MIRIZZI SINDROMI BILAN BEMORLARNI XIRURGIK DAVOSINI OPTIMALLASHTIRISH
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Mirizzi sindromi, tasnif, tashxislash, kompyuterli tomografiya, retrograd pankreatoxolangiografiya, xoletsistektomiya, umumiy o`t yo`lini drenajlash##article.abstract##
Dolzarbligi. Mirizzi sindromi o`t chiqaruv yo`llarining kam uchraydigan kasalligi bo`lib, adabiyotlardagi ma`lumotlarga ko`ra o`t tosh kasalligining turli shakllari bilan og`rigan bemorlarning 0,5-5% ida aniqlanadi. Tadqiqot materiali va usullari. Tez tibbiy yordam ilmiy markazi Samarqand filiali 1 jarrohlik bo`limida 2012 - 2020 yillar davomida bo`lgan Mirizzi sindromi bilan 62 nafar bemorning tekshirish va davolash natijalari tahlil Qilib chiqilgan. Bemorlarning yoshi 45 yoshdan 82 yoshgacha bo`ldi. Bemorlarning 69,3% ini keksa va Qari yoshdagi bemorlar tashkil Qildi. 62 nafar bemorlar orasida ayollar 46 (74,2%) nafarni, erkaklar 16 (25,8%) nafarni tashkil Qildi. Tadqiqot natijalari. Olingan natijalarning tahlili shuni ko`rsatadiki, operatsiyadan keyingi erta davrda asoratlarning umumiy foizi 14,5%ni tashkil etadi. İng og`ir asorat sifatida magistral o`t yo`llarining jarohatlari kiritildi, bizning kuzatuvimizda ushbu asorat 3,2% (2 ta holat)ni tashkil Qildi. Ikkala holatda ham gepatikoxoledox shikastlanishiga Kalo uchburchagi elementlarining yetimlikcha identifikatsiya Qilinmaganligi va gepatikoxoledoxning o`t xalta yo`li deb baholanishi sabab bo`lgan. Asosiy guruhdagi bemorlarda bunday xatoga yo`l Qo`yilmagan. Xulosalar. Mirizzi sindromi bilan bemorlarda ball-li baholashga asoslangan, ishlab chiqilgan dasturning Qo`llanilishi operatsiyadan keyingi asoratlar sonini 3 marotaba kamaytirish, o`t yo`llari shikastlanishlarini oldini olish va qoniqarli natijalar sonini ko‘paytirish imkonini beradi.
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