BOLALARDA TA'SIRLANGAN URETERAL TOSHLARNI ENDOS-KOPIK YO'LI BILAN OLISHNING SAMARALI VA XAVFSIZLIGI
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bolalar, siydik yo'llarida toshlar, kontakt ureterolitotripsiya##article.abstract##
5 yoshdan 18 yoshgacha bo'lgan 73 nafar bolaning davolash natijalari retrospektiv baholandi. O'rtacha tosh o'lchami uzunligi 10,0±0,6 mm va kengligi 5,5±0,7 mm. 71 bemorda (97,2%) toshlarni to'liq olib tashlashga erishildi. Operatsiya davom-idagi asoratlarning umumiy darajasi 33,8% ni tashkil etdi. Endoskopik aralashuvni ochiq (III darajali) jarrohlik amaliyotiga aylantirish ikki holatda (2,8%) talab qilin-gan. Bolalarning 6,8 foizida siydik yo'llarining shilliq qavatining shikastlanishi (I daraja), 1,4 foiz hollarda siydik yo'llarining teshilishi (IIa daraja) kuzatilgan. Be-morlarning 4,1 foizida lazerli litotripsiya paytida siydik yo'llarining shilliq qavatining kuyishi (II a daraja) kuzatilgan. Dirijor o'tkazgich uchining defor-matsiyasi (I daraja) 16,4% hollarda kuzatilgan. Operatsiyadan keyingi asoratlar 23 bemorda (31,5%) kuzatildi. Tana haroratining ko'tarilishi bemorlarning 8,2 foizida (I daraja), gematuriya - bemorlarning 9,6 foizida (I daraja). Urinoma (III b daraja) bir holatda (1,4%) va bir bolada "tosh yo'li" (II a daraja) bo'lgan. Bir holatda o'tkir tizimli yallig'lanishli javob sindromi ham kuzatilgan. Bolalarda ta'sirlangan siydik yo'li toshlari uchun ureteroskopik kontakt litotripsi samarali va xavfsiz davolash usuli hisoblanadi.
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