POSTXOLETSISTEKTOMIK SINDROMNI XIRURGIK DAVOLASHNING MURAKKABLIGI VA XUSUSIYATLARI
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postxoletsistektomik sindrom, postxoletsistektomik reflyuks gastrit, o’t tosh kasalligi##article.abstract##
Maqolada 2017 yildan 2023 yilgacha jarrohlik bo'limida davolangan 80 bemorning klinik tekshiruvi ma'lumotlari keltirilgan. Postxoletsistektomik reflyuks gastrit (PXE RG) bilan kasallanish darajasini aniqlash uchun ushbu davrda O’t tosh kasalligi (O’TK) tashxisi qo'yilgan bemorlarning umumiy soni aniqlandi - 571 kishi (100%). Ulardan 160 nafar (27,8%) bemorda postxoletsistektomik sindrom (PXES) belgilari bilan murojaat qilgan bo'lsa, ularning 48 nafarida (45,7%) RG tashxisi qo'yilgan va 50 bemorda (17%) faqat jarrohlik yo'li bilan tuzatish talab qilingan. Bemorlar (n = 80) uchta guruhga bo'lingan: ikkita asosiy va bitta nazorat. Birinchi guruh (n = 35) PXE RG bilan kasallangan bemorlarni o'z ichiga olgan bo’lib, RG laparoskopik yoki an'anaviy jarrohlik yo’li bilan tuzatilgan. Ikkinchi guruhga xoletsistektomiya (XE) paytida PXE RG rivojlanishining oldini olish uchun profilaktik korreksiya qilingan O’TK va RG bilan og'rigan 17 bemor kiritilgan. Nazorat guruhi (n=28) PXES bilan kasallangan bemorlardan iborat bo'lib, ular uchun PXE RG rivojlanishining sabablarini aniqlash uchun tibbiy ma'lumotlarning retrospektiv tahlili o'tkazildi.
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