6 OYGACHA BO'LGAN BOLALARDA SON CHANOQ BUG’UMINI ULTRATOVUSH DIAGNOSTIKASI SAMARADORLIGINI BAHOLASH
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Tadqiqotning maqsadi. 6 oygacha bo'lgan bolalarda turli xil son chanoq bo’g’imi displaziyasi diagnostikasida ultratovush sonografiyasining samaradorligini baholash, shuningdek patologiyaning xavf omillari bilan bog'liqligini aniqlash.
Materiallar va usullar: nazorat guruhi sifatida son chanoq bo’g’imi displaziyasi bo'lgan 60 ta bola va 20 ta sog'lom bola uchun klinik va rentgen tekshiruvi o'tkazildi. R. graf usuli bo'yicha sonografiya Toshiba XARIO-200 (Yaponiya) qurilmasida 5-7 MGts chastotali chiziqli sensor yordamida amalga oshirildi.
Tadqiqot natijalari. Bizning tadqiqotimizdagi xavf omillaridan eng ahamiyatlisi homilaning tos yoki oyoq ko'rinishi, ayol jinsi va mahkam o'ralganligi edi. R. graf texnikasi yordamida ultratovush sonografiyasini o'tkazgandan so'ng, barcha bemorlar α burchagi (asetabulumning suyak gumbazining rivojlanishi) va β burchagi (asetabulumning tog’ay zonasining rivojlanishi) ko'rsatkichlariga qarab 4 guruhga bo'lingan. Birinchi guruh nazorat guruhidagi normal son chanoq bo’g’imi qo'shilishi bo'lgan bolalardan iborat edi. Ikkinchi guruhga son chanoq bo’g’imi yetilmagan bolalar kiritilgan. Bu guruh, o'z navbatida, bir nechta kichik turlarga bo'lingan. IIA kichik turi-3 oygacha bo'lgan bolalar va 3 oydan katta bolalari bo'lgan IIB kichik turi, shuningdek "engil displazi" deb tasniflangan IIc kichik turi. Uchinchi guruhda "yarim chiqish" tashxisi qo'yilgan, son chanoq bo’g’imi boshi markazlashtirilmagan chaqaloqlar aniqlandi. Va oxirgi to'rtinchi guruh son chanoq bo’g’imi, to'liq chiqishga uchragan bolalardan iborat edi. Tadqiqot natijalariga ko'ra, α burchagi qanchalik kichik bo'lsa va β burchagi qanchalik katta bo'lsa, bo'g'imning rivojlanmaganligi darajasi shunchalik katta ekanligi aniqlandi.
Xulosa. Son chanoq bo'g'imlarning sifat va miqdoriy parametrlarini ultrasonografik baholash ularning displaziyasining turli bosqichlarini farqlashga imkon beradi. Aniqlangan SCHBD bilan og'rigan bemorlar guruhidan klinik jihatdan namoyon bo'lmagan, etuk bo'lmagan qo'shilishda erta o'zgarishlar bo'lgan bemorlar ustunlik qildilar, shunga asoslanib, patologik jarayonni ob'ektivlashtirish uchun sonografiya rejimida yangi tug'ilgan chaqaloqlarni sonografiya ultratovush tekshiruvi standartiga kiritish kerak.
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