妊娠相关耻骨联合功能障碍的比较特点

M. Temirova, S. Iskakov
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引用次数: 0

摘要

耻骨联合功能障碍的可接受的分娩方法选择问题是现代产科的相关问题。因为这种情况的发生率在1 / 300到1 / 30000之间。耻骨联合功能障碍发生频率差异如此之大,是由于缺乏明确的疾病术语、发病机制和统一的诊断标准。研究目的:孕妇伴有耻骨联合分离及临床与无耻骨联合功能障碍的分析与比较。材料和方法。回顾性分析2015 - 2019年1210例孕妇分娩史及交换卡资料。结果和讨论。临床表现为耻骨联合功能障碍组,伴有I、II、III级超重、肥胖以及血液、心血管系统疾病、内分泌紊乱组。无耻骨联合功能障碍临床表现的组为体重正常的多胎孕妇。结论。对于有或无耻骨联合临床表现的孕妇,阴道分娩是首选的分娩方式,与耻骨联合破裂的风险最小有关。关键词:耻骨功能障碍,妊娠,分娩。
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Comparative characteristics of pregnancy-related symphysis pubis dysfunction
The problem of an acceptable choice of the method of delivery for symphysis pubis dysfunction is relevant in modern obstetrics. Since the incidence of this condition varies between 1 in 300 and 1 in 30,000 pregnancies. And such a large variation in the frequency of symphysis pubis dysfunction is explained by the lack of a clear terminology for this disease, pathogenesis, and uniform diagnostic criteria. Purpose of the study. Analysis and comparative characteristics of pregnant women with pubis symphysis diastasis and clinical dysfunction of the pubis symphysis and without it. Material and methods. A retrospective analysis of 1210 birth histories and exchange cards of pregnant women in the period from 2015 to 2019. Results and discussion. In the group with clinical manifestations of pubic symphysis dysfunction, with overweight and obese of I, II, III degrees, as well as with diseases of the blood, cardiovascular system and endocrine disorders. And the group without clinical manifestations of pubic symphysis dysfunction consisted of multigravida with normal body weight. Conclusions. Vaginal delivery preferred by method of delivery for pregnant women with or without clinical manifestations of pubic symphysis, associated with minimal risk of pubis symphysis rupture. Keywords: pubis dysfunction, pregnancy, delivery.
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