中国实用妇科与产科杂志2018，Vol.34Issue(8)：918-922,5.DOI:10.19538/j.fk2018080121
磁共振分析初产妇骶髂关节与耻骨联合骨髓水肿的变化及其临床意义
Analysis of the changes by magnetic resonance imaging in pelvic bone marrow edema of sacroiliac joint and pubic symphysis in primiparas and corresponding clinical significance
摘要
Abstract
Objective To explore the pelvic marrow edema of sacroiliac joint and pubic symphysis at fullterm pregnant female before and after delivery based on Magnetic Resonance Image and its relationship with pelvic pain from pregnancy to postpartum, and to study effects of pregnancy and childbirth on pelvis. Methods We did retrospective investigation from January 2014 to January 2017 in the 97 cases fullterm pregnant female underwent 2 or 3 times pelvic MRI in Nanfang Hospital of Southern Medical University.MRI examination was performed at late term pregnancy, 42 days postpartum and/or 6-8 months postpartum. According to mode of delivery, they were separated to vaginal delivery group (72 cases) and cesarean group (25 cases).Recording whether there was marrow edema of the sacroiliac joint and pubic symphysis and whether there was pubic symphysis fracture on its MRI, and follow-ups were made in all patients about whether they had history of pelvic pain before and during pregnancy and postpartum by telephone. The pelvic MRI of 120 nulliparous female were collected as control.Results (1) After vaginal delivery, pubic symphysis bone marrow edema was higher than cesarean section primipara. (2) Bone marrow edema of sacroiliac joint and pubic symphysis can recover in postpartum 6-8 months. (3) The bone marrow edema of the sacroiliac joint were significantly related to pain of primipara's sacroiliacjoint, but marrow edema of pubic symphysis had no correlation with pubic symphysis pain, but pubic symphysis fracture was significantly correlated with its pain.Conclusion The bone marrow edema of sacroiliac joint is joint inflammation, and significantly associated with primipara's sacroiliac joint pain in late pregnancy and postpartum. So When dealing with primipara's sacroiliac joint pain we should pay enough attention to sacroiliac joint bone marrow edema.关键词
骨髓水肿/骨盆/磁共振/三维重建/骶髂关节/耻骨联合Key words
bone marrow edema/pelvis/magnetic resonance imaging/three-dimensional reconstruction/sacroiliac joint/pubic symphysis分类
医药卫生引用本文复制引用
刘萍,陈硕臻,王月祉,余艳红,陈春林,廖科丹,李益格,王艳,昌仁明,唐连..磁共振分析初产妇骶髂关节与耻骨联合骨髓水肿的变化及其临床意义[J].中国实用妇科与产科杂志,2018,34(8):918-922,5.基金项目
国家自然科学基金 (81370736, 81571422) （81370736, 81571422）
国家自然科学基金重大项目 (61190120, 61190122) （61190120, 61190122）
南方医科大学南方医院高层次匹配课题 (2013020) （2013020）
