干预措施，是否会增加尿失禁（UI）的风险？本研究旨在阐明BIIAL对膀胱灌注和泌尿系统完整性的影响，从而阐明盆腔手术后的泌尿功能障碍。

方法

收集了192例女性患者的人口统计学和医学数据，这些患者有的接受了BIIAL，有的未接受。使用尿失禁诊断问卷（QUID）测试评估尿失禁情况。数据收集过程按照伦理标准进行，并对结果进行分析以确定失禁类型。

结果

接受BIIAL的组中，妊娠和分娩次数在统计学上高于对照组。在急迫性尿失禁（UUI）病例中可见BIIAL有显著影响，而对压力性尿失禁（SUI）未检测到有意义的影响。在BIIAL手术后，某些病例中尿漏率有所增加。

结论

双侧髂内动脉结扎术已被证明是治疗产后出血的一种安全有效的干预措施。研究结果表明BIIAL对UUI有潜在影响，但对SUI没有影响。需要进行全面的长期前瞻性研究，以进一步调查BIIAL对盆腔血流和膀胱功能的影响。