BUQOQ RETSIDIVI CHASTOTASINING MORFOLOGIK SHAKL VA STRUMEKTOMIYA HAJMIGA BOG’LIQLIGI
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Abstrak
Qalqonsimon bezning tugunli hosilalari (QBTH) bo'lgan 412 nafar bemorga jarrohlik davosi o'tkazildi. QBTH bilan og'rigan bemorlarni jarrohlik yo'li bilan davolash natijalarining tahlili shuni ko'rsatdiki, buqoq retsidivi rivojlanishining asosiy sababi adenomatoz o'choqlari bo'lgan tugunli kolloid buqoqda (retsidiv 25,8%) va turli xil adenomalarning ko'p tugunli kolloid buqoq bilan qo'shilishida (retsidiv 13,7%) gemitireoidektomiya yoki qisman rezeksiya hajmida a'zoni saqlovchi operatsiyalarni bajarish bo'lgan. Kuzatuv muddatining davomiyligi bilan retsidivlarning umumiy soni ortishi va operatsiya hajmining kattalashishi bilan retsidivlar chastotasi kamayishi aniqlangan. Morfologik tekshiruvlarni bosqichma-bosqich o'tkazishga asoslangan tugunli buqoqda jarrohlik aralashuvini tanlashning ishlab chiqilgan davolash-diagnostika algoritmi ushbu toifadagi bemorlarni davolash natijalarini yaxshilash imkonini berdi, bu operatsiyadan keyingi yaqin asoratlarni 10% dan 2,2% gacha va kasallik retsidivini 12,6% dan 2,2% gacha kamaytirishga olib keldi.
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