Bolalarda o‘pka tug‘ma nuqsonlarini jarrohlik yo‘li bilan davolash
Referat
Maqsad. Bolalarda tug‘ma o‘pka nuqsonlarini jarrohlik davolash natijalarini yaxshilash maqsadida yangi tashxislash yondashuvlarini ishlab chiqish va minimal invaziv, a’zoni saqlovchi aralashuvlarni joriy etish.
Materiallar va usullar. Tadqiqot TTA va Milliy bolalar tibbiyot markazi klinikalarida 2004–2024 yillar oralig‘ida statsionar davolangan, tug‘ilgandan 18 yoshgacha bo‘lgan 146 nafar bolalar PRTL (tug‘ma rivojlanish nuqsonlari) bilan og‘rigan bemorlarning tekshirish va davolash natijalariga asoslangan. Klinik va instrumental usullar qo‘llanildi (rentgenografiya, MSKT, bronxoskopiya, exoKG, angiografiya), jarrohlik hajmini aniqlash uchun bronxografiya, intraoperatsion vizual baholash va jarrohlik muolajalari, shu jumladan rezektsiyalar va bronxlarni biopolimer bilan plombirovka qilish.
Natijalar. Bolalarda PRTLni jarrohlik davolash (VATS lobektomiya va bronxlarni plombirovka qilish) 92,7% bemorlarda ijobiy natija berdi. VATS lobektomiya va plombirovka yaxshiroq funksional natijalarni ta’minladi, kamroq asoratlar berdi va ventilyatsion qobiliyat saqlanib qoldi.
Xulosa. PRTLni baholash uchun kompleks diagnostika muhim ahamiyatga ega. VATS lobektomiya va bronxlarni plombirovka qilish a’zoni saqlovchi samarali usul bo‘lib, jarrohlik jarohatini, shifoxonada qolish muddatini va nogironlik xavfini kamaytiradi.
Mualliflar haqida
Adabiyotlar ro'yxati
Ovsyannikov DY, Frolov PA, Semenov PA. Congenital malformation of the airways. Pediatriya. 2018;97(1):152–161. In Russian: Овсянников Д.Ю., Фролов П.А., Семенов П.А. Врожденная маль- формация дыхательных путей. Педиатрия. 2018;97(1):152–161.
Razumovskiy AY, et al. Minimally invasive surgery in the treatment of children with cystic adenomatoid malformation of the lungs. Detskaya Khirurgiya. 2013;(2):4–8. In Russian: Разумовский А.Ю. и др. Мини-инвазивная хирургия в лечении детей с кистозно-аденоматозной мальформацией легких. Детская хирургия. 2013;(2):4–8.
Tashilkina YuV, et al. Congenital cystic adenomatoid malformation of the lung type III: a clinical case. Visualizatsiya v Meditsine. 2023;5(2):32–37. In Russian: Тащилкина Ю.В. и соавт. Врожденная кистозно-аденоматозная мальформация легкого III типа (клинический случай). Визуализация в медицине. 2023;5(2):32–37.
Shestak EV. Type II congenital cystic adenomatoid malformation of the lung in a newborn: issues of early diagnosis. Ural Med J. 2022;21(1):77–84. https://doi.org/10.52420/2071-5943-2022-21-1-77-84. In Russian: Шестак Е.В. Кистозно-аденоматозная мальформация легкого II типа у новорожденного, проблемы ранней диагностики. Уральский медицинский журнал. 2022;21(1):77–84. https://doi.org/ 10.52420/2071-5943-2022-21-1-77-84.
Bakhuizen JJ, Postema AM, van Rijn RR, Schuppen J, et al. No pathogenic DICER1 gene variants in a cohort study of 28 children with congenital pulmonary airway malformation. J Pediatr Surg. 2024;59(3):459–463.
Ottomeyer M, KT et al. Early resection of a rare congenital pulmonary airway malformation causing severe progressive respiratory distress in a preterm neonate: a case report and review of the literature. BMC Pediatr. 2023;23:238. https://doi.org/10.1186/s12887-023-03969-1.
P. Goussard et al. Bronchoscopy findings in children with congenital lung and lower airway abnormalities. https://doi.org/10.1016/j.prrv.2023.10.01
Palla J, Sockrider MM. Congenital lung malformations. Pediatr Ann. 2019;48:e169–e174. https://doi.org/ 10.3928/19382359-20190326-02.
Patrick T, et al. Pediatric congenital lung malformations imaging guidelines and recommendations. Radiol Clin North Am. 2022;60:41–54. https://doi.org/10.1016/j.rcl.2021.08.002.
Rothenberg SS. Thoracoscopic lobectomy in infants and children. J Laparoendosc Adv Surg Tech A. 2021;31:1157–1161.
Seear M, Townsend J, Hoepker A, Jamieson D, McFadden D, Daigneault P, Glomb W. A review of congenital lung malformations with a simplified classification system for clinical and research use. Pediatr Surg Int. 2017;33:657–664.
Seohee J, et al. Thoracoscopic segmentectomy in children with congenital lung malformation. Sci Rep. 2023;13:9640. https://doi.org/10.1038/s41598-023-36700-5.
Stocker LJ, et al. The increasing incidence of foetal echogenic congenital lung malformations: an observational study. Prenat Diagn. 2015;35:148–153.
Yamataka A, Koga H, Ochi T, Imashimizu K, Suzuki K, Kuwatsuru R, et al. Pulmonary lobectomy techniques in infants and children. Pediatr Surg Int. 2017;33:483–495.
Zeng J, Liang J, Li L, et al. Surgical treatment for asymptomatic congenital pulmonary airway malformations in children: waiting or not? Eur J Pediatr Surg. 2021;31:509–517.
Zheng J, et al. Thoracoscopic versus open resection for symptomatic congenital pulmonary airway malformations in neonates: a decade-long retrospective study. BMC Pulm Med. 2021;21:82. https://doi.org/10.1186/s12890-021-01445-2.
Qanday qilib iqtibos keltirish mumkin
Это произведение доступно по лицензии Creative Commons «Attribution» («Атрибуция») 4.0 Всемирная.