Treatment of obstetric ruptures of pubic symphysis and dysfunctions of the pubic articulation


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Abstract

Objective. To conduct an analysis of clinical cases of dysfunction of the pannus joint and its traumatic ruptures with the definition of treatment tactics. Materials and methods. In KGBU, Maternity Hospital No. 2 between 2011 and 2016, DLD was registered in 123 women, which was 0.5% of all deliveries at the medical facility (22691) for the indicated period. For the diagnosis of DLS, in addition to assessing the pain syndrome on an analog scale and clinical data, ultrasound examination of the pinnate joint (ultrasound) was used. When suspicion of a traumatic rupture of the symphysis of the symphysis in labor, pelvic radiography was performed. Results. The frequency of DLS in parturient women for 6 years averaged 0.5%. In 12 patients with I diastasis of the lobed branches, a pubic symphysis ruptured during childbirth. The magnitude of diastase between the branches of the bones, measured during a single study, did not always correspond to the severity of the pa in syndrome in DLS. Conclusion. The use of conservative treatments for rupture of the pubic joint allows restoring the integrity of the pelvic ring with a good functional result.

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About the authors

Svetlana D. Yavorskaya

Altai State Medical University

Email: l200l@bk.ru
MD, Professor of the Department of Obstetrics and Gynecology with a course of DPO

Ivan A. Plotnikov

Altai State Medical University

Email: Ivan_Plotnikov85@mail.ru
Candidate of Medical Science, Assistant of the Department of Specialized Surgery in Urology, Traumatology and Ophthalmology.

Anatoliy V. Bondarenko

Altai State Medical University

Email: Barnaul-mixa@mail.ru
MD, Professor of the Department of Specialized Surgery in Urology, Traumatology and Ophthalmology, ASMU.

Aziza Olimova

Altai State Medical University

Email: l200l@bk.ru
post-graduate student of the Department of Obstetrics and Gynecology with a course of DPO

Irina V. Plotnikova

KGBUK KKBSMP

Email: Ivan_Plotnikov85@mail.ru
obstetrician-gynecologist Barnaul

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