QANDLI DIABET FONIDA OYOQ PEREVERIK ARTERIYALARI SHIKASTLANISHIDA KOMBINIRLANGAN ENDOVASKULYAR MUOLAJALAR
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qandli diabet, kritik ishemiya, uzoq muddatli arteria ichi kateter terapiyasi, yiringli- nekrotik yara, gangrena##article.abstract##
Tadqiqotning maqsadi – qandli diabet fonida bemorlarda oyoqlar gangrenasini davolashda kichik invaziv davolash usullarini samaradorligini baholash.
Materiallar va tadqiqot usullari. Toshkent tibbiyot akademiyasining 2-klinikasi qandli diabetning yiringli jarrohlik va jarrohlik asoratlari bo'limida DPSning yiringli-nekrotik asoratlari bo'lgan 311 bemorni o'rganish va statsionar davolash natijalari tahlil qilindi. Barcha bemorlarda 2-toifa diabet kasalligi bo'lgan.
Tadqiqot natijalari. Periferik arteriyalarini etarli darajada to’liq revaskulyarizatsiya qilish 81,0% bemorlarda amalga oshirish orqali oyoq-qo'llarning tayanch funktsiyasini saqlab qolishga olib keldi. Yuza son arteriyasi katetrizatsiya qilish orqali uzoq mudatli arteriya ichi katetr terapiyasi davolash samaradorligini 7,3% yaxshiladi, bu o‘z navbatida qandli diabet fonida kechuvchi oyoqlar gangrenasini kichik invaziv davolash usullarini samaradorligini ko‘rsatib berdi.
Xulosa. Oyoq arteriyalarini revaskulyarizatsiya qilish oyoqlarda diabetik gangrenasi bo'lgan bemorlarda oyoqlarni saqlab qolish uchun juda samarali davolash usuli hisoblanadi, agar oyoqning kritik ishemiyasi fonida yiringli-nekrotik jarayonlar mavjud bo'lsa, 81,0% hollarda oyoq-qo'llarni saqlab qolish mumkin bo'ladi
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