JIGAR SIRROZINING ETIOLOGIYaSIGA QARAB PORTOTIZIM ShUNTLASh OPERATSIYASINING UZOQ NATIJALARI TAHLILI
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jigar sirrozi, portal gipertenziya, portosistem shuntlash##article.abstract##
Maqsad. Jigar sirrozining etiologiyasiga qarab portotizim shuntlash operatsiyasilari natijalarining tahlili. Material va usullar. Tadqiqot uchun DT «akademik V.Vaxidov nomidagi “RIXIATM” da 2014-2019 yillarda jigar sirrozi bo‘yicha operatsiya qilingan 109 ta bemorlar tanlab olingan. Virusli gepatit V, V+D, va S bilan 72 ta bemor tashkil qildi. Operatsiyadan keyingi davrning kechishini taqqoslash uchun tadqiqotga alkogolli sirroz bilan (n=21) va idiopatik formadagi sirroz bilan (n=16) bemorlar kiritildi. Natijalar. Gepatit V fonidagi sirroz bilan portotizim shuntlash operatsiyasiyadan keyingi 5 yil davomida 32 bemordan 10 tasi (31,3%), HBV va HDV formadagi gepatitli sirrozdan esa 26 ta bemordan 18 tasi (69,2%), HCV formadan sirrozdan 14 ta dan 4 tasi (28,6%), alkogollidan 21 tadan 7 tasi (33,3%), idiopatik formada 16 tadan 4 tasi ( 25%) vafot etgan. O‘lim holati taxlilida HBV sirrozda jigar yetishmovchiligi ulushiga 21,9% (32 tadan 7ta) va gemorragik sindromdan – 9,45 (3) bo‘lgan, HBV va HDV sirrozda bu ko‘rsatgichlar 53,8% (26 tadan 14 ta) va 15,4% (4), HCV sirrozda 21,4% (14 tadan 3 ta) va 7,1% (1), alkogolli sirrozda 23,8% (21 tadan 5 ta) va 9,5%(2), idiopatikda esa 12,5% (16 tadan 2 ta) va 12,5% (2) ni tashkil etdi. Kuzatuvlardagi barcha turdagi sirrozlarda operatsiyadan keyin 5 yildan so‘ng 66 ta bemor (60,5%) tirik bo‘lgan, o‘lim foizi 39,4% ni (109 tadan 43 ta) ni tashkil etdi.
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