SURUNKALI MIGRENNI JARROHLIK DAVOLASHDA KATTA ENSA NERVINING ENDOSKOPIK DEKOMPRESSIYASI SAMARADORLIGINI AN’ANAVIY USULLAR BILAN TAQQOSLASH
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surunkali migren, katta ensa nervi, nerv dekompressiyasi, endoskopik jarrohlik, migren jarrohligi.##article.abstract##
Dolzarbligi. Surunkali migren bosh og‘rig‘ining eng keng tarqalgan shakllaridan biri bo‘lib, bemorlarning hayot sifatini sezilarli darajada pasaytiradi. So‘nggi yillarda migrenni jarrohlik yo‘li bilan davolash usullari faol rivojlanmoqda. Ushbu yondashuv periferik trigger zonalarni bartaraf etish va sezuvchi nerv tuzilmalarini dekompressiya qilishga asoslangan. Surunkali migrenning ensa sohasidagi shakllarida katta ensa nervining kompressiyasi muhim patogenetik omillardan biri hisoblanadi.
Tadqiqot maqsadi. Katta ensa nervining endoskopik dekompressiyasi samaradorligini baholash va uni surunkali migrenni davolashda qo‘llaniladigan an’anaviy jarrohlik usullari bilan taqqoslash.
Material va usullar. Tadqiqotga surunkali migren bilan og‘rigan 293 nafar bemor kiritildi. Nazorat guruhini 145 nafar bemor tashkil etdi, ularda an’anaviy jarrohlik usullari qo‘llanildi. Asosiy guruhga 148 nafar bemor kiritildi, ularda katta ensa nervining endoskopik dekompressiyasi bajarildi.
Natijalar. Endoskopik jarrohlik usulidan foydalanish operatsiyadan keyingi sensor asoratlar chastotasini kamaytirdi hamda klinik natijalarning barqarorligini oshirdi. Ijobiy klinik natijalar nazorat guruhida 70% bemorlarda, asosiy guruhda esa 85% bemorlarda kuzatildi.
Xulosa. Katta ensa nervining endoskopik dekompressiyasi surunkali migrenni jarrohlik yo‘li bilan davolashning samarali va xavfsiz usuli hisoblanadi hamda migren jarrohligining istiqbolli yo‘nalishlaridan biri bo‘lib xizmat qiladi.
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