Biomeditsina va amaliyot jurnali, 2022 №3
Maqola mavzusi
PROSPECTIVE FOLLOW-UP OF THE RESULTS OF MICROSURGICAL TREATMENT OF LUMBAR COMPRESSION RADICULOPATHY IN THE LONG TERM (365-371)
Mualliflar
KARIMOV Abdufarrux Abdusatarovich, MUXAMMEDAMINOV Boxodir Shuxratovich, AXMEDJANOV Dilshod Ulugbekovich
Muassasa
Toshkent Pediatriya instituti, Respublika ixtisoslashtirilgan endokrinologiya ilmiy-amaliy tibbiyot markazi, Respublika ixtisoslashtirilgan nevrologiya va insult ilmiy-amaliy tibbiyot markazi,
Annotatsiya
Asab tizimining vertebrogenik kasalliklari inson kasalliklari orasida etakchi o'rinni egallaydi, bu ularning ijtimoiy-iqtisodiy va ilmiy-tibbiy ahamiyatini belgilaydi. Asab tizimining barcha lezyonlari orasida vertebrogenik siqish radikal sindromlariga tegishli. Turli manbalarga ko'ra, orqa - radikulopatiya og'rig'i sindromi tarkibida quyidagilar mavjud 10-30% [1, 2, 3]. Omurilikdagi patologik o'zgarishlardan kelib chiqadigan radikulopatiya periferik asab tizimining vertebrogenik patologiyasining eng og'ir shakllaridan biri bo'lib, multifaktorial patologiya bo'lib, ko'pincha bir-biri bilan birlashtirilgan rivojlanish xavfi omillariga ega [2, 4, 5]. Orqa miya ildizini siqib chiqarganda, nogironlik davomiyligi sezilarli darajada oshadi, qimmat tekshiruv va davolanish talab etiladi. Mavjud degeneratsiya belgilari etarli darajada baholanmasa, muhim nevrologik kamchiliklarga ega bo'lgan doimiy nogironlik bo'lishi mumkin [6, 7, 8]. Bugungi kunga kelib, lomber kompressiya radikulopati uchun tubulyar va endoskopik usullar, shuningdek, W. Caspar usuli uchun jarrohlik davolashning bir necha takomillashtirilgan usullari ma'lum[3, 4, 5, 7]. Shu bilan birga, lomber siqish radikulopati bilan jarrohlik aralashuv zonasida mavjud muammolar, og'riq va radikal sindromlarning takrorlanishi mavjud jarrohlik qo'llanmalarni yanada baholashni, kasallikning takrorlanishining sabab-ta'sir munosabatlarini aniqlashni va operatsiyadan keyingi davrda bemorlarning hayot sifatini baholashni talab qiladi. Tadqiqot maqsadi lomber siqish radikulopati mikroxirurgik davolanishidan so'ng uzoq davr natijalarini (45 kungacha) qiyosiy tahlil qilish edi.
Kalit so'zlar
Bel kompressiyasi radikulopatiyasi, mikroxirurgik davolash, tubulyar usul, W. Caspar usuli natijalari, operatsiyadan keyingi davr.
Adabiyotlar
1. Sohrab Virk et al. How do high preoperative pain scores impact the clinical course and outcomes for patients undergoing lumbar microdiscectomy? Journal of neurosurgery. Spine. 2020; 1-7. doi:10.3171/2020.5.SPINE20373. 2. Hoang Duc Luan, Nguyen Thanh Hai, Pham Thu Xanh, Hoang Thi Giang, Pham Van Thuc, Nguyen Mai Hong, and Pham Minh Khue Musculoskeletal Disorders: Prevalence and Associated Factors among District Hospital Nurses in Haiphong, Vietnam// Hindawi BioMed Research International Volume 2018, Article ID 3162564, 9 pages. https://doi.org/10.1155/2018/3162564/. 3. Muthu, Sathish et al. “Is Endoscopic Discectomy the Next Gold Standard in the Management of Lumbar Disc Disease? Systematic Review and Superiority Analysis.” Global spine journal vol. 11,7 (2021): 1104-1120. doi:10.1177/2192568220948814 4. Zhang, Bin et al. “Transforaminal endoscopic discectomy versus conventional microdiscectomy for lumbar discherniation: a systematic review and meta-analysis.” Journal of orthopaedic surgery and research vol. 13,1 169. 5 Jul. 2018, doi:10.1186/s13018-018-0868-0 5. Meyer, Guilherme et al. “Percutaneous Endoscopic Lumbar Discectomy Versus Microdiscectomy for the Treatment of Lumbar Disc Herniation: Pain, Disability, and Complication Rate-A Randomized Clinical Trial.” International journal of spine surgery vol. 14,1 72-78. 29 Feb. 2020, doi:10.14444/7010 6. Qin, Rongqing et al. “Percutaneous Endoscopic Lumbar Discectomy Versus Posterior Open Lumbar Microdiscectomy for the Treatment of Symptomatic Lumbar Disc Herniation: A Systemic Review and Meta-Analysis.” World neurosurgery vol. 120 (2018): 352-362. doi:10.1016/j.wneu.2018.08.236 7. Siccoli A, Schröder ML, Staartjes VE. Association of age with incidence and timing of recurrence after microdiscectomy for lumbar disc herniation. Eur Spine J. 2021;30(4):893-898. doi:10.1007/s00586-020-06692-1 8. Porto GBF, Cisewski SE, Wolgamott L, Frankel BM. Clinical outcomes for patients with lateral lumbar radiculopathy treated by percutaneous endoscopic transforaminal discectomy versus tubular microdiscectomy: A retrospective review. Clin Neurol Neurosurg. 2021;208:106848. doi:10.1016/j.clineuro.2021.106848.