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髂内动脉结扎是一种古老的手术。临床应用已有百余年历史。Stephens 于1812年首次为臀部动脉瘤患者作过这种手术。1893年Howard Kelly 为一宫颈癌患者作经腹子宫全切时做过双侧髂内动脉结扎术。近十余年来一些人认为,在妇产科盆腔手术产生难于控制的出血时,作髂内动脉结扎是一种有效的拯救生命的措施。现国外关于髂内动脉结扎的报道日渐增多。由于髂内动脉结扎操作简单、快速,控制盆腔出血安全、有效,没有严重并发症,所以有人认为应把这种手术列入教学内容。现将骼内动脉结扎术有关问题分述如下。
Internal iliac artery ligation is an ancient surgery. Clinical application has more than 100 years of history. Stephens made his first operation in 1812 for patients with hip aneurysms. In 1893, Howard Kelly performed bilateral internal iliac artery ligation in a complete abdominal hysterectomy for a cervical cancer patient. Over the past decade or so some people think that in the obstetrics and gynecology pelvic surgery produces difficult to control the bleeding, the internal iliac artery ligation is an effective life-saving measures. Now foreign reports on the internal iliac artery ligation increasing. As the internal iliac artery ligation simple, rapid, pelvic bleeding control, safe, effective, no serious complications, so some people think that this operation should be included in the teaching content. Now the iliac artery ligation related issues are described below.