BIR TOMONLAMA LAB YORIG’I BO’LGAN BEMORLARDA YUZNING O’RTA QISMI QOLDIQ VA IKKILAMCHI DEFORMATSIYASINI BAHOLASH
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Fon. Lab va tanglay yorig'i bo'lgan bemorlarni davolash murakkab tibbiy-ijtimoiy muammo hisoblanadi. Bu bemorlarda bolalikda to'liq rekonstruksiya o'tkazilganidan keyin burun, yuqori lab va tish-jag' apparatining qoldiq hamda ikkilamchi deformatsiyalari jarrohlik yo'li bilan tuzatishni talab qiladi. Maqsad. Oldingi operatsiyalardan keyin kattalarda yuzning o'rta qismidagi qoldiq va ikkilamchi deformatsiyaning ifodalanish darajasini tizimlashtirish. Materiallar va usullar. Ushbu ilmiy ish bolalikda to'liq rekonstruktiv operatsiya o'tkazgan bir tomonlama lab yorig'i bo'lgan 42 nafar katta yoshli bemorni tekshirish natijalariga asoslangan. Burun, yuqori lab va og'iz dahlizining qoldiq va ikkilamchi deformatsiyalari 25-40 yoshdagi kattalarda baholandi. Bu sohalardagi tipik qoldiq deformatsiya aniqlanib, uch guruhga bo'lindi va unga qiymat berildi. Olingan natijalar. Bir tomonlama lab yorig'i bo'lgan bemorlarning 91% ida yuzning o'rta qismi deformatsiyasi kuzatilganini aniqladik; bu bemorlarning 15% ida operatsiyaga mutlaq ko'rsatma bo'lgan ifodalangan deformatsiya kuzatildi. Xulosa. Yuzning o'rta qismining qoldiq va ikkilamchi deformatsiyalari uzoq davrda Miro-Limberg-Obuyxov usuli bo'yicha operatsiya qilingan bemorlarning 91% ida (80,6-96,7%) tashxislangan. Bunda bu deformatsiyalarning 15% i operatsiyaga mutlaq ko'rsatmaga ega edi. Bir tomonlama lab yorig'i bo'lgan bemorlarda yuzning o'rta qismi qoldiq va ikkilamchi deformatsiyalarini baholash tizimida qo'llaniladigan uchta raqam burun, lab yoki og'iz dahlizining bir yoki bir nechta deformatsiyasi ifodalanganligini xolisona va tez aniqlash imkonini beradi.
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Adabiyotlar
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