FALKS MENINGEAL SOLITAR FIBROZ O'SMALARINI DAVOLASHDA JARROHLIK TAKTIKASINI TAKOMILLASHTIRISH
##article.subject##:
solitar fibroz o'sma, gemangioperitsitoma, birlashtirilgan ekzoskopik va endoskopik intergemisferik usul##article.abstract##
Ushbu maqola, 33 ta adabiyot manbalari asosida tahlil qilingan bo'lib, ular optik tibbiy texnologiyalardagi so'nggi yutuqlar, jumladan, 3D eksoskoplar va yuqori aniqlikdagi endoskoplar yordamida solitar fibroz o'smalar (SFT) va gemangioperitsitomalarning (HPC) kam invaziv "Key hole" yondashuvlari bilan amalga oshirilishi haqida batafsil ma'lumot beradi. SFT/HPC markaziy asab tizimi turli lokalizatsiyalarda va ularning davolanishi haqida adabiyotlarda ma'lumot berilgan, ammo ikkita jarrohlik yo'laklari orqali birlashtirilgan eksoskopik va endoskopik interhemisferik usul haqida hech qayerda eslatilmagan.
Ushbu maqolada, shuningdek, miya falksining chuqur joylashgan katta SFT/HPC bilan og'rigan 47 yoshli bemorning klinik holati haqida ham xabar berilgan bo'lib, ular to'liq yangi bir vaqtning o'zida amalga oshiriladigan oldingi eksoskopik va orqa endoskopik intergemisferik usul orqali ikkita jarrohlik yo'laklari yordamida olib tashlangan. Oldingi intergemisferik yo`lak uchun ekzoskop, orqa intergemisferik yo`lak uchun esa endoskop ishlatilgan. Ushbu yondashuv, o'smani xavfsiz va samarali olib tashlashga imkon beradi, minimal asoratlar bilan. Maqolada ushbu kirish texnikasi va bosqichlari batafsil yoritilgan. Ushbu klinik holatning tafsilotlari batafsil muhokama qilingan. Bu, nevroxirurgiya amaliyotida ikkita jarrohlik yo'laklari yordamida birlashtirilgan ekzoskopik va endoskopik intergemisferik usulning birinchi tasvirlangan klinik holatidir.
Ushbu usulning maqsadi, chuqur joylashgan meningeal fibroz falx o'smalarini olib tashlashdan keyin jarrohlik davolash natijalarini yaxshilash va asoratlarni kamaytirishdan iborat bo'lib, ayniqsa chuqur joylashgan hollarda, ikkita jarrohlik yo'laklari orqali yangi bir vaqtning o'zida amalga oshiriladigan oldingi ekzoskopik va orqa endoskopik intergemisferik usulning optimal variantini qo'llashdir.
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