盆腔手术骶前静脉丛大出血临床分析

目的探讨盆腔手术术中骶前静脉丛大出血的防治方法。方法回顾性分析鞍山市中心医院普外科1998年1月-2013年1月发生的8例骶前静脉丛大出血的临床病例资料。结果8例骶前静脉丛大出血全部止血成功，出血量为1000～4000mL，平均2600mL。结论熟悉盆腔解剖结构，并按解剖层次正确操作，是预防出血的关键。发生大出血时可用直接电凝法止血，方法简便易行。

Clinic analysis of presacral venous plexus bleeding in pelvic operation

Objective To investigate the methods of prevention and treatment of presacral venous plexus bleeding in pelvic operation. Methods The clinical data of 8 cases of presacral venous plexus bleeding in pelvic opera- tion from 1998 to 2013 were analyzed. Results All 8 cases succeeded in controlling bleeding, The amount of bleeding was 1 000-4 000 mL, the average amount is 2 600 rnL. Conclusions The key to prevention of presacral venous plexus bleeding was thorough familiar with pelvic anatomy and a dexterous technique of careful dissection. Massive hemorrhage occurred direct electric coagulation hemostasis was available, the method was simple.