基于组织应力重塑理论下陈旧性耻骨联合分离保守治疗临床可行性分析
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泰安市中心医院

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Conservative treatment of old separation of symphysis pubis based on tissue stress remodling
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1.Tai'2.'3.an City Center Hospital

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    摘要:

    目的:探讨陈旧性耻骨联合分离的保守治疗方法的可行性。方法:我科采用基于组织应力重塑理论的持续牵引下三维整复+骨盆带固定+运动疗法的方法对2018年2月-2020年8月收治的30例陈旧性产后耻骨联合分离患者行保守治疗,并对30例患者的临床资料进行回顾性分析。比较治疗前、治疗后4周及6个月患者疼痛VAS评分、生活质量SF-36评分、耻骨联合复位情况及疗效情况。结果:治疗后在疼痛程度、生活质量评分以及影像学耻骨联合复位情况上均有明显改善(P<0.01),且治疗后6个月的疼痛程度、生活质量评分较治疗后4周也有明显改善(P<0.01),治疗后6个月显效24例,有效6例,无效0例,总有效率100%,临床疗效显著。结论:基于组织应力重塑理论的持续牵引下三维整复+骨盆带固定+运动疗法治疗陈旧性产后耻骨联合分离临床疗效显著,且具有安全性高、实用性强特点,有效避免手术带来的二次创伤。

    Abstract:

    Abstract: Objective: To explore the feasibility of conservative treatment of old separation of symphysis pubis. Method: Our department adopted the method of continuous traction under continuous traction based on the theory of tissue stress remodeling + pelvic girdle fixation + exercise therapy to conservatively treat 30 patients with old postpartum symphysis sepsis from February 2018 to August 2020. Treatment, and retrospective analysis of the clinical data of 30 patients. The pain VAS score, quality of life SF-36 score, symphysis reduction and efficacy were compared before treatment, 4 weeks and 6 months after treatment. Results: After treatment, the pain level, quality of life score and imaging pubic symphysis reduction were significantly improved (P<0.01), and the pain level and quality of life scores at 6 months after treatment were also significantly improved compared with 4 weeks after treatment. (P<0.01), 6 months after treatment, 24 cases were markedly effective, 6 cases were effective, and 0 cases were ineffective. The total effective rate was 100%, and the clinical effect was significant. Conclusion: Based on the theory of tissue stress remodeling, three-dimensional reconstruction under continuous traction + pelvic girdle fixation + exercise therapy has significant clinical effects in the treatment of old postpartum pubic symphysis separation, and it has the characteristics of high safety and practicability, and effectively avoids surgery. Secondary trauma.

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  • 收稿日期:2021-12-08
  • 最后修改日期:2022-03-13
  • 录用日期:2022-05-30
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