Dhar S, Anderton J M
Countess of Chester Hospital, England.
Clin Orthop Relat Res. 1992 Oct(283):252-7.
Two cases of spontaneous rupture of the symphysis pubis (SP) during delivery are reported. The separations were associated with considerable pain, swelling, and tenderness over the symphysis pubis and were confirmed roentgenographically. Both patients were treated conservatively with bed rest, mostly in the lateral decubitus position, within pelvic binders. Immobilization was discontinued when they were pain free. The SP separations remained in reduced positions. The patients were essentially asymptomatic and walked normally. Conservative treatment followed by early mobilization is adequate treatment for SP separations.
本文报告了两例分娩期间耻骨联合自发性破裂的病例。耻骨联合分离伴有耻骨联合处明显疼痛、肿胀和压痛，并经X线检查确诊。两名患者均采用保守治疗，卧床休息，大多采取侧卧位，使用骨盆固定带。当患者无痛时，停止固定。耻骨联合分离保持复位状态。患者基本无症状，行走正常。耻骨联合分离采用保守治疗并早期活动是足够的治疗方法。
