产后耻骨联合分离：病例报告。

Postpartum Symphysis Pubis Diastasis: A Case Report.

机构信息

Department of Obstetrics and Gynaecology, Nepalese Army Institute of Health Sciences, Syanobharyang, Kathmandu, Nepal.

Department of Obstetrics and Gynaecology, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2023 Dec 1;61(268):953-955. doi: 10.31729/jnma.8375.

DOI:10.31729/jnma.8375

PMID:38289751

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10792716/

Abstract

UNLABELLED

The pubic symphysis is a midline, non-synovial joint connecting the right and left superior pubic rami. The joint allows very limited movement of approximately 0.5-1 mm. Under hormonal stimulation during pregnancy, the widening of the symphysis pubis and sacroiliac joints occurs. Pubic symphysis diastasis is defined as the widening of the pubic joint of >10 mm. It is a rare complication of vaginal childbirth for which no gold standard treatment has been defined. Most cases are treated conservatively. A case of pubic diastasis in a 24-year-old G5P2A2L1 following vaginal delivery is reported. Management consisted of simple conservative treatment, which was sufficient in achieving symptomatic relief.

KEYWORDS

case reports; pelvic pain; pubic symphysis diastasis.

摘要

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耻骨联合是连接左右耻骨上支的中线非滑膜关节。该关节允许约 0.5-1 毫米的非常有限的运动。在怀孕期间激素的刺激下，耻骨联合和骶髂关节会增宽。耻骨联合分离定义为耻骨联合增宽>10 毫米。这是阴道分娩的罕见并发症，尚未确定其金标准治疗方法。大多数情况下采用保守治疗。本文报告了一例 24 岁经阴道分娩的 G5P2A2L1 产妇发生耻骨联合分离的病例。该患者采用单纯保守治疗，足以缓解症状。