UDK: 616-089+617.5:618
A.A. Vorobyev, M.S. Selikhova, O.V. Il ina, M.S. Y kovenko
ФГБОУ ВО «Волгоградский государственный медицинский университет» Министерства здравоохранения Российской Федерации, кафедра оперативной хирургии и топографической анатомии, кафедра акушерства и гинекологии
Symphysiopathia is one of the complications of the musculoskeletal system that occurs in the second half of pregnancy and childbirth, which can limit the functionality of patients and worsen the quality of life. Symphysiopathia often becomes an interdisciplinary problem that requires participation in the diagnosis and treatment of not only obstetricians and gynecologists, but also traumatologists, urologists and other specialists. Information about the frequency of occurrences of symphysiopathia is contradictory and registered in the range from 0,03 to 2,8 %. These contradictions are caused by the lack of clear criteria for diagnosis, overall terminology and low clinical alertness of treating doctors. The terminology «symphysitis» is not relevant, because it indicates the inflammatory genesis of the disease. Currently, the most appropriate term is «symphysiopathia», which reflects the leading (but not the only) symptom of the disease-pain. Modern research shows that the development of symphysiopathia in pregnant women is based on a combination of several fundamental factors – biomechanical causes, undifferentiated connective tissue dysplasia and magnesium and calcium deficiency. There is no consensus about cause-and-effect interrelation, and this problem needs to be studied.
symphysiopathia, biomechanism, a deficiency of magnesium and calcium, connective tissue dysplasia.
Воробьев Александр Александрович – д. м. н., профессор, ученый секретарь Ученого совета ВолгГМУ, заслуженный деятель науки Российской Федерации, заведующий кафедрой оперативной хирургии и топографической анатомии, Волгоградский государственный медицинский