66 -10 (96) 2026 - To’rayev U.R., O’rokov Sh.T. - XOLEDOXOLITIAZGA SHUBHA QILINGAN BEMORLARDA MAGNIT-REZONANS XOLANGIOPANKREATOGRAFIYANI MAQSADLI QO’LLASH: QOLDIQ TOSHLAR TAHLILIGA ASOSLANGAN BMSS SHKALASI

XOLEDOXOLITIAZGA SHUBHA QILINGAN BEMORLARDA MAGNIT-REZONANS XOLANGIOPANKREATOGRAFIYANI MAQSADLI QO’LLASH: QOLDIQ TOSHLAR TAHLILIGA ASOSLANGAN BMSS SHKALASI

To’rayev U.R. - O’zbekiston Respublika shoshilinch tibbiy yordam ilmiy markazi Buxoro filiali

O’rokov Sh.T. - Abu Ali ibn Sino nomidagi Buxoro davlat tibbiyot instituti

Resume

Maqsad. Ikki bosqichli davolashdan keyin qoldiq toshlar sabab qayta yotqizilgan bemorlar tahlili asosida MRXPGga yo’llashning ballli shkalasini ishlab chiqish. Material va usullar. 2020–2024-yillarda ERXPG, EPST, litoekstraksiya va keyin laparoskopik xolesistektomiya qilingan 120 bemorning kasallik tarixi retrospektiv o’rganildi. Qoldiq xoledoxolitiaz bilan qayta murojaat qilgan bemorlarda UTT va MRXPG natijalari solishtirildi. Natijalar. Qoldiq toshlar 9 (7,5%) bemorda aniqlandi. Ulardan 3 nafarida UTT bo’yicha UO’Y diametri me’yorda bo’lsa-da, MRXPG terminal bo’limda mayda toshlarni ko’rsatdi va bu bemorlarning barchasida biliar pankreatit rivojlandi. Olingan ma’lumotlar asosida anamnez, bilirubin darajasi va UTT belgilarini o’z ichiga olgan, maksimal 12 balli BMSS (Bukhara MRCP Selection Score) shkalasi tuzildi va 60 nafar bemordan iborat prospektiv guruhda qo’llanildi. Xulosa. Faqat operatsiyagacha mavjud bo’ladigan oddiy ko’rsatkichlarga tayangan BMSS shkalasi MRXPGni hamma bemorga emas, balki yashirin xoledoxolitiaz ehtimoli yuqori bo’lganlarga yo’naltirish imkonini beradi; uning diagnostik aniqligini alohida tadqiqotda tasdiqlash lozim.

Kalit so’zlar: xoledoxolitiaz, qoldiq toshlar, magnit-rezonans xolangiopankreatografiya, ballli shkala, ultratovush tekshiruvi.

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For citation:To’rayev U.R., O’rokov Sh.T. - XOLEDOXOLITIAZGA SHUBHA QILINGAN BEMORLARDA MAGNIT-REZONANS XOLANGIOPANKREATOGRAFIYANI MAQSADLI QO’LLASH: QOLDIQ TOSHLAR TAHLILIGA ASOSLANGAN BMSS SHKALASI//New Day in Medicine 10(96)2026 431-435 https://newdayworldmedicine.com/en/new_day_medicine/10-96-2026

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