Siydik pufagi ekstrofiyasi bo‘lgan o‘g‘il bolalarda epispadia korreksiyasi paytida jinsiy olat terisini rekonstruksiya qilish: anatomik va kosmetik natijalar
Qabul qilingan: 2026-10-05
Nashr etilgan: 2026-03-30
Annotatsiya
Maqsad. Siydik pufagi ekstrofiyasi bo'lgan o'g'il bolalarda epispadia korreksiyasi vaqtida jinsiy olat terisini rekonstruksiya qilishning original usuli bo'yicha anatomik va kosmetik natijalarni baholash.
Materiallar va usullar. Milliy bolalar tibbiyot markazida asosiy guruhdagi 41 nafar o'g'il bolada epispadia korreksiyasi bajarildi: 22 nafarida bosqichma-bosqich, 19 nafarida esa bir bosqichli korreksiya amalga oshirildi. Teri yetishmovchiligi bo'lganda nuqson bolaning o'z to'qimalaridan olingan ko'chirilgan lappaklar bilan yopildi va skrotumning kranial transpozitsiyasi korreksiya qilindi (patent N IAP 8300); kichik jinsiy olat holatlarida operatsiyadan oldin androgen tayyorgarligi o'tkazildi. Jinsiy olat uzunligi, dorsal egrilik, teri nuqsonining yopilishi va asoratlar baholandi. Wilcoxon, Mann-Whitney, chi-square va Fisherning aniq testlari qo'llanildi.
Natijalar. Jinsiy olat uzunligi birinchi guruhda 26,30 +/- 2,97 mm dan 32,24 +/- 2,61 mm gacha (p < 0,02), ikkinchi guruhda esa 27,11 +/- 2,14 mm dan 32,22 +/- 2,30 mm gacha oshdi (p < 0,008). Dorsal egrilik 28,75 deg +/- 5,15 dan 1,75 deg +/- 1,75 gacha kamaydi (p < 0,007). Teri nuqsonini birlamchi yopish 27,3% bolalarda amalga oshirildi. Usul qo'llangan guruhda asoratlar chastotasi 13,6% ni, taqqoslashda esa 36,8% ni tashkil etdi.
Xulosa. Ushbu usul teri nuqsonini bir bosqichda yopish, jinsiy olatni uzaytirish va to'g'rilash hamda yara asoratlari chastotasini kamaytirish imkonini beradi. Usul autologik bo'lib, bolalar urologiyasi bo'limlarida qayta qo'llash mumkin.
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