中国妇幼健康研究Issue(2)：322-324,3.DOI:10.3969/j.issn.1673-5293.2014.02.056
围产期耻骨联合分离的诊断与治疗
Diagnosis and treatment of perinatal pubic symphysis separation
张金慧 1杜洪灵 1丁小兰 1周琼青 1蒋漪桦1
作者信息
- 1. 上海市普陀区人民医院妇产科，上海，200060
- 折叠
摘要
Abstract
Objective To study the characteristics , pathogenesis , early diagnosis , treatment and prevention of perinatal pubic symphysis separation (PPSS).Methods Retrospective analysis was conducted on the clinical and follow-up information of 31 patients with PPSS treated in the period of January 2005 to December 2012.Results There were 2 cases undergoing operation of internal fixation , and the other 29 received conservative treatment .They were followed up after discharge for 4-6 months with average period of 4.5 months.Local symptoms relieved or disappeared , and there was no tenderness pain .Pelvic compression and separation test were negative .The separation distance and local pain degree recovered to normal 1.5 months after delivery, which were significantly different from preoperative condition (t value was 1.975 and 2.376, respectively, both P<0.05).Conclusion Prenatal occurrence of pubic symphysis separation with large fetus should choose cesarean section to avoid the aggravation of separation of symphysis pubis .Postpartum type can be diagnosed early according to clinical manifestations and X-ray examination , and active conservative treatment can obtain satisfactory effect .For patients with pubic symphysis separation combined with sacroiliac ligament injury , internal fixation can be carried out as soon as possible .关键词
围产期/耻骨联合分离/诊断/治疗/预防Key words
perinatal period/perinatal pubic symphysis separation ( PPSS)/diagnosis/treatment/prevention分类
医药卫生引用本文复制引用
张金慧,杜洪灵,丁小兰,周琼青,蒋漪桦..围产期耻骨联合分离的诊断与治疗[J].中国妇幼健康研究,2014,(2):322-324,3.
