Damen Léonie, Buyruk H Muzaffer, Güler-Uysal Füsun, Lotgering Frederik K, Snijders Chris J, Stam Hendrik J
Institute of Rehabilitation Medicine, Department of Biomedical Physics and Technology, Erasmus University Rotterdam, Rotterdam, The Netherlands. leoniedamen@ hotmail.com
Spine (Phila Pa 1976). 2002 Dec 15;27(24):2820-4. doi: 10.1097/00007632-200212150-00018.
Prospective cohort study.
To determine the prognostic value of asymmetric laxity of the sacroiliac joints during pregnancy on pregnancy-related pelvic pain postpartum.
In a previous study, we observed a significant relation between asymmetric laxity of the sacroiliac joints and moderate to severe pregnancy-related pelvic pain during pregnancy.
A group of 123 women were prospectively questioned and examined, and sacroiliac joint laxity was measured by means of Doppler imaging of vibrations at 36 weeks' gestation and at 8 weeks' postpartum. A left to right difference in sacroiliac joint laxity >or=3 threshold units was considered to indicate asymmetric laxity of the sacroiliac joints.
In subjects with moderate to severe pregnancy-related pelvic pain during pregnancy, sacroiliac joint asymmetric laxity was predictive of moderate to severe pregnancy-related pelvic pain persisting into the postpartum period in 77% of the subjects. The sensitivity, specificity, and positive predictive value of sacroiliac joint asymmetric laxity during pregnancy for pregnancy-related pelvic pain persisting postpartum were 65%, 83%, and 77%, respectively. Subjects with moderate to severe pregnancy-related pelvic pain and asymmetric laxity of the sacroiliac joints during pregnancy have a threefold higher risk of moderate to severe pregnancy-related pelvic pain postpartum than subjects with symmetric laxity.
These data indicate that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint asymmetric laxity measured during pregnancy is predictive of the persistence of moderate to severe pregnancy-related pelvic pain into the postpartum period.
前瞻性队列研究。
确定孕期骶髂关节不对称松弛对产后与妊娠相关的骨盆疼痛的预后价值。
在之前的一项研究中，我们观察到骶髂关节不对称松弛与孕期中度至重度妊娠相关骨盆疼痛之间存在显著关联。
对123名女性进行前瞻性询问和检查，在妊娠36周和产后8周通过多普勒振动成像测量骶髂关节松弛度。骶髂关节松弛度左右差异≥3个阈值单位被认为表明骶髂关节不对称松弛。
在孕期有中度至重度妊娠相关骨盆疼痛的受试者中，骶髂关节不对称松弛可预测77%的受试者产后仍有中度至重度妊娠相关骨盆疼痛。孕期骶髂关节不对称松弛对产后持续存在的妊娠相关骨盆疼痛的敏感性、特异性和阳性预测值分别为65%、83%和77%。孕期有中度至重度妊娠相关骨盆疼痛且骶髂关节不对称松弛的受试者产后出现中度至重度妊娠相关骨盆疼痛的风险是骶髂关节对称松弛受试者的三倍。
这些数据表明，在孕期有中度至重度骨盆疼痛主诉的女性中，孕期测量的骶髂关节不对称松弛可预测中度至重度妊娠相关骨盆疼痛持续至产后。
