38

Biz o‘pka эxinokokkozi bilan kasallangan 132 nafar bemorning (shulardan 86 nafari asoratlanmagan va 46 nafar asoratlangan o‘pka exinokokkozi bilan kasallangan bemorlar) jarrohlik davolash natijalari tahlilini taqdim etamiz. Shularning 118 (90,28%) nafarida operatsiyalar minimal invaziv yo‘l amalga oshirildi. Asoratlanmagan o‘pka exinokokkoz bilan, operatsiya rejalashtirilgan 16 bemorni, faqat 14 (87,5%) nafarida troakar bilan qilingan teshiklar orqali sof torakoskopik usulda exinokokkektomiya bajarish imkoni bo‘ldi. 61 holatda esa mini-kirishlar yordamida videotorakoskopik exinokokkektomiya amalga oshirildi. Kistalarning ikki tomonlama lokalizatsiyasi aniqlangan 7 (63,64%) nafar bemorda bosqichma-bosqich operatsiya qilinib kistalar olib tashlandi, 3 ta (36,36%) holatda esa -bir vaqtning o‘zida o‘pkadan exinokokkektomiya operatsiyasi bajarildi. Asosan, bemorlarni 84 (97,67%) nafarida organlarni saqlovchi operatsiya bajarilib, o‘pkadagi qoldiqbo‘shliq tikib plastika qilishni turli xil modifikatsiyalari orqali bartaraf etildi. 2 ta (1,52%)holatda exinokokkkistasini o‘pka qirg‘oq qismida joylashuvi va pnevmotsirrozi bo‘lgan bemorlarda o‘pkani qirg‘oq qismini exinokokk kistasi bilan birga rezeksiya qilish opreratsiyasi bajarildi

  • O'qishlar soni 38
  • Nashr sanasi 01-06-2024
  • Asosiy tilO'zbek
  • Sahifalar243-248
Ўзбек

Biz o‘pka эxinokokkozi bilan kasallangan 132 nafar bemorning (shulardan 86 nafari asoratlanmagan va 46 nafar asoratlangan o‘pka exinokokkozi bilan kasallangan bemorlar) jarrohlik davolash natijalari tahlilini taqdim etamiz. Shularning 118 (90,28%) nafarida operatsiyalar minimal invaziv yo‘l amalga oshirildi. Asoratlanmagan o‘pka exinokokkoz bilan, operatsiya rejalashtirilgan 16 bemorni, faqat 14 (87,5%) nafarida troakar bilan qilingan teshiklar orqali sof torakoskopik usulda exinokokkektomiya bajarish imkoni bo‘ldi. 61 holatda esa mini-kirishlar yordamida videotorakoskopik exinokokkektomiya amalga oshirildi. Kistalarning ikki tomonlama lokalizatsiyasi aniqlangan 7 (63,64%) nafar bemorda bosqichma-bosqich operatsiya qilinib kistalar olib tashlandi, 3 ta (36,36%) holatda esa -bir vaqtning o‘zida o‘pkadan exinokokkektomiya operatsiyasi bajarildi. Asosan, bemorlarni 84 (97,67%) nafarida organlarni saqlovchi operatsiya bajarilib, o‘pkadagi qoldiqbo‘shliq tikib plastika qilishni turli xil modifikatsiyalari orqali bartaraf etildi. 2 ta (1,52%)holatda exinokokkkistasini o‘pka qirg‘oq qismida joylashuvi va pnevmotsirrozi bo‘lgan bemorlarda o‘pkani qirg‘oq qismini exinokokk kistasi bilan birga rezeksiya qilish opreratsiyasi bajarildi

Ўзбек

We present an analysis of surgical outcomes in 132 patients with pulmonary echinococcosis (86 patients with uncomplicated pulmonary echinococcosis and 46 patients with complicated pulmonary echinococcosis). 118 (90.28%) of them wereoperated minimally invasively. In 16 patients with uncomplicated pulmonary echinococcosis, only 14 (87.5%) of them had the opportunity to perform echinococcectomy through the holes made with a trocar. In 61 cases, videothoracoscopic echinococcectomy wasperformed using mini-inputs. In 7 (63.64%) patients with bilateral localization of cysts, the cysts were removed by staged surgery, and in 3 (36.36%) cases, echinococcectomy was performed simultaneously. Basically, 84 (97.67%) of the patients underwent organ-preserving surgery, and the residual space in the lung was eliminated by suturing plastic surgery and various modifications. In 2 cases (1.52%) echinococcal cyst was located in the costal part of the lung and patients with pneumocirrhosis underwent resection of the lung along with the costal echinococcal cyst.

№ Havola nomi
1 1.Biryukov Yu.V., Strelyaeva A.V., Shamsiev A.M. Immunokorreksiya prixirurgicheskom lechenii exinokokkoza legkix //Grudnaya i serdechno-sosudistayaxirurgiya, 2000. No 1. S. 53-62.2.Gostishev V.K. i dr. Immunniy status, Immunodiagnostika i immunokorreksiyapri xirurgicheskom lechenii exinokokkoza pecheni //Annali xirurgii, 1999. No 4.S. 39-47.3.Raxmanov K.E. i dr. Profilaktika i medikamentoznoe lechenie exinokokkozalegkix //Aktualnыe voprosы sovremennoy pulmonologii. Ma, 2018. S. 142.4. Strelyaeva A.V. i dr. Lechenie exinokokkoza legkix, oslojnennogo pesilomikozom,u vzroslыx bolnыx //Xirurgicheskaya praktika, 2014. No 1. S. 43-50.4.Murtazaev Z.I, Sherbekov U.A., Baysariev Sh. U., Radjabov J.P., PulmonaryEchinococcosis Surgery. The American Journalof Medical Sciences and Pharmaceutical Research, 2021.3(04), S. 68-75.5.Murtazaev Z.I, Baysariev Sh. U. Sonservative surgical tactics for hepaticechinococcosis. World Bulletin of Public Health (WBPH), 2022. No 9, S. 159-163.6.Murtazaev Z. I, Baysariev Sh. U. Vibor operativnogo dostupa pri exinokokkoze lexkix. RESEARCH FOCUS, 2023. Tom 2 (10). S. 174-180.7.Alpay L, Lacin T, Ocakcioglu I, et al. Is Video-Assisted Thoracoscopic SurgeryAdequate in Treatment of Pulmonary Hydatidosis? Ann Thorac Surg 2015;100:258-62.10.1016/j.athoracsur.2015.03.011 [PubMed] [CrossRef] [Google Scholar]8.Budke CM, Deplazes P, Torgerson PR. Global socioeconomic impact of cysticechinococcosis. Emerg Infect Dis 2006;12:296-303. 10.3201/eid1202.050499 [PMC freearticle] [PubMed] [CrossRef] [Google Scholar]9.Dakak M, Genç O, Gürkök S, et al. Surgical treatment for pulmonary hydatidosis (areview of 422 cases). J R Coll Surg Edinb 2002;47:689-92. [PubMed] [Google Scholar]10.Nabi MS, Waseem T. Pulmonary hydatid disease : What is the optimal surgicalstrategy ? Int J Surg 2010;8:612-6. 10.1016/j.ijsu.2010.08.002 [PubMed] [CrossRef] [GoogleScholar]11.Usluer O, Ceylan KC, Kaya S, et al. Surgical Management of Pulmonary HydatidCysts. Tex Heart Inst J 2010;37:429-34. [PMC free article] [PubMed] [Google Scholar]
Kutilmoqda