Aqoonsiga Qaababka isbeddellada ku yimaada cadaadiska caloosha bukaanka qaba cudurada caloosha

Sababta cadaadis sii kordhaya intra-caloosha (IAP) wuxuu noqon karaa noocyo kala duwan oo cudurro iyo xaaladaha cudur ee saabka xuubka hoose iyo meel retroperitoneal. Marka cadaadiska ee saabka caloosha oo gaartay heerka kalagoynta socodka dhiigga caadiga ah in xubnaha gudaha, horumarisa wax-u intra-caloosha hypertension syndrome (SI-AH), kaas oo lagu muujiyay calaamadaha xubin failure sii kordhaya.

Qoraalkani wuxuu ku ah ee daraasadda waxay ahaayeen 6 kooxood oo bukaanka qaba cudurro kala duwan oo ba'an qalliinka ee saabka caloosha. Kooxda gacanta ku koobnaa bukaanka kuwaas oo aan haysan cudurada qalliinka ba'an. heerka WBD iyo dhaqdhaqaaqa ay la qiimeeyey by qiyaaso cadaadiska ee kaadiheysta aadanaha.

In koox gacanta ku galku (n = 15 labka - 53%, haweenka - 47%) celceliska WBD dhigay 2.4 ± 0.4 cm AQ. Art.

The VBD celceliska qiimaha ee bukaanka qaba cholecystitis ba'an (group I, n = 25, 17 - ayaa la shaqeeya, 8 - loola dhaqmo kabsado) marka laguu ogolaado ahaa 5.8 ± 0.6 cm AQ. Art. At bukaanka aan ku shaqeeya for 7-8 saacadood heerka IAP ma kala duwan yihiin kuwa group gacanta. In bukaanka ku shaqeeya ee muddada hore postoperative waxaa lagu go'aamiyaa isbedel xoog leh ku wajahan heerka sii kordhaya ee WBD.

heerarka IAP in bukaanka qaba pankreatit ba'an (group II n = 25) kala duwan iyada oo ku xiran darnaanta cudurka. Sidaas darteed, 11 bukaan oo qaba khafiif ah, iyo 5 - shahaado celcelis ahaan WBD qiimaha cuf hadhay ficil ahaan xadka caadiga ah (6,8 ± 1,1 cm v AQ ..). Y 3 bukaan unoperated la pankreatit ba'an waxaan arkay degree of hypertension intra-caloosha (IAH) (V. 17,6 ± 0,5 cm AQ.). In 2 bukaanka, kuwaas oo ku shaqeeya ku peritonitis enzymatic, II oo ahaa darajadii ee MSF ayaa ka diiwaan gashan qaliinka ka hor. Ka dib markii qaliin WBD si tartiib tartiib ah hoos u dhacay. 4 bukaanka qaba galleeyda ganaca aasaasay, sidoo kale dhaqdhaqaaqa la mid ah WBD, iyo 1 iyaga ka mid ah waxay leeyihiin calaamado kala duwan ahaayeen Siicahaa oo la sameeyey oo kaliya ka dib qaliinka.

Heerka bukaanka IAP la ileus (group III n = 25) beddelmay sida soo socota: ka hor inta aan qalliinka ee 6 bukaanka tilmaamayaasha WBD hadhay gudahood kala duwan ee caadiga ah, 14 - arkay degree aan, y waa 5 - II degree MSF. Isla mar ahaantaana, dadka qaba heerarka sare ee WBD lahaa sawir X-ray oo nadiif ah ka xirma xiidmaha. Qalliinka ka dib, indices WBD si caadi ah u yimid.

In 6 bukaanka qaba uschemlonnoy Sheelada (group IV, n = 8), laakiin ma galleeyda mindhicirka ee muddada horudhaca ah iyo postoperative, WBD hadhay gudahood kala duwan ee caadiga ah. 1 bukaanka la colon loop galleeyda preoperatively duubay aan degree MSF. 1 heerka WBD bukaanka kordhay ka dib markii aad dhinca lama filaan ah hernias ventral.

V 9 bukaanka qaba waajihi ba'an peritonitis Bilowgii kala duwan, ka hor iyo postoperatively heerka WBD u dhaw in ay qiimaha caadiga ah (7,8 ± 1,5 cm V. AQ.). 4 bukaan qalay si aan degree (15 ± 0,7 cm v AQ ..), In 2 - II degree MSF. In 1 samir calaamadaha aan baxayn postoperative of peritonitis, MSF ayaa kor u kacay in ay heer heerka III, oo leh calaamado cad iyo reer Siicahaa. Marka la sameeyo relaparotomii WBD wax yar hoos u dhacay, wadnaha iyo kelyaha ku adkaystay.

Kooxda VI ka mid ahaa 2 bukaanka qaba halbowlayaasha mesenteric thrombosis.

Mid ka mid ah aan degree MSF ayaa shaaca ka qaaday, kaas oo lagu xalin kaliya qalliinka kadib. bukaanka labaad ka hor inta hawlgalka lagu rakibay Grade II MSF, taas oo keliya ma ku adkaystay in muddada postoperative, laakiin waxaa sii kordhaya iyadoo horumarinta daawayn Siicahaa oo kala duwan. heerka WBD hoos kaliya ka dib markii relaparotomy la caadi kala ah hawlaha xubnaha gudaha.

Sayidka, cudurada qalliin degdeg ah waxay keeni kartaa kordhin WBD, ilaa horumarinta reer Siicahaa. Tani waxay u baahan feejignaan taxaddar iyo xakameynta horumarinta qaraabo ah dhibaato this, by dhakhaatiirta iyo dhakhaatiirta qalliinka ku maqan.