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SM ISO690:2012 KUSTUROV, Vladimir, GHIDIRIM, Gheorghe, KUSTUROVA, Anna, PALADII, Irina. Particularităţile de stabilizare a inelului pelvin la leziunile în timpul naşterii. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 510. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 510-510 | ||||||
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Rezumat | ||||||
Background. The ruptures of the pubic symphysis and sacroiliac joint sometimes happen during labor with diastasis between the pelvic bones and deformation of the pelvic ring. The frequency of these lesions is from 1:300 to 1:30,000 births, creating many problems for young women in postpartum life. Objective of the study. To determine the criteria for early stabilization of the pelvic ring rupted during childbirth, taking into account the individual particularities of the woman in labor. Material and Methods. Under our follow-up there were 14 patients with disruption to the pelvic ring II-III degree during labor. Special bed position was recommended for the patients (n=4) with rupture of the pubic symphysis II degree. Sacroiliac joint subluxation was reduced by manual traction in multiparous patients (n=3) with disruption of III degree. Closed pelvis osteosynthesis by external device was performed. Results. Osteosynthesis was performed in trauma clinic taking into account that patients had breast-fed children. The maximum anesthesia time was up to 30 minutes. Closed reposition of the pelvic bones and stabilization by an external device without additional blood loss were performed. Reposition of damaged bone surfaces was achieved in all cases. In 3-4 hours after surgery, the patients were returned to their children. From the second day they were able to get up, move around the room, take care of the children. Long-term results of treatment were evaluated from 1.5 to 14 years and rated as good. Conclusion. Rupture of the pelvic ring over physiological norms in women in labor require qualified diagnostics and appropriate treatment so as not to transfer young women into chronic patients. Conservative treatment does not give an stable clinical effect in multiparous women with disruption of II degree. |
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Cuvinte-cheie symphysis disruption, Labor, external fixation, ruptura simfizei, naştere, fixare externă |
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