Muallifning modifikatsiyasi tip-m distal gipospadiya shakllari bo'lgan bolalarda: ilmiy asoslash va innovatsion metodikaning texnik tavsifi

TO'LIQ MATN:

Referat

Maqsad. Distal gipospadiya shakllari bo'lgan bolalarda jarrohlik davolash uchun TIP-M modifikatsiyasini ishlab chiqish va validatsiya qilish.


Materiallar va metodlar. 56 nafar bemorda (o'rtacha yosh 6,4±3,8 yil) distal gipospadiya shakllari bo'lib, TIP-M metodikasi bilan davolangan prospektiv kohort tadqiqoti o'tkazildi. Modifikatsiya, uretral plastinkaning kesilishi chuqurligini 2 mm bilan cheklashni va nuqsonni qon bilan ta'minlangan tashqi prepus yuvalaridan joylashtirilgan laksut bilan almashtirishni nazarda tutadi.


Natijalar. Erta asoratlar 26,8% bemorlarda, kechki asoratlar esa 7,1% bemorlarda rivojlandi. Ajoyib umumiy natijalar 73,2% bemorlarda erishildi. Normal siydik chiqarish 100% bemorlarda tiklandi, ajoyib kosmetik natijalar esa 94,6% bemorlarda ta'minlandi. Qayta operatsiyalar chastotasi 5,4% ni tashkil etdi. Uretral plastinkaning o'rtacha kengayishi 35,2±8,7% ni tashkil etdi.


Xulosa. TIP-M modifikatsiyasi klassik metodikalar bilan solishtirganda ajoyib natijalarni ko'rsatmoqda, anatomiya sharoitlariga qaramay, umumiy qo'llanilishini ta'minlab. Ushbu metodika distal gipospadiya shakllari bo'yicha jarrohlik davolashda birinchi tanlov metodi sifatida tavsiya etilishi mumkin.

Mualliflar haqida

Adabiyotlar ro'yxati

Springer A, van den Heijkant M, Baumann S. Worldwide prevalence of hypospadias. J Pediatr Urol. 2016;12(3):152.e1-7. https://doi.org/10.1016/j.jpurol.2015.12.002.

Bergman JEH, Loane M, Morris JK, et al. Epidemiology of hypospadias in Europe: a registry-based study. World J Urol. 2015;33(12):2159-67. https://doi.org/10.1007/s00345-015-1507-6.

Snodgrass W. Tubularized, incised plate urethroplasty for distal hypospadias. J Urol. 1994;151(2):464-5. https://doi.org/10.1016/s0022-5347(17)34991-1.

Snodgrass W, Koyle M, Manzoni G, et al. Tubularized incised plate hypospadias repair: results of a multicenter experience. J Urol. 1996;156(2 Pt 2):839-41.

Bush NC, Barber TD, Dajusta D, Prieto JC et al. Results of distal hypospadias repair after pediatric urology fellowship training: A comparison of junior surgeons with their mentor. J Pediatr Urol. 2016 Jun;12(3):162.e1-4. https://doi.org/10.1016/j.jpurol.2015.12.007.

Wang F, Xu Y, Zhong H. Systematic review and meta-analysis of studies comparing the perimeatal-based flap and tubularized incised-plate techniques for primary hypospadias repair. Pediatr Surg Int. 2013 Aug;29(8):811-21. https://doi.org/10.1007/s00383-013-3335-3.

Springer A, Krois W, Horcher E. Trends in hypospadias surgery: results of a worldwide survey. Eur Urol. 2011;60(6):1184-9. https://doi.org/10.1016/j.eururo.2011.08.031.

Elbakry A. Tubularized-incised urethral plate urethroplasty: is regular dilatation necessary for success? BJU Int. 1999 Oct;84(6):683-8. https://doi.org/10.1046/j.1464-410x.1999.00207.x.

Bush NC, Snodgrass W. Pre-incision urethral plate width does not impact short-term Tubularized Incised Plate urethroplasty outcomes. J Pediatr Urol. 2017 Dec;13(6):625.e1-625.e6. https://doi.org/10.1016/j. jpurol.2017.05.020.

Perlmutter AE, Morabito R, Tarry WF. Impact of patient age on distal hypospadias repair: a surgical perspective. Urology. 2006 Sep;68(3):648-51. https://doi.org/10.1016/j.urology.2006.03.079.

Zhang Y., Shen Z., Zhou X., Chi Z. et al. Comparison of meatal-based flap (Mathieu) and tubularized incised-plate (TIP) urethroplasties for primary distal hypospadias: A systematic review and meta-analysis. J Pediatr Surg. 2020 Dec;55(12):2718-2727. https://doi.org/10.1016/j.jpedsurg.2020.03.013.

Braga LH, Lorenzo AJ, Salle JL. Tubularized incised plate urethroplasty for distal hypospadias: A literature review. Indian J Urol. 2008 Apr;24(2):219-25. https://doi.org/10.4103/0970-1591.40619.

Soave A, Riechardt S, Engel O, Rink M, Fisch M. Komplikationen bei Hypospadiekorrekturen [Complications of hypospadias repairs]. Urologe A. 2014 Jul;53(7):1001-5. German. https://doi.org/10.1 007/s00120-014-3498-0.

Springer A, Krois W, Horcher E. Trends in hypospadias surgery: results of a worldwide survey. Eur Urol. 2011 Dec;60(6):1184-9. https://doi.org/10.1016/j.eururo.2011.08.031.

Badawy H, Soliman A, Moussa A, Youssef M et al. Staged repair of redo and crippled hypospadias: analysis of outcomes and complications. J Pediatr Urol. 2019 Apr;15(2):151.e1- 151.e10. https://doi.org/10.1016/j.jpurol.2019.01.002.

Qanday qilib iqtibos keltirish mumkin

Nurmamotov , D., & Otamuradov , F. (2025). Muallifning modifikatsiyasi tip-m distal gipospadiya shakllari bo’lgan bolalarda: ilmiy asoslash va innovatsion metodikaning texnik tavsifi. Bolalar Milliy Tibbiyot Markazining Axborotnomasi, 3(2), 21–30. Retrieved from https://hnchmc.uz/index.php/jour/article/view/219
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