36例孕产妇耻骨联合分离临床分析  

Clinical analysis of 36 cases of pubic symphysis separation in pregnant and postpartum women

作　　者：王影 计成永 黄飞 刘姜伶 Wang Ying;Ji Chengyong;Huang Fei;Liu Jiangling(Department of Pelvic Floor and Postpartum Rehabilitation,Longhua District Maternal and Child Health Hospital,Shenzhen 518000,China;Male Reproductive Health Clinic,Guangming District Maternal and Child Health Hospital,Shenzhen 518100,China)

机构地区：[1]深圳市龙华区妇幼保健院盆底与产后康复科,广东深圳518000 [2]深圳市光明区妇幼保健院男性生殖健康门诊,广东深圳518100

出　　处：《实用妇科内分泌电子杂志》2024年第11期33-35,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨孕产妇耻骨联合分离发生的危险因素及防治方法。方法回顾性分析36例耻骨联合分离孕产妇与39例无耻骨联合分离孕产妇的临床资料。结果病例组孕产妇体质量指数明显低于对照组(P<0.05),阴道分娩、初产比例明显多于对照组(P<0.05)。两组年龄、新生儿体重、是否侧切方面比较,差异无统计学意义(P>0.05),两组均无急产及产钳助产史。所有病例均给予保守治疗,随访至产后4~6周,疼痛明显缓解或消失,耻骨联合分离距离减小。结论孕产妇体质量指数低、初产及阴道分娩耻骨联合分离发生率高,但是孕产妇耻骨联合分离病因复杂,还需进一步研究,早期干预保守治疗可缓解症状,缩短病程,促其早日康复。Objective To investigate the risk factors and prevention and treatment methods of pubic symphysis separation in pregnant and parturient women.Methods The clinical data of 36 pregnant women with symphysis pubis separation and 39 pregnant women without symphysis pubis separation were retrospectively analyzed.Results The body mass index of pregnant women in the case group was significantly lower than that in the control group(P<0.05),and the proportion of vaginal delivery and initial delivery was significantly higher than that in the control group(P<0.05).There was no significant diference in age,neonatal weight and lateral incision between the two groups(P>0.05).There was no history of emergency labor or forceps delivery.All cases were treated conservatively and followed up to 4~6 weeks postpartum.The pain was significantly relieved or disappeared,and the separation distance of symphysis pubis was reduced.Conclusion The incidence of pubic symphysis separation in pregnant women is low in body mass index,and the incidence of pubic symphysis separation in early labor and vaginal delivery is high.However,the cause of pubic symphysis separation in pregnant women is complex,and further research is needed.Early intervention and conservative treatment can alleviate symptoms,shorten the course of disease and promote theirearlyrecovery.

关 键 词：孕产妇 耻骨联合分离 危险因素 

分 类 号：R714.25[医药卫生—妇产科学]