PERFORATIV YARALARNI LAPAROSKOPIK TIKISH: AFZALLIKLARI VA KLINIK NATIJALAR
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laparoskopiya, perforativ yara, miniinvaziv jarrohlik, yarani tikish##article.abstract##
Ushbu tadqiqotda 112 bemorda perforativ gastrodyodenal yaralarni laparoskopik va ochiq usulda tikish natijalari tahlil qilindi. Taqqoslovchi tahlil shuni ko‘rsatdiki, laparoskopik usul perforatsiyani bartaraf etish samaradorligi bo‘yicha ochiq operatsiyadan kam emas, balki operatsiyadan keyingi asoratlar sonining sezilarli darajada kamayishiga (17,9% ga nisbatan 39,3%, p=0,006), jumladan, operatsiya yarasi infeksiyalarining kamayishiga (1,8% ga nisbatan 14,3%, p=0,03) olib keladi. Laparoskopik usul bilan operatsiya qilingan bemorlar kamroq og‘riq sezgan, kamroq og‘riq qoldiruvchi dorilarga ehtiyoj sezgan va tezroq tiklangan, bu esa kasalxonada yotish muddati qisqarishi bilan tasdiqlangan (6 ga nisbatan 8 kun, p<0,01). Guruhlar o‘rtasida o‘lim darajasi statistik jihatdan farq qilmadi (1,8% ga nisbatan 5,4%, p=0,30). Olingan natijalar laparoskopik usulning xavfsizligi va samaradorligini tasdiqlaydi hamda bu usulni qarshi ko‘rsatmalar bo‘lmagan hollarda tanlash mumkinligini asoslaydi.
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