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目的探讨超声诊断围生期耻骨联合分离的价值。方法回顾分析52例围生期耻骨联合分离的患者,应用高频超声检查耻骨联合缝隙宽度及左右错合差度情况,并经临床治疗后随访。结果所有病例的耻骨联合分离均≥10mm,同时伴有左右错合差≥5mm的患者中,妊娠晚期8例,产时患者11例,产后患者3例。伴有耻骨周围血肿患者中,产时发病者5例;产后发病者2例。经过临床早期治疗,所有病例均痊愈,无后遗症发生。结论高频超声诊断围生期耻骨联合分离症优势明显,是一种无创伤、可重复操作的理想检查方法,值得临床推广应用。
Objective To investigate the value of ultrasonography in the diagnosis of perinatal pubis symphysis. Methods Fifty-two patients with perinatal puborenal symphysis were retrospectively analyzed. The width of symphysis pubis and the degree of left and right misalignment were examined by high-frequency ultrasonography and followed up by clinical treatment. Results All cases had a combination of pubic symphysis ≥10mm, accompanied by left and right misclassification ≥5mm, 8 cases in late pregnancy, 11 cases in labor and 3 cases in postpartum. Accompanied by patients with hematoma around the pubis, the onset of 5 cases of postpartum morbidity; 2 cases of postpartum onset. After clinical early treatment, all cases were cured, no sequelae occurred. Conclusion High-frequency ultrasound diagnosis of perinatal pubis symphysis has obvious advantages, is a noninvasive, repeatable operation of the ideal examination method, worthy of clinical application.