妊娠相关的骨盆环疾病及治疗  

Pregnancy-related pelvic ring disease and its treatment

作　　者：王轶[1] 吴新宝[2] 杨明辉[2] 姜钰[2] 赵刚[2] 张子安[2] 

机构地区：[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

出　　处：《北京大学学报（医学版）》2015年第2期368-372,共5页Journal of Peking University:Health Sciences

摘　　要：妊娠是每一位健康女性要面临的过程，期间充满了幸福与期待，但这个过程中也不得不面对一些摆脱不掉的痛苦，孕妇围产期耻骨联合及骶髂关节疼痛是常见的并发症，患者表现为不同程度及不同部位的疼痛和行走困难，严重影响孕妇健康。我们对目前有关妊娠骨盆环疾病的诊断、治疗以及研究的现状进行总结，希望提高骨科及妇产科医生对妊娠有关骨盆环疾病的认识，对于临床治疗有所帮助，为临床研究提供指导。SUMMARY 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 sac-roiliac screw fixation.Other indications for the surgical intervention include inadequate reduction, recur-rent diastasis, intractable symptoms, and open rupture.

关 键 词：妊娠并发症 耻骨联合分离 骶髂关节 

分 类 号：R714.257[医药卫生—妇产科学]