PEDIATRIK VA NOPEDIATRIK RADIOLOGLAR HAMDA ORDINATORLAR O‘RTASIDA INVAGINATSIYANING ULTRATOVUSHLI GIDROSTATIK REDUKSIYASI NATIJALARINI TAQQOSLASH
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Ileokolik invaginatsiya, Invaginatsiya, Klizma, Ultratovush tekshiruvi, Pediatrik radiologiya##article.abstract##
Ileokolik invaginatsiya ikki yoshgacha bo‘lgan bolalarda ichak tutilishining eng keng tarqalgan sababi hisoblanadi. Ko‘p hollarda davolash rentgen nazorati ostida reduksiya qilishdan iborat. Sloveniyada davolash standarti ultratovush yordamida boshqariladigan gidrostatik reduksiyadan iborat. Ushbu tadqiqotning maqsadi subixtisoslashgan pediatrik radiologlar, pediatrik bo‘lmagan radiologlar yoki ordinatorlar tomonidan o‘tkazilgan ultratovushli gidrostatik reduksiyaning muvaffaqiyat ko‘rsatkichlarini taqqoslash edi. Biz 2012-yil yanvaridan 2022-yil dekabrigacha bo‘lgan davrda Lyublyana universiteti tibbiyot markazida ultratovush yordamida boshqariladigan gidrostatik reduksiya o‘tkazilgan ileokolik invaginatsiyali bemorlarning tibbiy yozuvlarini retrospektiv tahlil qildik (n = 101). Ish vaqtida reduksiyani pediatriya radiologlari amalga oshirgan, ish vaqtidan keyin (kechqurun va tunda) muolajani pediatriya radiologlari, pediatriya bo‘lmagan radiologlar yoki ordinatorlar bajargan. Bemorlar muolajani o‘tkazgan operatorga qarab uch guruhga bo‘lindi. Ma’lumotlar xi-kvadrat mezoni yordamida tahlil qilindi. Pediatrik radiologlarning birinchi urinishlari 37 (75,5%), pediatriya bo‘lmagan radiologlarniki - 19 (76,0%), ordinatorlarniki - 20 (74,1%) hollarda muvaffaqiyatli bo‘ldi. Amaliyotni bajarayotgan operatorga qarab, ileokolik invaginatsiyani kamaytirish muvaffaqiyati ko‘rsatkichlarida statistik jihatdan sezilarli farqlar aniqlanmadi (p = 0,98). Reduksion urinishlar paytida hech qaysi guruhda perforatsiyalar kuzatilmadi.
Bizning natijalarimiz shuni ko‘rsatadiki, ultratovush yordamida boshqariladigan gidrostatik reduksiya ishonchli va xavfsiz usul bo‘lib, u hatto tajribasi kamroq, ammo tegishli tayyorgarlikdan o‘tgan radiologlar qo‘lida ham yaxshi natijalar beradi. Olingan ma’lumotlar ko‘proq tibbiyot markazlarini ileokolik invaginatsiyaning ultratovushli gidrostatik reduksiyasini joriy etish imkoniyatini ko‘rib chiqishga undashi lozim.
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