XOLEDOK KISTASI BO'LGAN BOLALARDA BILIODIGESTIV ANASTOMOZ NATIJALARINI YAXSHIRISH
Abstrakt
Umumiy o't yo'lining kista o'zgarishini (UYKO') davolash jarrohlik yo'li bilan amalga oshiriladi, bugungi kunda "oltin standart" Rouxga ko'ra uzilgan halqadagi gepatikojejunoanastomoz hisoblanadi, ammo bu jarrohlik aralashuvdan keyin safro o'tishi bir qator asoratlarni keltirib chiqaradi. asoratlar, xususan, ichak disfunktsiyasi. Bu 12-o'n ikki barmoqli ichak orqali safro o'tishini tejash imkonini beruvchi jarrohlik davolashning yangi usullarini ishlab chiqish uchun asosiy turtki hisoblanadi. Tadqiqot maqsadi: Bolalarda o't yo'llarining kista transformatsiyasini davolash natijalarini yaxshilash. Tadqiqot materiali va usullari: ToshPTI va RSNPMK Pediatriya va Davlat tibbiyot instituti bolalar xirurgiyasi klinikasida statsionar davolanayotgan 3-14 yoshli o‘t yo‘llarining kistoz transformatsiyasi bilan og‘rigan 48 nafar bolalarda tahlil o‘tkazildi. Institut 2012 yildan 2020 yilgacha bo'lgan davrda. Diagnostika usullari umumiy qabul qilingan bir qator klinik va biokimyoviy qon testlarini o'z ichiga oladi, bu esa jigar funktsiyalarining tushkunlik darajasini baholashga imkon beradi. Bir qator maxsus tadqiqot usullari ham o'tkazildi: jigar, o't yo'llari va taloqning ultratovush tekshiruvi, ko'p qirrali kompyuter tomografiyasi, kontrastli xolangiografiyasiz magnit-rezonans tomografiya, jigar parenximasi va kist xoledoxini morfologik tekshirish, o't pufagining bilvosita elastometriyasi. , qon koagulyatsiyasi faoliyati baholandi. Eng ko'p ishlatiladigan operatsiya antirefluks mexanizmini yaratish bilan nogiron Roux-en-Y halqasida gepatikojejunoanastomoz edi. Natija va xulosa. Tadqiqotga ko'ra, xoledox kistalarini jarrohlik yo'li bilan davolash tashxis qo'yilgandan so'ng amalga oshirilishi kerak degan xulosaga kelish mumkin, tanlov operatsiyasi esa Roux bo'yicha uzilgan halqada gepatikojejunostomiya operatsiyasi va Raffenspergerga ko'ra gepatikojejunoduodenoanastomozdir. Yangi texnologiyalardan foydalanish safroning to'g'ridan-to'g'ri o'n ikki barmoqli ichakka oqishini ta'minlaydi. Bu muvozanatli hazm qilishga yordam beradi.
Mualliflar haqida
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Qanday qilib iqtibos keltirish kerak
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