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患者24岁。孕40周分娩时突感左腹股沟部有“兹啦”声响,伴剧烈疼痛,以致不能正常分娩,遂行剖宫产术。术后两天腹股沟部疼痛不减,不能活动。骨科会诊后见耻骨联合左侧肿胀,明显压痛。骨盆分离挤压试验阳性。摄骨盆片见骨质广泛疏松,左侧耻骨上下支结合部纵行骨折但无明显移位。上下支结合部的内侧到耻骨联合处明显变长,上下径较小。诊断为左耻骨骨折、骨质疏松。予补钙及维生素口服、卧床和骨盆兜悬吊。4周后骨折线模糊,下床行走无疼痛。2个月后复查骨折线已消失。
The patient is 24 years old. 40 weeks pregnant childbirth suddenly felt the left groin has “Zara” sound, with severe pain, resulting in normal childbirth, cesarean section. Two days after the groin pain unabated, can not move. See the pubic symphysis left joint swelling after orthopedic consultation, significant tenderness. Pelvic compression test was positive. Pelvic pelvis see extensive osteoporosis, the left pubic branch up and down the branch longitudinal fracture but no significant shift. Upper and lower branch of the medial joint to the pubic symphysis was significantly longer at the upper and lower diameter smaller. Diagnosis of the left pubic fracture, osteoporosis. To oral calcium and vitamins, bed and pelvic pocket hanging. 4 weeks after the fracture line blurred, no pain walking out. 2 months after the review of the fracture line has disappeared.