不成熟骨盆畸形分娩引起的耻骨破裂

Ortho-tips Pub Date : 1900-01-01 DOI:10.35366/110718
César Othoniel González Cancino, M.I. Lizbeth Ramos Gutiérrez
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引用次数: 0

摘要

分娩时耻骨断裂是一种罕见的病变,发生率为0.1-0.8%,通常与老年初移患者有关,在年轻患者中几乎没有证据报道,但在儿科年龄几乎没有。在我们的病例中,这是一名15岁的女性患者,足月妊娠难产,骨盆骨骼不成熟,耻骨联合破裂导致骨盆环旋转不稳定,因此需要手术治疗。由于在这方面几乎没有文献统一这种由分娩引起的骨盆损伤的管理标准,因此不可能标准化护理方案,因此管理它们的最佳方法是坚持在类似损伤患者中建立的方法。因为另一种性质的创伤。我们的目标是为这一罕见的未被充分诊断的疾病的参考文献做出贡献,表明我们可以在许多产后妇女中发现它,尽管不一定是手术,但它们应该得到正确的治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Disrupción del pubis asociada a parto distócico en pelvis inmadura
Disruption of the pubis during labor is a rare lesion with a frequency of 0.1-0.8%, usually related to elderly primigravid patients, there is little evidence reported in young patients, but practically none in pediatric age. In our case, it is a 15-year-old female patient who is in full-term pregnancy with dystocic labor and with a skeletally immature pelvis, with disruption of the symphysis pubis that caused rotational instability of the pelvic ring, therefore which required surgical treatment. As there is little literature in this regard that unifies the management criteria for this type of pelvic injury that is a product of labor, it is impossible to standardize care protocols, therefore the best way to manage them is to adhere to what is established in patients with similar injuries. as a result of trauma of another nature. Our objective is to make a contribution to the bibliography on this rare entity that is undoubtedly underdiagnosed, to show that we can find it in many women in the immediate postpartum period and that although they are not necessarily surgical, they should be correctly treated.
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