ORQA MIYA QO‘SHMA ANOMALIYALARI BILAN TETRING SINDROMINI JARROHLIK DAVOLASH TAKTIKASINING XUSUSIYATLARI
##article.subject##:
lipomielotselle, fiksatsiyalangan orqa miya sindromi, yopik dizrafizm##article.abstract##
Qo‘zg‘almas orqa miya sindromi bo‘yicha operatsiya qilingan bolalarni jarrohlik yo‘li bilan davolash natijalari tahlil qilindi. Yopiq umurtqa disrafizm bilan umurtqa pog‘onasining fiksatsiyasini bartaraf etish uchun jarrohlik texnikasining xususiyatlari aniqlandi, bu esa davolanish natijalarini yaxshilashga imkon berdi. 2019 yildan 2022 yilgacha jami 61 bola fiksatsiyalangan umurtqa pog‘onasi bo‘yicha operatsiya qilindi. Ulardan 52 (85,2%) bemorda terminal tolaning fiksatsiyasi lipomeningotsel, diastematomieliya yoki mielomeningotsel bilan birlashtirildi. Barcha bemorlar magnit-rezonans tomografiya (MRI) va kompyuter tomografiyasi, MSCT, amalga oshirilgan elektroneyromiyografiya (ENMG), shuningdek traktografiya yordamida batafsil tadqiqot o‘tkazildi.
Ushbu bemorlarning barchasida cho‘zilgan orqa miya va ildizlarni bo‘shatish, araxnoid va tolali kordlarni kesish intraoperativ neyrofiziologik nazorat va mikroskopik jarrohlik texnikasi yordamida jarrohlik yo‘li bilan amalga oshirildi. Tadqiqot natijalari 55 kishidan iborat bemorlarning retrospektiv nazorat guruhi bilan taqqoslandi. Shu bilan birga, biz qo‘llagan yondashuv tos a’zolari kasalliklari bo‘lgan bemorlarning 29,5 foizida va asosiy guruhdagi motor kasalliklari bo‘lgan bemorlarning 19,6 foizida uzoq muddatli davrda ahvolni sezilarli darajada yaxshilaganligi aniqlandi.
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