YUQORI JAG’ BUSHLIG’I KISTOZLI ZARARLANISHIDA JARROHLIK YONDASHUVINI TAKOMILLASHTIRISH
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surunkali kistozli sinusit, ostiomeatal kompleks, hayot sifati, endoskopiya, paranasal sinuslar##article.abstract##
Surunkali burun va burun yon bushliqlari patologiyalari ro'yxatida yetakchi o'rinlardan birini surunkali yuqori jag’ bushlig’i kistozli zararlanishi (YJBKZ) egallagan. Kistlarni tashxislash va davolashning zamonaviy yondashuvi bo'yicha hali ham konsensus mavjud emas. Yuqori jag’ bushlig’i kistozli zararlanishi to'g'ri davolashni tanlash zamonaviy rinoxirurgiyaning dolzarb muammolardan hisoblanadi. Tadqiqotimizning maqsadi maksiller sinus kistalarini jarrohlik davolashda differentsial yondashuvni tanlashni asoslash edi. Tadqiqotimizning asosini yuqori jag’ bushlig’i kistozli zararlanishi bilan og'rigan 153 nafar bemor tashkil etdi, ular ostiomeatal majmuada patologik o'zgarishlar mavjudligiga qarab 2 guruhga bo'lingan. Tadqiqot endoskopik rinoskopiya, faringoskopiya, otoskopiya va laringoskopiya va paranasal sinuslarning tomografik tekshiruvidan iborat bo'lgan otorinolaringologik tekshiruvdan boshlandi. Yuqori jag’ bushlig’i kistalarini olib tashlash uchun jarrohlik davolash bir va ikki bosqichda, shuningdek, sinusdagi kistning joylashishiga qarab uchta yondashuvdan foydalangan holda amalga oshirildi. Jarrohlik aralashuvining oxirida biz operatsiya qilingan yuqori jag’ bushliqlarini tekshiruvdan o’tkazdik va operatsiyadan keyingi yallig'lanish jarayonining klinik ko'rinishlarining dinamikasini va operatsiyadan keyingi davrda turli vaqtlarda asoratlarning rivojlanishini qayd etdik. Kistalarni olib tashlashning differentsial endoskopik usulidan foydalanganda, yuqori jag’ sinusi kistalari davolash sifati sezilarli darajada oshdi, operatsiyadan keyingi asoratlarning og'irligi va soni kamayadi.
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