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妊娠相关的骨盆环疾病及治疗

  • 王轶 ,
  • 吴新宝 ,
  • 杨明辉 ,
  • 姜钰 ,
  • 赵刚 ,
  • 张子安
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  • (1.北京市怀柔区中医医院骨伤科,北京101400;2.北京积水潭医院创伤骨科,北京100035)

网络出版日期: 2015-04-18

Pregnancy-related pelvic ring disease and its treatment

  • WANG Yi ,
  • WU Xin-Bao ,
  • YANG Ming-Hui ,
  • JIANG Yu ,
  • ZHAO Gang ,
  • ZHANG Zi-An
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  • (1. Department of Orthopedics, Beijing Huairou District Chinese Medicine Hospital, Beijing 101400, China; 2. Department of Trauma and Orthopedics, Beijing Jishuitan Hospital, Beijing 100035, China)

Online published: 2015-04-18

本文引用格式

王轶 , 吴新宝 , 杨明辉 , 姜钰 , 赵刚 , 张子安 . 妊娠相关的骨盆环疾病及治疗[J]. 北京大学学报(医学版), 2015 , 47(2) : 368 -372 . DOI: 10.3969/j.issn.1671-167X.2015.02.038

Abstract

Pregnancy-related pelvic ring disease brings great suffering to pregnant women, including the separation of the pubic symphysis and sacroiliac joint pain. Hormonal changes leading to ligamentous laxity is the main reason for pregnancy-related pelvic ring disease. In normal pregnant cases, and the physiologic widening at the symphysis is about 3-7 mm. When the widening of the symphysis is more than 10 mm, it may lead to symptoms and need active treatment. Currently the diagnosis of the pubic symphysis separation is based on the clinical symptoms and signs. The treatment of acute pubic symphysis separation bases on conservative therapy, includes bed rest and physical therapy. But when the widening of the symphysis is more than 4 cm, the surgery intervention may be a good treatment. If the conservative treatment is not obviously effective, the surgery consists of plate fixation in the pubic symphysis and sacroiliac screw fixation. Other indications for the surgical intervention include inadequate reduction, recurrent diastasis, intractable symptoms, and open rupture.
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