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.
JNMA J Nepal Med Assoc. 2023 Dec 1;61(268):953-955. doi: 10.31729/jnma.8375.
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.
case reports; pelvic pain; pubic symphysis diastasis.
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。
病例报告；骨盆疼痛；耻骨联合分离。
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