| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to medicine and can be used for timely detection and treatment of failure of ligament apparatus of symphysis pubis in obstetric- gynecological and trauma practice. In the beginning of pregnancy factors of risk of symphysis pubis ruptures are determined: narrow pelvis, post-trauma pelvis deformities, exostoses, presence of expressed contractures of hip joints and hip joint endoprosthesis, previous pelvis trauma, kyphoscoliosis, fractures of thoracolumbar part of spine, pelvic pain in previous pregnancies and labours, rupture of symphysis pubis ligaments and gait disturbance during previous pregnancies and labours, large fetus, presence of scar on uterus from previous operation of cesarean section, incorrect position and fetus presentation, defects of its development. If at least one factor is present pregnant women are put into a risk group and clinical and ultrasonic examinations are performed in dynamics: at early pregnancy, in the middle of pregnancy and 7-10 days before labour. If in the middle of pregnancy or 7-10 days before labour pelvic pain syndrome grows, and/or ultrasonic examination shows increase of symphysis pubis diastasis to 9 mm and more, overdistension of symphysis pubis is determined and it is recommended to carry out delivery by cesarean section. On 1-3 day after delivery, both natural and by cesarean section, control clinical and X-ray examination of pubic bones in 2 projections and/or magnetic-resonance or computer tomography are carried out. ^ EFFECT: method ensures objective estimation of state of symphysis pubis ligaments during pregnancy and in postpartum period, Increases efficiency of diagnostics. ^ 3 ex |
