737

  • Internet havola
  • DOI
  • UzSCI tizimida yaratilgan sana 18-10-2019
  • O'qishlar soni 693
  • Nashr sanasi 03-02-2016
  • Asosiy tilRus
  • Sahifalar15-19
Kalit so'z
Ўзбек

Лапароскопик (ЛП) ва очиқ усулдаги пиелопластика (ОП) натижаларини таққослаш. Республика ихтисослашган урология марказида 2010-2015 йилларда бажарилган 35 та ЛП ва 50 та ОП жаррохлик амалиётларини ретроспектив таҳлили. Биз ЛП ва ОП ларни таққослаганда қўйидагилар аниқладик: жаррохлик амалиёти ўртача давомийлиги ЛП учун 163 дақиқа- ОП учун эса 103дақиқа (р<0.01), жаррохлик амалиёти давомида қон йўқотиш ЛП учун 31 мл - ОП учун эса 132 мл (р<0.01). Амалиётдан кейинги даврда ишлатилган оғриқсизлантирувчи дорилар миқдори (диклофенак) ЛП учун 75 мг- ОП учун эса 300 мг (р<0.01), жаррохлик кесмаси ўртача узунлиги ЛП учун 1,6 см- ОП учун эса 17 см (р<0.01), кундалик овқатланиш режимига қайтиш вақти ЛП учун 22 соат - ОП учун эса 30 соат (р<0.01), касалхонада ётиш кунлари ўртача ЛП учун 3 кун - ОП учун эса 8 кун(р<0.01). Жаррохлик амалиёти давомидаги асоратлар 5,7 % ЛП учун (2 та беморга тери орқали нефростомия қўйишга тўғри келди, сийдик паравазацияси туфайли) ва ОП учун эса 6% (3 беморда гипертермия кузатилгани боис қўшимча дори воситалари ишлатишга тўғри келди).Жаррохлик амалиётидан 6 ой ўтиб, ОП гуруҳдаги 17 беморда (34%) эса бел соҳасида «чандиқли оғриқларга» шикоят борлиги аниқланди, айни вақтда ЛП гуруҳдаги беморларда бундай ҳолат 4 беморда(11,4%) кузатилди. Жаррохлик амалиётидан кейинги даврда чандиқли оғриқларни камлиги ЛП ни жом сийдик найи сегменти торайишига чалинган беморларни даволашда самарали усул эканлигини кўрсатди.

English

Comparison of results of laparoscopic (LP) and open(OP) pyeloplasties. We compare retrospectively 35 patients who undergone LP with 50 OP in period from 2010 till 2015y. In comparative analysis of LP and OP we conclude that: mean operative time for LP and OP was 163 min versus 103 (P<0.01), blood loss 31ml versus 132 ml (P<0.01), dosage of used analgesics (diclofenac) after procedure 75mg versus 300 mg (P<0.01), average length of incision 1.6 CM versus 17CM (P<0.01), shortening of hospital stay days 3 versus 8 days (P<0.01), early returning to normal feed state 22 hours versus 30 hours (P<0.01). Intraoperative complications in LP group has been 5.7 % (two patients has been needed for PCN in early postoperative days because of excessive urine leakage from paranephral drain tube) and 6% for OP (3 patients had high temperature which need additional drug requirement).17 patients (34%) in open group had pain in lumbar area “scar pain” after 6th month of operation. In that time only 4(11.4%) of patients from LP had such kind of pain. High effectiveness and low degree of pain in post operative wound makes LP more attractive in treatment of uretero-pelvic junction obstruction.

№ Muallifning F.I.Sh. Lavozimi Tashkilot nomi
1 Akilov F.A.
2 Muxtarov S.T.
3 Ayubov B.A.
4 Baxadirxanov M.M.
5 Nazarov J.A.
6 Xashimov R.A.
№ Havola nomi
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