OʻN IKKI BARMOQLI ICHAK YARASI TESHILGAN BEMORLARNI XIRURGIK DAVOLASH TAKTIKASINI OPTIMALLASHTIRISH
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Oʻn ikki barmoqli ichak yarasi, yara kasalligi perforatsiyasi, xirurgik davolash##article.abstract##
Tadqiqotda oʻn ikki barmoqli ichak yarasi perforatsiyasi bilan asoratlangan 234 bemor ishtirok etdi. Peritonitning ogʻir kechishi prognoz qilingan bemorlarda piloroplastika bilan yaraning ekssiziyasi hajmida operatsiya maqbuldir, bunda oʻlim darajasi choklar yetishmovchiligi holatlarini qayta operatsiya bilan tikishdan 17,8% kam (tikishdan keyin choklarning yetishmovchiligi- 22,2%). Taklif etilayotgan mezonlarga muvofiq birlamchi operatsiyaning patogenetik jihatdan asosli hajmini tanlash ularning hajmini 18,7% ga oshirishga imkon beradi, piloroduodenostenoz va yaradan qon ketishi boʻlgan bemorlar sonini kamaytiradi va retsidivlar sonini kamaytiradi. Peritonit kechishining agressivligini bashorat qilishga asoslangan oʻn ikki barmoqli ichak yarasi teshilgan bemorlarda birlamchi operatsiya hajmini tanlash taktikasidan foydalanish oʻlim koʻrsatkichlarining statistik jihatdan sezilarli darajada 9,3% dan 3,8% gacha va operatsiyadan keyingi asoratlarning 12,3% dan 2,9% gacha pasayishiga olib keldi.
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