Taylor R N, Sonson R D
J Reprod Med. 1986 Mar;31(3):203-6.
A retrospective review of symphysial separations during pregnancy revealed an incidence of 1:600 deliveries over the previous five years. This figure reflects an occurrence 40-fold or more frequent than the current literature suggests. All the cases in our 11 patients suffering peripartum pubic rupture occurred after spontaneous vaginal deliveries. Maternal age, parity, clinical pelvimetry and fetal weight did not play a clear role in the development of symphysiolysis. Rapid descent of the presenting part in the second stage, however, was a common feature. Nonoperative treatment of pubic diastasis and expectant management of subsequent deliveries seem advisable.
对妊娠期耻骨联合分离的一项回顾性研究显示，在过去五年中，耻骨联合分离的发生率为每600例分娩中有1例。这一数字表明其发生率比当前文献报道的高出40倍甚至更多。我们的11例产妇在围产期发生耻骨联合破裂，所有病例均发生于自然阴道分娩后。产妇年龄、产次、临床骨盆测量和胎儿体重在耻骨联合分离的发生过程中并未起到明显作用。然而，第二产程中胎先露部快速下降是一个常见特征。耻骨联合分离的非手术治疗以及对后续分娩的期待管理似乎是可取的。
