Fătu C, Frâncu D, Fătu C I, Puişor M
Disciplina de Anatomie, Facultatea de Stomatologie, Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
Rev Med Chir Soc Med Nat Iasi. 1996 Jul-Dec;100(3-4):177-9.
Experimental studies on the hypogastric arteries' ligation have pointed out significant changes in the vascular pattern correlated with the time past from the ligation, ligatured vessels, health condition of the patient. They consist in changes in the territory of distribution and the appearance of new anastomosis, that have been grouped in: anastomosis between the central and the peripheral part of the artery or its branches, between the peripheral and the aortic branches, between the uterine artery and subcutaneous abdominal artery, aortico-ovarian and reno-ovarian anastomosis. Based on studies of the vascular pattern in postsurgical state we may conclude;--the ligatured artery gives off more collateral branches than the non-ligatured one;--the vascular network in the ischemic territory is larger in postsurgical than in presurgical state and comes to normal in about 10-20 days;--the ligation of all genital arteries does not result in complete ischemia;--it is impossible to approach all the genital arterial sources, so hysterectomy remains the last choice;--in women with no obstetrical history the ligation does not affect the reproductive potential;--during pregnancy or in postpartum the ligation of the proximal part may stop the haemorrhage, but it results in infertility.
关于腹下动脉结扎的实验研究指出，血管模式存在显著变化，这些变化与结扎后的时间、结扎的血管以及患者的健康状况相关。它们包括分布区域的变化和新吻合支的出现，这些变化可分为：动脉或其分支的中央部分与外周部分之间的吻合、外周与主动脉分支之间的吻合、子宫动脉与腹壁皮下动脉之间的吻合、主动脉 - 卵巢吻合和肾 - 卵巢吻合。基于对术后血管模式的研究，我们可以得出以下结论：——结扎的动脉比未结扎的动脉发出更多的侧支；——缺血区域的血管网络在术后比术前更大，大约在10 - 20天恢复正常；——所有生殖动脉的结扎不会导致完全缺血；——不可能处理所有生殖动脉来源，因此子宫切除术仍是最后的选择；——在无产科病史的女性中，结扎不影响生殖潜能；——在怀孕期间或产后，近端结扎可能会止血，但会导致不孕。
