Müller M, Greve F, Zyskowski M, Wurm M, Biberthaler P, Kirchhoff C
Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675, München, Deutschland.
Unfallchirurg. 2021 Aug;124(8):673-677. doi: 10.1007/s00113-020-00936-x. Epub 2020 Dec 17.
A complete peripartum pubic symphysis separation is a rare but severe complication of natural birth. Its incidence is estimated to be 0.03-3 ‰. Minor partial separations with a small width can be treated with a pelvic binder. Separations with major dehiscence should be treated by surgical reduction and fixation. This article presents the case of a 30-year-old woman who suffered a complete rupture of the pubic symphysis during the birth of her second child. Radiographic dehiscence was 39 mm. The operative treatment was carried out using a supra-acetabular external fixator for 12 weeks with a good result.
完全性产后耻骨联合分离是自然分娩中一种罕见但严重的并发症。其发病率估计为0.03 - 3‰。轻度的小宽度部分分离可用骨盆固定带治疗。有严重裂开的分离应通过手术复位和固定治疗。本文介绍了一名30岁女性在第二次分娩时发生耻骨联合完全破裂的病例。影像学显示裂开为39毫米。采用髋臼上外固定架进行了12周的手术治疗，效果良好。
