BUQOQNING TOKSIK SHAKLLARI BO'YICHA OPERATSIYA HAJMINI TANLASHDA PROGNOSTIK OMILLAR
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Toksik buqoq, jarrohlik davolash, qaytalanish uchun xavf omillari##article.abstract##
Buqoqning toksik shakllariga chalingan 191 nafar bemorni davolash natijalari keltirilgan. Buqoqning toksik shakllari bilan og'rigan bemorlarni jarrohlik davolashda prognostik omillarni o'rganish shuni ko'rsatdiki, buqoqning qaytalanishining asosiy sababi qalqonsimon bezning subtotal rezeksiyasi (qaytalanish 17,2%), hemitiroidektomiya (qaytalanish) miqdorida organlarni saqlovchi operatsiyalarni bajarishdir. 21,7% giperfunktsiya belgilari bilan follikulyar kolloid buqoq uchun (residiv 24,2%). Kasallikning davomiyligiga qarab qaytalanishlar sonining ko'payishi va jarrohlik hajmining oshishi bilan qaytalanishlar chastotasining kamayishi aniqlandi. Buqoqning toksik shakllari uchun jarrohlik amaliyotini tanlash prognostik omillarga asoslangan bo'lishi kerak - ko'rsatkichlari toksik buqoqning patomorfologik shakli bilan bog'liq bo'lgan qalqonsimon peroksidazaga antikorlar darajasi. Taklif etilayotgan davolash va diagnostika algoritmi uzoq muddatli operatsiyadan keyingi davrda qoniqarsiz natijalar chastotasini 16,5% dan 3,6% gacha kamaytirish orqali davolash sifatini oshirish imkonini berdi.
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