BEZARAR PROSTATA BEZI GIPERPLAZIYASINI DAVOLASH JARROHLIK USULLARINING SAMARALI VA XAVFSIZLIGINI BAHOLASHDA OPERATSIYADAN KEYINGI ASORATLARNING BIRXILLASHTIRILGAN MEZONLARI
##article.subject##:
BPBG, asoratlar, tizimlashtirish, Clavien-Dindo tasnifi, OETA, TURP, HoLEP, kasallik , prostata giperplaziyasi##article.abstract##
Clavien-Dindo tasnifi asosida bezarar prostata bezining iperplaziyasini (BPBG) davolashning jarrohlik usullarining operatsiyadan keyingi asoratlari mezonlarini birxillashtirish va operatsiyadan keyingi asoratlarni tizimlashtirish orqali BPBGni davolashning turli jarrohlik usullarining samaradorligi va xavfsizligini baholash. BPBG bo'lgan 150 nafar bemor prostata bezi giperplaziyasini jarrohlik davolash usuliga qarab uch guruhga bo'lingan. I guruhga ochiq transvezikal prostata adenomektomiyasi (OTPA) qilingan 60 (40%) bemorlar, II - prostata bezining transuretral rezektsiyasi (PBTR) qilingan 50 (33,3%) bemorlar, III - prostata bezining golmiy lazer enukleatsiyasi (HoLEP) o'tkazilgan 40 (26,7%) bemorlar kirgan. Clavien-Dindo tasnifi BPBGni jarrohlik davolashning operatsiyadan keyingi asoratlarini baholashga moslashish uchun ishlatilgan. Jarrohlikning sifatini ob'ektiv baholash va Clavien-Dindo tasnifidan foydalangan holda asoratlarni tizimlashtirish uchun uni birinchi navbatda usulning o'ziga xosligini va operatsiyadan keyingi davrni hisobga olgan holda moslashtirish kerak. OTPA infravezikal obstruktsiyasini yo'q qilishning samarali usuli hisoblanadi, ammo PBTR va HoLEP bilan solishtirganda uzoqroq kasalxonaga yotqizish davri, og'irroq asoratlar, sezilarli darajada tez-tez qo'shimcha jarrohliklarni talab qiladi. Travma, qon quyish chastotasi va bemorlarning kasalxonada qolish muddati nuqtai nazaridan TURP natijalari HoLEP natijalari bilan taqqoslanadi, ammo uzoq muddatli asoratlarning chastotasi bo'yicha pastroq.
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