SURUNKALI ENSA MIGRENINI JARROHLIK YO‘LI BILAN DAVOLASHDA NERVNI ASROVCHI ENDOSKOPIK TUNNELLI TEXNIKA
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surunkali migren, ensa zonasi, katta ensa nervi, endoskopik jarrohlik, nervni asrovchi yondashuv##article.abstract##
Kirish. Ensa sohasida og‘riq sindromi bilan kechuvchi surunkali migren ko‘p hollarda katta ensa nervining mushak-fastsial segmentidagi kompressiya bilan bog‘liq bo‘lib, konservativ davolashga chidamliligi bilan tavsiflanadi. An’anaviy jarrohlik usullari sensor asoratlarning yuqori chastotasi va klinik natijaning barqaror emasligi bilan cheklanadi.
Tadqiqot maqsadi. Ensa sohasida lokalizatsiyalangan surunkali migrenni davolash uchun takomillashtirilgan nervni asrovchi jarrohlik texnikasini ishlab chiqish va uni klinik jihatdan asoslash.
Materiallar va usullar. Ensa sohasining surunkali migreni bo‘lgan bemorlarda jarrohlik davolash natijalari tahlil qilindi. Asosiy guruhda endoskopik tunnelli kirish, katta ensa nervini selektiv dekompressiya qilish hamda yog‘ to‘qimasi interpozitsiyasi orqali rekompressiyaning oldini olishga asoslangan takomillashtirilgan usul qo‘llanildi. Natijalar an’anaviy usullar bilan taqqoslandi.
Natijalar. Nervni asrovchi endoskopik texnikani qo‘llash operatsion travmatizatsiyani kamaytirdi, sensor asoratlar chastotasini pasaytirdi va og‘riq sindromining barqaror pasayishini ta’minladi. Klinik natijalarning oldindan bashorat qilinishi yaxshilandi hamda takroriy operatsiyalarga ehtiyoj kamaydi.
Xulosa. Taklif etilgan takomillashtirilgan jarrohlik texnikasi ensa sohasining surunkali migrenini davolashda samarali va takrorlanuvchi usul bo‘lib, ixtisoslashtirilgan jarrohlik markazlari amaliyotiga joriy etish uchun tavsiya etilishi mumkin.
Библиографические ссылки
Isagulyan E.D., Tomsky A.A., Konovalov N.A., et al. Neuromodulation in the treatment of chronic non-oncological pain (from the clinical guidelines “Surgical treatment of chronic neuropathic pain syndrome”). Clinical and Experimental Surgery. Petrovsky Journal. 2016;4(3):74–88.
Naboychenko A.G., Fedirko V.O. Current issues of compressive trigeminal neuralgia: surgical outcomes with consideration of iatrogenic factors. Ukrainian Neurosurgical Journal. 2018;(1):50–59.
Litvinov P.S., Kuleshov A.V. Anatomical principles for selecting surgical access in craniofacial and pericranial regions. Siberian Medical Journal. 2022;37(1):73–79.
Maltseva A.O. Anatomical landmarks for botulinum toxin type A injections in chronic migraine prevention. Naukosfera. 2024;(11-2):47–52.
Boyett D., Khoury N.M., Shlobin N., et al. Middle meningeal artery embolization for migraine: current concepts and future directions. Surgical Neurology International. 2025;16:475.
Chang I.A., Wells M.W., Wang G.M., et al. Nonpharmacologic and surgical approaches for chronic and episodic migraine: a systematic review and meta-analysis. Plastic and Reconstructive Surgery. 2023;152(5):1087–1099.
Casale R., Atzeni F., Bazzichi L., et al. Chronic pain and peripheral nerve involvement: clinical and surgical perspectives. Pain and Therapy. 2021;10(1):287–314.
D’Ostilio K., Magis D. Invasive and non-invasive peripheral nerve stimulation in chronic primary headache disorders. Current Pain and Headache Reports. 2016;20(11):61.
Rizaev Zh. A., Khaidarov N. K. Clinical , epidemiological and etiopathogenetic study of ischemic stroke // Journal of Neurology and Neurosurgical Research. – 2020. – T. 1. – No. 1.
Abdullayev Afzal, Kubayev Aziz, Rizayev Jasur . Excitability threshold in neuritis of the lower alveolar nerve. Journal of Biomedicine and Practice. 2022, vol. 7, issue 4, pp.238-245
