UMURTQA TANASI INTRAKANAL EKSTRADURAL INVAZIYA BILAN O‘SUVCHI O‘SIMTALARIDA TH11–L2 POG‘ONALARIDA IZOLYATSIYALANGAN LATERAL JARROHLIK YONDASHUVI
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umurtqa o‘smalari; lateral yondashuv; torakolumbal o‘tish; korporodez; dekompressiya; neyroxirurgiya; metastazlar; ASIA; umurtqa onkologiyasi.##article.abstract##
Maqsad: Th11–L2 umurtqa tanasi o‘smalari va ekstradural intrakanal invaziyasi bo‘lgan holatlarda lateral ekstraplevral–retroperitoneal yondashuvning samaradorligini baholash.
Tadqiqotga 2023–2025-yillar oralig‘ida operatsiya qilingan 18 nafar bemor kiritildi. Barcha holatlarda bir bosqichli oldingi dekompressiya hamda titan interkorporal implant yordamida oldingi tayanch ustunining rekonstruksiyasi amalga oshirildi. 13 bemorda (72%) metastatik o‘smalar aniqlangan. 7 bemorda (39%) operatsiyagacha nevrologik yetishmovchilik kuzatilgan; ulardan 5 nafarida holat yaxshilangan, 2 nafarida esa o‘zgarish qayd etilmagan. Nevrologik holati saqlangan 11 bemorda operatsiyadan so‘ng yomonlashuv kuzatilmadi. Har bir holatda orqa kirish zaruratisiz to‘liq oldingi dekompressiya va barqaror rekonstruksiya ta’minlandi. Natijalar xalqaro ilmiy manbalarda keltirilgan ma’lumotlarga mos keladi. Lateral ekstraplevral–retroperitoneal yondashuv umurtqa o‘smalarini davolashda yuqori klinik samaradorlik, xavfsizlik va takrorlanuvchanlikni namoyon etdi.
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