Jild 4 № 1 (2026): Yanvar-Mart
32-37
2026-03-30
Ochiq kirish

Bolalarda fallo tetradasini radikal jarrohlik yo‘li bilan korreksiya qilgandan keyin intensiv terapiya bo‘limida qolish davomiyligini belgilovchi klinik va intraoperatsion omillar

Maksud A.Saidov
Baxhora U.Umarovna
Abbos X.Ergashev
https://doi.org/10.63417/

Qabul qilingan: 2026-10-05

Nashr etilgan: 2026-03-30

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Annotatsiya

Dolzarbligi. Fallo tetradasi erta bolalik davrida radikal jarrohlik korreksiyasini talab qiladigan eng ko‘p uchraydigan sianotik tug‘ma yurak nuqsoni hisoblanadi; intensiv terapiya bo‘limida (ITB) qolish davomiyligi esa davolash samaradorligining klinik va iqtisodiy jihatdan muhim ko‘rsatkichi bo‘lib qolmoqda.


Maqsad. Fallo tetradasini radikal korreksiya qilgandan keyin ITBda qolish davomiyligi bilan bog‘liq klinik va intraoperatsion ko‘rsatkichlarni aniqlash.


Materiallar va usullar. Toshkentdagi Milliy bolalar tibbiyot markazida bajarilgan 101 ta radikal korreksiya retrospektiv tahlil qilindi. Bemor yoshi, kislorod saturatsiyasi, chap qorinchaning oxirgi diastolik indeksi, sun’iy qon aylanishi va aortani qisib turish davomiyligi, korreksiya turi, rezidual qorinchalararo to‘siq nuqsoni, rezidual o‘pka arteriyasi stenozi hamda o‘pka klapani regurgitatsiyasi darajasi baholandi. Ushbu ko‘rsatkichlarning ITBda qolish davomiyligi bilan bog‘liqligi Spearman korrelyatsiyasi, Kruskal–Wallis va Mann–Whitney testlari yordamida baholandi.


Natijalar. ITBda qolishning o‘rtacha davomiyligi 70,4±49,6 soatni tashkil etdi. Yosh (r=-0,389; p=0,0001), sun’iy qon aylanishi davomiyligi (r=0,370; p=0,0002), aortani qisib turish vaqti (r=0,314; p=0,0016) va o‘pka klapani regurgitatsiyasi darajasi (r=0,280; p=0,0046) bilan statistik jihatdan ahamiyatli bog‘liqliklar aniqlandi. Klapanni saqlab qoluvchi korreksiya transannulyar usullarga nisbatan ITBda qisqaroq qolish davomiyligi bilan bog‘liq bo‘ldi (p=0,0072).


Xulosa. Fallo tetradasini korreksiya qilgandan keyin ITBda qolish davomiyligi yoshga bog‘liq, intraoperatsion va klapan bilan bog‘liq omillar majmuasi bilan belgilanadi, bu esa jarrohlik strategiyasini tanlashda differensial yondashuv zarurligini ko‘rsatadi.

Kalit so‘zlar

Adabiyotlar ro'yxati

  1. Egbe AC, Nguyen K, Mittnacht AJ, Joashi U. Predictors of intensive care unit morbidity and midterm follow-up after primary repair of tetralogy of Fallot. Korean J Thorac Cardiovasc Surg. 2014;47(3):211–219.

  2. Egbe AC, Uppu SC, Mittnacht AJ, Joashi U, Ho D, Nguyen K, Srivastava S. Primary tetralogy of Fallot repair: predictors of intensive care unit morbidity. Asian Cardiovasc Thorac Ann. 2014;22(7):794–799.

  3. Ali H, Amanullah MM, Hasan BS, et al. Predictors of short versus pro¬longed PCICU stay after primary repair of tetralogy of Fallot at a tertiary care unit, Karachi: a single-center study. Prog Pediatr Cardiol. 2022;66:101541.

  4. Kesumarini D, Widyastuti Y, Boom CE, Dinarti LK. Risk factors associ¬ated with prolonged mechanical ventilation and length of stay after repair of tetralogy of Fallot. World J Pediatr Congenit Heart Surg. 2024;15(1):62–70.

  5. Ergün S, Genç ŞB, Yıldız O, Öztürk E, Güneş M, Onan İS, et al. Predic¬tors of a complicated course after surgical repair of tetralogy of Fallot. Turk Gogus Kalp Damar Cerrahisi Derg. 2020;28(2):264–273.

  6. Ismail MF, Arafat AA, Hamouda TE, El Tantawy AE, Edrees A, Bogis A, et al. Junctional ectopic tachycardia following tetralogy of Fallot repair in children under 2 years. J Cardiothorac Surg. 2018;13(1):60.

  7. Martins RS, Fatimi AS, Mahmud O, Qureshi S, Nasim MT, Virani SS, et al. Comparing clinical and echocardiographic outcomes following valve-sparing versus transannular patch repair of tetralogy of Fallot: a systematic review and meta-analysis. Interdiscip Cardiovasc Thorac Surg. 2024;39(1):ivae124.

  8. Al Ghafri MH, Al Toubi SO, Maddali MM, Sathiya PM, Jose S, Al-Kindi HN. Comparison of immediate outcomes of pulmonary valve-sparing and transannular patch techniques for correction of tetralogy of Fallot. Sultan Qaboos Univ Med J. 2024.

  9. Blais S, Marelli A, Vanasse A, Dahdah N, Dancea A, Drolet C, et al. Comparison of long-term outcomes of valve-sparing and transannular patch procedures for correction of tetralogy of Fallot. JAMA Netw Open. 2021;4(7):e2118141.

  10. Shcheglova KT, Shcheglov SE, Gornostaev AA, Chernogrivov AE, Bazylev VV. Analiz techeniya posleoperatsionnogo perioda pri radikal’noy korrektsii tetrady Fallo u patsientov v vozraste 3–6 mesyatsev [Analysis of the postoperative course after radical correction of tetralogy of Fallot in pa¬tients aged 3–6 months]. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2018;19(4):487–494. (In Russian).

  11. Kozyrev IA, Morozov AA, Grekhov EV, Averkin IA, Gordeev ML, Laty-pov AK. Neposredstvennye rezul’taty klapan-sokhranyayushchey radikal’noy korrektsii tetrady Fallo [Immediate results of valve-sparing radical correction of tetralogy of Fallot]. Patologiya krovoobrashcheniya i kardiokhirurgiya. 2019;23(1):9–16. (In Russian).

  12. Alimov A, Alimov A, Sharipov A, Usmanov R, Akhmatalieva M. Vliyanie dlitel’nosti iskusstvennogo krovoobrashcheniya na posleoperatsion-nye iskhody pri korrektsii tetrady Fallo u detey [Effect of cardiopulmonary bypass duration on postoperative outcomes after tetralogy of Fallot repair in children]. Aktual’nye voprosy prakticheskoy pediatrii. 2025;1(1):25–26. (In Russian).

Mualliflar haqida

Maksud A.Saidov
info@hnchmc.uz
Baxhora U.Umarovna
info@hnchmc.uz
Abbos X.Ergashev
info@hnchmc.uz

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Bolalarda fallo tetradasini radikal jarrohlik yo‘li bilan korreksiya qilgandan keyin intensiv terapiya bo‘limida qolish davomiyligini belgilovchi klinik va intraoperatsion omillar. (2026). Bolalar Milliy Tibbiyot Markazining Axborotnomasi, 4(1), 32-37. https://doi.org/10.63417/

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