Валеология: Здоровье, Болезнь, Выздоровление. 2020; : 62-68
ДИСФУНКЦИЯ ЛОННОГО СОЧЛЕНЕНИЯ: ОБЗОР ДИАГНОСТИЧЕСКИХ КРИТЕРИЕВ И АКУШЕРСКОЙ ТАКТИКИ
Аннотация
Дисфункция лобкового сочленения является одной из актуальных проблем в современном акушерстве. При данной патологии происходит чрезмерное растяжение лонного сочленения, проявляющееся болью в области лона. Расхождением лонного сочленения во время беременности и родов считается наличие симптомного диастаза шириной более 10 мм. Диастаз шириной более 14–25 мм прямо коррелирует с разрывами крестцово-подвздошных сочленений. Распространенность этой патологии составляет от 0,03 до 2,8 %. В настоящее время нет единой акушерской тактики при дисфункции лонного сочленения, как и единых диагностических критериев.
Данная патология ухудшает качество жизни беременных, рожениц и родильниц. В международной научной практике недостаточно научных исследований по данной патологии, нет стандартных протоколов ведения беременных с дисфункцией лонного сочленения. Наиболее частая необоснованная акушерская тактика на данный момент – это абдоминальное родоразрешение.
Список литературы
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Valeology: Health - Illnes - recovery. 2020; : 62-68
SYMPHYSİS PUBİS DYSFUNCTİON: OVERVİEW OF DİAGNOSTİC CRİTERİA AND OBSTETRİC TACTİCS
Abstract
Pubic joint dysfunction is one of the most pressing problems in modern obstetrics. In this pathology, there is an excessive stretching of the pubic joint, which is manifested by pain in the area of the womb. Divergence of the pubic joint during pregnancy and childbirth is considered to be the presence of a symptomatic diastasis with a width of more than 10 mm. Diastasis with a width of more than 14-25 mm directly correlates with ruptures of the sacroiliac joints. The prevalence of this pathology ranges from 0.03 to 2.8 per cent. Currently, there is no single obstetric tactics for dysfunction of the pubic joint, as well as common diagnostic criteria.
This pathology worsens the quality of life of pregnant women, women in labor and women in childbirth. In international scientific practice, there is not enough scientific research on this pathology, there are no standard protocols for the management of pregnant women with pubic joint dysfunction. The most frequent unsubstantiated obstetric tactic, at the moment, is abdominal delivery.
References
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