ICHAK STOMALARI ASORATLARINING OLDINI OLISH UCHUN TAKOMILLASHTIRILGAN INTRAOPERATIV KOMPLEKSNING QIYOSIY SAMARADORLIGI
##article.subject##:
ichak stomasi; kolostoma; ileostoma; stomal asoratlar; stoma retraktsiyasi tortib olish; parastomal churra; oldini olish; jarrohlik texnikasi.##article.abstract##
Tadqiqot maqsadi: ichak stomasining asoratlarini oldini olish bo‘yicha takomillashtirilgan intraoperativ kompleksning samaradorligini bemorlarda standart stoma qo‘yish texnikasi bilan solishtirish. Materiallar va usullar: 260 nafar ≥18 yoshli bemorlarda nazorat ostida qiyosiy guruh tekshiruvi o‘tkazildi, ular oshqozon-ichak tizimida ochiq/laparoskopik aralashuvlar natijasida ileo yoki kolostoma hosil bo‘lgan. Natijalar: asosiy guruhda 30 kungacha stomiya retraktsiyasi kamroq uchraydi: 3,0% (4/132) va 9,4% (12/128), RR=0,32; p=0,040. Har qanday erta stomal asoratlar: 18,9% ga nisbatan 35,2%, RR=0,54; p=0,003. Og‘ir asoratlar (Clavien–dindo ≥III): 2,3% va 8,6%, RR=0,26; p=0,028. Xulosa: kengaytirilgan intraoperativ kompleks-bu stomatsiya bosqichi vaqtining o‘rtacha ko‘payishi bilan standart texnikaga nisbatan retraktsiya va parastomal churra chastotasini kamaytirishning takrorlanadigan va klinik jihatdan samarali usul hisoblanadi.
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