research-focus Research Focus International Scientific Journal Research Focus 2181-3833 Ilm-fan va innovatsiyalar akademiyasi 10.66073/researchfocus.v5i2.2054 REL-A-013347 14.00.00 OPTIMIZATION OF THE DIAGNOSTIC AND TREATMENT ALGORITHM FOR ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION ОПТИМИЗАЦИЯ ДИАГНОСТИЧЕСКОГО И ЛЕЧЕБНОГО АЛГОРИТМА ПРИ ОСТРОЙ СПАЕЧНОЙ ТОНКОКИШЕЧНОЙ НЕПРОХОДИМОСТИ O‘TKIR BITISHMALI INGICHKA ICHAK TUTILISHIDA TASHXIS VA DAVOLASH ALGORITMINI OPTIMALLASHTIRISH Djuraeva Zilola Aramovna Samarkand State Medical University and Termez Branch of Tashkent State Medical University Choriev Khaitmurod Kultura ugli Samarkand State Medical University and Termez Branch of Tashkent State Medical University Mustafakulov Ishnazar Boynazarovich Samarkand State Medical University and Termez Branch of Tashkent State Medical University 05 03 2026 2026 5 2 195 202 https://creativecommons.org/licenses/by/4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.

Acute adhesive small bowel obstruction (ASBO) remains one of the most common causes of emergency hospitalization in abdominal surgery and is characterized by a high risk of intestinal ischemia and postoperative complications. To evaluate the effectiveness of an optimized diagnostic and treatment algorithm in patients with ASBO. An analysis of treatment outcomes for patients with ASBO was conducted, including clinical assessment, laboratory parameters, instrumental methods (X-ray, ultrasound, CT as indicated), and dynamic observation during the first hours of hospitalization. Criteria for selecting a conservative approach and indications for early surgical intervention were developed. Application of the algorithm has improved the accuracy of early detection of complicated forms of obstruction, reduced the time to surgical decision-making, and reduced the incidence of postoperative complications. The optimized algorithm enables a rational choice of treatment tactics and contributes to improved clinical outcomes in patients with ASBO.

Острая спаечная тонкокишечная непроходимость (ОСТКН) остаётся одной из наиболее частых причин экстренных госпитализаций в абдоминальной хирургии и характеризуется высоким риском ишемии кишечника и послеоперационных осложнений. Оценить эффективность оптимизированного диагностико-лечебного алгоритма у пациентов с ОСТКН. Проведён анализ результатов лечения пациентов с ОСТКН, включающий клиническую оценку, лабораторные показатели, инструментальные методы (рентгенография, УЗИ, КТ по показаниям) и динамическое наблюдение в первые часы госпитализации. Разработаны критерии выбора консервативной тактики и показания к раннему хирургическому вмешательству. Применение алгоритма позволило повысить точность раннего выявления осложнённых форм непроходимости, сократить сроки принятия решения об операции и снизить частоту послеоперационных осложнений. Оптимизированный алгоритм обеспечивает рациональный выбор тактики лечения и способствует улучшению клинических исходов у пациентов с ОСТКН.

O‘tkir bitishmali ingichka ichak tutilishi (O‘BIIT) abdominal xirurgiyada shoshilinch gospitalizatsiyalarning eng ko‘p uchraydigan sabablaridan biri bo‘lib qolaveradi hamda ichak ishemiyasi va operatsiyadan keyingi asoratlarning yuqori xavfi bilan tavsiflanadi. Maqsad: O‘BIIT bo‘lgan bemorlarda optimallashtirilgan tashxis va davolash algoritmining samaradorligini baholash. Usullar: O‘BIIT bilan og‘rigan bemorlarni davolash natijalari tahlil qilindi. Tadqiqot klinik baholash, laborator ko‘rsatkichlar, instrumental usullar (rentgenografiya, UTT, ko‘rsatmalarga ko‘ra KT) va gospitalizatsiyaning dastlabki soatlarida dinamik kuzatuvni o‘z ichiga oldi. Konservativ taktikani tanlash mezonlari va erta jarrohlik amaliyotiga ko‘rsatmalar ishlab chiqildi. Natijalar: Algoritmning qo‘llanilishi ichak tutilishining asoratlangan shakllarini erta aniqlash aniqligini oshirish, operatsiya to‘g‘risida qaror qabul qilish muddatlarini qisqartirish va operatsiyadan keyingi asoratlar chastotasini kamaytirish imkonini berdi. Xulosa: Optimallashtirilgan algoritm davolash taktikasini oqilona tanlashni ta‘minlaydi va O‘BIIT bo‘lgan bemorlarda klinik natijalarning yaxshilanishiga yordam beradi.

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