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我院于1979年～1991年为9例因盆腔脏器大出血患者进行紧急髂内动脉结扎术,兹将情况分析于下。临床资料:本组患者属泌尿科6例,膀胱癌3例,肉瘤1例,皆因大出血血红蛋白仅30～40g/L,2例前列腺切除后腺窝大出血,施行结扎术后再处理腺窝出血;1例属妇产科因子宫绒毛膜上皮癌大出血;2例属普外,为直肠癌切除术中大出血。手术方法:脐下正中切口进腹,将小肠推向腹腔用纱布隔离,以骶骨岬为标志离中线各3cm切开后腹膜,找到髂总动脉分叉及内下走行的髂内动脉,游离后纱带向上牵引、阻断,确认动脉搏动存在后粗丝线结扎。左侧应把乙状结肠向下牵开,同时应避免误伤动脉附近的髂总静脉及髂内静脉。一般可以在15～20min内完成结扎。
Our hospital from 1979 to 1991 for 9 cases of pelvic organ bleeding in patients with emergency internal iliac artery ligation, hereby the situation in the next analysis. Clinical data: This group of patients are urological 6 cases, 3 cases of bladder cancer, 1 case of sarcoma, all because of haemorrhage hemoglobin only 30 ~ 40g / L, 2 cases of prostate hemorrhage after glandular resection, ; 1 case of obstetrics and gynecology due to uterine bleeding in the epithelial carcinoma of the uterine epithelium; 2 cases were extra-generalized for major hemorrhage in resection of rectal cancer. Surgical methods: incision into the abdomen under the navel, the small intestine into the abdominal cavity gauze isolation, sacral promontory as the mark from the midline 3cm incision after the peritoneum, to find the common iliac artery bifurcation and internal walking under the internal iliac artery, after free Yarn up traction, blocking, confirm the presence of arterial pulse thick ligation. The left side of the sigmoid colon should be pulled down, while avoiding accidental injury arteries near the common iliac vein and iliac vein. Generally can be completed within 15 ~ 20min ligation.