Senechal P K
Department of Family Practice, 646th Medical Group, Eglin AFB, Florida 32542-1281.
J Am Board Fam Pract. 1994 Mar-Apr;7(2):141-4.
A severe case of separation of the symphysis pubis during labor and delivery is reported, which included severe pain and unusual complications of urinary outflow incontinence and fecal incontinence that gradually resolved with conservative treatment. The incidence of symphysis pubis separation is reported to be between 1:600 and 1:3400 obstetric patients. Treatment should generally be conservative and symptomatic. Prognosis for recovery is excellent. Recurrent separation of the symphysis pubis could occur during subsequent deliveries but generally is no worse than the first occurrence. This case report illustrates the unusual complications that can occur with severe diastasis of the symphysis pubis during pregnancy. Family physicians, obstetricians, and orthopedic surgeons could encounter this complication of childbirth in their own practices. Although the symptoms are dramatically severe in presentation, a conservative management approach is effective.
本文报告了一例分娩过程中耻骨联合分离的严重病例，该病例伴有剧痛以及尿失禁和大便失禁等异常并发症，经保守治疗后逐渐缓解。据报道，耻骨联合分离在产科患者中的发生率为1:600至1:3400。一般应采取保守和对症治疗。恢复预后良好。耻骨联合在后续分娩时可能会再次分离，但通常不会比首次更严重。本病例报告说明了妊娠期间耻骨联合严重分离可能出现的异常并发症。家庭医生、产科医生和骨科医生在各自的临床实践中可能会遇到这种分娩并发症。尽管症状表现极为严重，但保守治疗方法是有效的。
