Authors

  • Bolg'ayev Absodiq Bolg'ayevich
    Toshkent tibbiyot akademiyasi Termiz filiali Travmatologiya, neyroxirurgiya, HDJ, tez tibbiy yordam va anesteziologiya kafedrasi mudiri, tibbiyot fanlari doktori, dotsent
  • Rozzoqov Dilmurod Tog‘aymurodovich
    Toshkent tibbiyot akademiyasi Termiz filiali o‘qituvchisi, oliy toifali neyroxirurg
  • Eshpo‘latov Jaloliddin Bahodir o‘g‘li
    Toshkent tibbiyot akademiyasi Termiz filiali Neyroxirurgiya yo‘nalishi magistri

DOI:

https://doi.org/10.71337/inlibrary.uz.siad.98569

Keywords:

Kichik boldir nervi jarrohlik amaliyoti nerv shikastlanishi erta bosqich funksional tiklanish davri.

Abstract

Ushbu maqolada kichik boldir nervi shikastlanishining erta bosqichlarida jarrohlik amaliyotining ahamiyati o‘rganilgan. Tadqiqot peroneal nervning anatomiyasi, shikastlanish sabablari, klinik belgilari, tashxislash usullari va erta jarrohlik aralashuvining funksional tiklanishdagi roli kabi jihatlarni qamrab oladi. 


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SYNAPSES:

Insights Across the Disciplines

ISSN: 3060-4737 Volume 2, Issue 5 IF(Impact Factor) 10.92 / 2024

324

Synapses:

Insights Across the Disciplines

KICHIK BOLDIR NERVI SHIKASTLANISHI ERTA

BOSQICHLARIDA JARROHLIK AMALIYOTINING AHAMIYATI

Bolg'ayev Absodiq Bolg'ayevich

Toshkent tibbiyot akademiyasi Termiz filiali Travmatologiya, neyroxirurgiya,

HDJ, tez tibbiy yordam va anesteziologiya kafedrasi mudiri, tibbiyot fanlari doktori,

dotsent

Rozzoqov Dilmurod Tog‘aymurodovich

Toshkent tibbiyot akademiyasi Termiz filiali o‘qituvchisi, oliy toifali

neyroxirurg

Eshpo‘latov Jaloliddin Bahodir o‘g‘li

Toshkent tibbiyot akademiyasi Termiz filiali Neyroxirurgiya yo‘nalishi magistri

scofield9799@gmail.com

https://orcid.org/0009-0001-8158-6407

ВАЖНОСТЬ ХИРУРГИЧЕСКОГО ВМЕШАТЕЛЬСТВА НА РАННИХ

СТАДИЯХ ПОВРЕЖДЕНИЯ МАЛОБЕРЦОВОГО НЕРВА

Болгаев Абсадик Болгаевич

Заведующий кафедрой травматологии, нейрохирургии, скорой медицинской

помощи и анестезиологии Термезский филиал Ташкентской медицинской

академии, доктор медицинских наук, доцент

Rozzoqov Dilmurod Togaymurodovich

Преподаватель Термезского филиала Ташкентской медицинской академии, врач-

нейрохирург высшей категории

Эшпулатов Джалолиддин Баходир угли

Магистр направления нейрохирургия, Термезский филиал Ташкентской

медицинской академии

scofield9799@gmail.com

https://orcid.org/0009-0001-8158-6407


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SYNAPSES:

Insights Across the Disciplines

ISSN: 3060-4737 Volume 2, Issue 5 IF(Impact Factor) 10.92 / 2024

325

Synapses:

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THE IMPORTANCE OF SURGICAL TREATMENT IN THE

EARLY STAGES OF PERONEAL NERVE INJURY

Bolgayev Absodiq Bolgayevich

Head of the Department of Traumatology, Neurosurgery, Emergency Medical

Care and Anesthesiology Termez branch of the Tashkent Medical Academy, Doctor of

Medical Sciences, Associate Professor

Rozzoqov Dilmurod Togaymurodovich

Teacher of the Termiz branch of Tashkent Medical Academy,

Neurosurgeon of the highest category

Eshpulatov Jaloliddin Bahodir ugli

Master's degree in Neurosurgery, Termez Branch of the Tashkent Medical Academy

scofield9799@gmail.com

https://orcid.org/0009-0001-8158-6407

ANNOTATSIYA

Ushbu maqolada kichik boldir nervi shikastlanishining erta bosqichlarida

jarrohlik amaliyotining ahamiyati o‘rganilgan. Tadqiqot peroneal nervning anatomiyasi,
shikastlanish sabablari, klinik belgilari, tashxislash usullari va erta jarrohlik
aralashuvining funksional tiklanishdagi roli kabi jihatlarni qamrab oladi. Erta jarrohlik
amaliyotining nerv funksiyasini tiklashdagi samaradorligi va asoratlarni oldini olishdagi
ahamiyati tahlil qilingan. Natijalar shuni ko‘rsatadiki, erta jarrohlik amaliyoti kichik
boldir nervi shikastlanishida sezilarli darajada ijobiy natijalarga olib keladi.

АННОТАЦИЯ

В статье рассматривается важность хирургического вмешательства на

ранних стадиях повреждения малоберцового нерва. Исследование охватывает
такие аспекты, как анатомия малоберцового нерва, причины повреждения,
клинические симптомы, методы диагностики и роль раннего хирургического
вмешательства

в

функциональном

восстановлении.

Проанализирована

эффективность ранней хирургии для восстановления функции нервов и
профилактики осложнений. Результаты показывают, что раннее хирургическое
вмешательство приводит к значительно положительным результатам при травмах
малоберцового нерва.


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SYNAPSES:

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ISSN: 3060-4737 Volume 2, Issue 5 IF(Impact Factor) 10.92 / 2024

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Synapses:

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ABSTRACT

This article examines the importance of surgical treatment in the early stages of

peroneal nerve injury. The study covers aspects such as the anatomy of the peroneal
nerve, the causes of injury, clinical signs, diagnostic methods, and the role of early
surgical intervention in functional recovery. The effectiveness of early surgical way in
restoring nerve function and its importance in preventing complications are analyzed.
The results show that early surgery leads to significantly positive outcomes in peroneal
nerve injury.

Kalit so‘zlar:

Kichik boldir nervi, jarrohlik amaliyoti, nerv shikastlanishi, erta

bosqich, funksional tiklanish davri.

Ключевые слова:

Малоберцовый нерв, хирургия, повреждение нерва,

ранняя стадия, период функционального восстановления.

Keywords: Peroneal nerve, surgery, nerve injury, early stage, functional

recovery period.

Kirish

Kichik boldir nervi – peroneal nerv shikastlanishi asosan jarohat, siqilish, bosilish

yoki lat yeyish natijasida yuzaga keladi. Bu shikastlanish asosan oyoq panjasining
ko‘tarilishi va dorsifleksiyasida sezilarli zaiflik yoki yo‘qotish va ba‘zan hatto
nogironlik holatlarini keltirib chiqaradi. Ushbu maqola kichik boldir nervining
shikastlanishlarida jarrohlik amaliyotining ahamiyatini erta bosqichda aniqlashga
qaratilgan.

Metodologiya

Ushbu maqola adabiyotlar tahlili orqali tayyorlandi. Asosan 2018–2024 yillarda

e'lon qilingan ilmiy maqolalar, dissertatsiyalar va klinik tadqiqotlar tahlil qilindi.
Maqolalarda peroneal nervning shikastlanishlari, diagnostika usullari va jarrohlik
aralashuvlari haqida ma’lumotlar to‘plandi.

Natijalar

Anatomik tuzilma: kichik boldir nervi, asosan, umumiy peroneal nerv va uning

ikki asosiy shoxi — yuzaki va chuqur peroneal nervlardan iborat. Bu nervlar oyoq
panjasining dorsifleksiyasi va eversiyasini ta'minlaydi. Jarohatlar, lat yeyishlar,
kompressiya (masalan, qisilish, bosilish, ezilish) yoki noto‘g‘ri holatda uzoq muddat
yotish shikastlanish sabablaridan hisoblanadi. Klinik belgilari: Oyoq panjasining


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SYNAPSES:

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dorsifleksiyasi va eversiyasining zaifligi yoki yo‘qligi, oyoq panjasining "osilib

qolishi" (foot drop), yurishda "xo‘rozsimon" yurish usuli, boldir va oyoq panjasining
tashqi yuzasida sezgi yo‘qolishi. Diagnostika: Klinik va nevrologik ko‘rik,
elektromiografiya (EMG), elektroneyromiografiya (ENMG), nerv ultratovush
tekshiruvi va magnit-rezonans tomografiyasi (MRT). Jarrohlik amaliyotining
afzalliklari: Erta bosqichda o‘tkazilgan jarrohlik aralashuvi (6 oygacha) nervning
funksional tiklanishiga ijobiy ta’sir ko‘rsatadi. Asosan nervni dekompressiya qilish,
nevroliz va nevrotizatsiya yoki neyrorafiya hamda autonevroplastikalar qo‘llaniladi.
Asoratlar: Davolashni kechiktirish jarohatni tiklash jarayonini murakkablashtiradi va
nerv ustunini qayta tiklash imkoniyatini pasaytiradi va hatto nogironlikka olib keladi.

Munozara

Kichik boldir nervi shikastlanishlarining erta bosqichlarida o‘tkaziladigan

jarrohlik amaliyotlari yuqori darajada ijobiy natijalar beradi. Adabiyotlar shuni
ko‘rsatadiki, operatsiya qancha erta amalga oshirilsa, tiklanish imkoniyati shuncha
yuqori bo‘ladi. Shu bilan birga, konservativ davolash usullari (fizioterapiya va
medikamentoz davo choralari) ham qo‘llanilishi mumkin, lekin ular faqat yengil
shikastlanishlarda samarali hisoblanadi. Og‘ir va qo‘pol jarohatlarda esa albatta
jarrohlik aralashuvi talab etiladi.

Xulosa

Kichik boldir nervining shikastlanishi erta bosqichda aniqlanganda va jarrohlik

aralashuvi o‘z vaqtida amalga oshirilganda, bemorlarda sezilarli darajada yaxshilanish
kuzatiladi. Ushbu tadqiqot natijalari peroneal nerv shikastlanishlarining erta davolash
usullarini takomillashtirishga yordam beradi.

Foydalanilgan adabiyotlar ro‘yxati

1. Kim, D.H., Murovic, J.A., Tiel, R.L., Kline, D.G. (2004). Surgical outcomes

after repair of peroneal nerve lesions. Journal of Neurosurgery, 101(2), 277-289.
doi:10.3171/jns.2004.101.2.0277

2. Noble, J., Munro, C.A., Prasad, V.S.S.V., Midha, R. (1998). Analysis of upper

and lower extremity peripheral nerve injuries in a population of patients with multiple
injuries. Journal of Trauma, 45(1), 116-122. doi:10.1097/00005373-199807000-00026

3. Kim, D.H., Kline, D.G. (1996). Management and results of peroneal nerve

lesions. Neurosurgery Clinics of North America, 7(1), 145-156. PMID:8824125


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SYNAPSES:

Insights Across the Disciplines

ISSN: 3060-4737 Volume 2, Issue 5 IF(Impact Factor) 10.92 / 2024

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4. Kline, D.G., Hudson, A.R. (1995). Nerve Injuries: Operative Results for

Major Nerve Injuries, Entrapments, and Tumors. Philadelphia: W.B. Saunders.

5. Mackinnon, S.E., Dellon, A.L. (1988). Surgery of the Peripheral Nerve. New

York: Thieme.

6. Sunderland, S. (1978). Nerves and Nerve Injuries (2nd ed.). Edinburgh:

Churchill Livingstone.

7. Campbell, W.W. (2008). Evaluation and management of peripheral nerve

injury. Clinical Neurophysiology, 119(9), 1951-1965. doi:10.1016/j.clinph.2008.04.019

8. Rorabeck, C.H., Macnab, I. (1980). The pathophysiology of the anterior tibial

compartment syndrome. Clinical Orthopaedics and Related Research, (113), 52-57.
PMID:7351402

References

Kim, D.H., Murovic, J.A., Tiel, R.L., Kline, D.G. (2004). Surgical outcomes after repair of peroneal nerve lesions. Journal of Neurosurgery, 101(2), 277-289. doi:10.3171/jns.2004.101.2.0277

Noble, J., Munro, C.A., Prasad, V.S.S.V., Midha, R. (1998). Analysis of upper and lower extremity peripheral nerve injuries in a population of patients with multiple injuries. Journal of Trauma, 45(1), 116-122. doi:10.1097/00005373-199807000-00026

Kim, D.H., Kline, D.G. (1996). Management and results of peroneal nerve lesions. Neurosurgery Clinics of North America, 7(1), 145-156. PMID:8824125

Kline, D.G., Hudson, A.R. (1995). Nerve Injuries: Operative Results for Major Nerve Injuries, Entrapments, and Tumors. Philadelphia: W.B. Saunders.

Mackinnon, S.E., Dellon, A.L. (1988). Surgery of the Peripheral Nerve. New York: Thieme.

Sunderland, S. (1978). Nerves and Nerve Injuries (2nd ed.). Edinburgh: Churchill Livingstone.

Campbell, W.W. (2008). Evaluation and management of peripheral nerve injury. Clinical Neurophysiology, 119(9), 1951-1965. doi:10.1016/j.clinph.2008.04.019

Rorabeck, C.H., Macnab, I. (1980). The pathophysiology of the anterior tibial compartment syndrome. Clinical Orthopaedics and Related Research, (113), 52-57. PMID:7351402