საცრემლე სისტემის ობსტრუქციის ოპერაციული მკურნალობის თანამედროვე მეთოდები
DOI:
https://doi.org/10.52340/jecm.2023.01.01საკვანძო სიტყვები:
lacrimal system, dacryocystitis, obstruction, operation, modernანოტაცია
შესავალი: დაკრიოცისტიტი საკმაოდ გავრცელებული პათოლოგიაა და მოსახლეობის მნიშვნელოვან ნაწილს აღენიშნება. ცხვირ-საცრემლე გზების სტენოზირება დაკრიოცისტიტის განვითარების ყველაზე ხშირი მიზეზია. მკურნალობის ძირითად მეთოდს დაკრიოცისტორინოსტომია წარმოადგენს.
მასალა და მეთოდები: დაკრიოცისტორინოსტომიის (DCR) განვითარების ძირითადი ეტაპების შესასწავლად გამოყენებულ იქნა სხვადასხვა სამეცნიერო წყარო (სამეცნიერო ჟურნალები, საიდანაც ვიღებთ ინფორმაციას). დაკრიოცისტიტის ქირურგიული მკურნალობის ერთ-ერთი პირველი მეთოდი ჩვენი წელთაღრიცხვით პირველ საუკუნეში იქნა მოწოდებული. 1904 წელს იტალიელმა პროფესორმა ადეო ტოტიმ მოგვაწოდა გარეგანი დაკრიოცისტორინოსტომიის მეთოდი. ენდონაზალური DCR პირველად განახორციელა კალდუელმა 1893 წელს. ენდოსკოპიურ-ენდონაზალური Endo DCR პირველად 1999 წელს აღწერა მაკდონორმა და მეირინგმა.
შედეგები და დასკვნა: ენდონაზალური ენდოსკოპიური დაკრიოცისტორინოსტომია (Endo DCR) გარეგანი განაკვეთის გარეშე და საოპერაციო სტრუქტურების კონტურების ადექვატური ვიზუალიზაციით, ლორწოვანისა და ანატომიური წარმონაქმნების მინიმალური ინვაზიით პრაქტიკულად ,,უსისხლო“ მეთოდით ხორციელდება.
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