Проблема синдрома компрессии чревного ствола в клинической практике

Батрашов В.А., Джалаев Ф.Ш., Юдаев С.С., Хамроев С.Ш., Сергеев О.Г.

Синдром компрессии чревного ствола (СКЧС), также известный как синдром срединной дугообразной связки, представляет собой редкое заболевание, обусловленное экстравазальной компрессией чревного ствола анатомическими структурами диафрагмы. Обобщены современные представления об этиологии, патофизиологии, клинических проявлениях, диагностических подходах и методах лечения СКЧС. Рассмотрены особенности анатомического вариабилизма, роль сосудистых и нейрогенных механизмов в формировании болевого синдрома, приведены сравнительные данные по эффективности различных хирургических доступов. Особое внимание уделено методам визуализации и клиническим результатам после декомпрессии чревного ствола. Подчеркнута необходимость индивидуального подхода к ведению пациентов и важность мультидисциплинарного взаимодействия.

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