陈旧性耻骨联合分离综合保守治疗  

Combined conservative treatment for old pubic symphysis separation

作　　者：匡乃峰 闫平平[1] 陈悦霞[1] 高伟鹏[1] 王琰 秦厚红 王楠 郑遵成[1] KUANG Nai-feng;YAN Ping-ping;CHEN Yue-xia;GAO Wei-peng;WANG Yan;QIN Hou-hong;WANG Nan;ZHENG Zun-cheng(Department of Rehabilitation Medicine,Tai'an Central Hospital,Tai'an 271000,China;Qingdao Fuwai Cardiovascular Hospital,Qingdao 266034,China)

机构地区：[1]泰安市中心医院康复医学科,山东泰安271000 [2]青岛阜外心血管病医院,山东青岛266034

出　　处：《中国矫形外科杂志》2022年第15期1430-1433,共4页Orthopedic Journal of China

摘　　要：[目的]探讨陈旧性耻骨联合分离保守治疗方法的可行性。[方法]回顾性分析2018年2月—2020年8月采用持续牵引下三维整复,骨盆带固定和运动疗法的综合保守方法治疗的30例陈旧性产后耻骨联合分离患者的临床资料。评价临床及影像结果。[结果]治疗过程中无明显不良反应,与治疗前相比,治疗后4周及6个月的VAS评分和SF-36评分各项均显著改善(P<0.05)。治疗6个月时,23例显效,6例有效,1例无效,总有效率96.67%。影像方面,与治疗前相比,治疗后4周和6个月,耻骨联合距离显著减小(P<0.05)。[结论]持续牵引下三维整复,骨盆带固定和运动疗法治疗陈旧性产后耻骨联合分离临床疗效满意,具有安全性高的优点。[Objective] To investigate the feasibility of combined conservative treatments for old pubic symphysis separation. [Methods] A retrospective study was conducted on 30 patients who received combined conservative therapies, including three–dimensional continuous traction, pelvic band fixation and exercise therapy, for old postpartum pubic symphysis separation in our department from February2018 to August 2020. The clinical and imaging consequences were evaluated. [Results] There were no obvious adverse reactions during the combined conservative treatments. Compared with those before treatment, the VAS score and SF-36 score were significantly improved at 4weeks and 6 months after treatment(P<0.05). At 6 months after treatment, 23 patients were marked obviously effectively, 6 cases effectively and 1 case ineffective, with total effective rate of 96.67%. Radiographically, compared with that before treatment the pubic symphysis separation distance was significantly reduced at 4 weeks and 6 months after treatment(P<0.05). [Conclusion] This combined conservative therapy,involving continuous traction for three-dimensional reduction, pelvic band fixation and exercise therapy, has a satisfactory clinical outcomes for old postpartum pubic symphysis separation with an advantage of high safety.

关 键 词：陈旧性耻骨联合分离 组织应力重塑 三维整复 运动疗法 

分 类 号：R683.42[医药卫生—骨科学]