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Використання екстракорпоральної літотрипсії в лікуванні нефролітіазу єдиної нирки: Автореф. дис… канд. мед. наук / Р.Є. Ладнюк, Ін-т урології та неф

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?INOEOOO O?IEIA?? OA IAO?IEIA??

AII OE?A?IE

EAAeITHE ?INOENEAA ?AAAIIAE*

OAeE 616.61-003.7-007.21-085:8373

AEEI?ENOAIIss AENO?AEI?II?AEUeII? E?OIO?EIN??

B E?EOAAII? IAO?IE?O?ACO ?AeEII? IE?EE

14.01.06 – o?ieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?inoeooo? o?ieia?? oa iao?ieia?? AII Oe?a?ie.

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? Aecth?ae Aaea??e Naiaiiae/, caa?aeoaa/
a?aeae?eo na/ieai’yii? oai?iae ?inoeoooo o?ieia?? oa iao?ieia?? AII
Oe?a?ie.

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Etheueei Ieaen?e Ieaen?eiae/,
caa?aeoaa/ eaoaae?e o?ieia?? Caii??cueeiai ?inoeoooo oaeineiiaeaiiy
e?ea??a;

aeieoi? iaaee/ieo iaoe, i?ioani? Iaiai?i Aieiaeeie? ?icoiieeiae/,
caa?aeoaa/ eaoaae?e o?ieia?? Eoaainueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.

I?ia?aeia onoaiiaa: Iaeanueeee aea?aeaaiee iaaee/iee oi?aa?neoao.

Caoeno a?aeaoaeaoueny “ 16 ” eenoiiaaea 1999 ?. i 1330 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee ( Ae 26.615.01 ) i?e ?inoeooo?
o?ieia?? oa iao?ieia?? AII Oe?a?ie, ca aae?anith: 04053, i. Ee?a, aoe.
TH.Eioethaeinueeiai, 9-A.

C aeena?oaoe??th iiaeii iciaeiieoenue o a?ae?ioaoe? ?inoeoooo o?ieia??
oa iao?ieia?? AII Oe?a?ie ca aae?anith: 04053, i. Ee?a, aoe.
TH.Eioethaeinueeiai, 9-A.

Aaoi?aoa?ao ?ic?neaiee “ 14 ” aeiaoiy 1999 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe
Aieei I.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie

E?eoaaiiy iao?ie?o?aco ?aeeii? ie?ee ? iaei??th c iaea?eueo neeaaeieo
i?iaeai a o?ieia??. A Oe?a?i? niinoa??aa?oueny ae?ia?aeia ca?eueoaiiy
?iciianthaeaeaiino? na/ieai’yii? oai?iae. Iao?ie?o?ac iin?aea? ae?oaa
i?noea a no?oeoo?? caoai?thaaiino? oai?iaaie ie?ie ? na/iaea?aeieo
oeyo?a, o?ao? – a no?oeoo?? i?e/ei nia?o?, /aoaa?oa-na?aae i?e/ei
?iaae?aeiino? aiane?aeie o?ieia?/ii? iaoieia?? (Aic?aiia I.O., 1998).
Ui??/ii aeeiio?oueny iiiaae 2000 iao?aeoii?e. E?euee?noue oeeo iia?aoe?e
ca inoaii? 10 ?ie?a ca?eueoeeanue a 1,2 ?ace (Iaaeiaa E.I., 1997).
Na/ieai’yia oai?iaa neeaaea? 28,6 % o ?iciiae?e? oai?eo c ?aeeiith
ie?eith a caeaaeiino? a?ae i?e/ei iao?aeoii??. *anoioa ?aoeeaeea?a i?e
iao?ie?o?ac? ?aeeii? ie?ee aeinyaa? 28-56 % (Iaaeiaa E.I., 1991).

Oe?iea ?iciianthaeaeai?noue na/ieai’yii? oai?iae, iaaecia/ai?noue
ao?ieia?? oa iaoiaaiaco, aaeeea /anoioa ?aoeeaeeaoaaiiy, neeaaei?noue
o??o?a?/ieo ao?o/aiue ia ?aeei?e ie?oe? – ana oea iaoiiaeth?
aeooaeuei?noue iiooeo oeyo?a oaeineiiaeaiiy e?eoaaiiy oe??? iaoieia??.

Aei a?aee?eooy aeno?aei?ii?aeueii? e?oio?ein?? oaeoeea e?eoaaiiy oai?eo
c ?aeeiith ie?eith caeaaeaea a?ae o?eaaeino? caoai?thaaiiy, oa?aeoa?a
iano?oeoe??, iayaiino? oneeaaeiaiue. Eiina?aaoeaia e?eoaaiiy aeeth/aei
aeei?enoaiiy aioeaaeoa??aeueieo i?aia?ao?a, ca?eueoaiiy ae?o?aco oeyoii
aaeeaaiiy ??aeeie oa ae?o?aoee?a, iineeaiiy o?ce/ii? aeoeaiino?
(Eieiaeia ?.N., 1990), a oaeiae ia?i?aeueia aaeeaaiiy e?oie?oe/ieo
i?aia?ao?a (Aecth?ae A.N., 1987).

sseui i?aenoaa ia naiino?eia a?aeoiaeaeaiiy eaiaiy aai eiai ?ic/aiaiiy
ia aoei, oi a caeaaeiino? a?ae iieiaeaiiy ? ?ici???a eiie?aiaioa
i?iaiaeeeinue o??o?a?/ia aai ?ino?oiaioaeueia eiai aeaeaeaiiy. No?iee
iia?aoe??, ia’?i o??o?a?/iiai ao?o/aiiy, oa?aeoa? ia?aae- oa
i?neyiia?aoe?eii? oa?ai?? aecia/aeenue noaiii oai?iai, eieae?caoe??th
eaiaiy oa eiai ?ici??aie, iayai?noth oneeaaeiaiue, ooieoe?iiaeueiei
noaiii ie?ee (Eaae??? O.?., 1993).

A?aee?eooy ? oe?iea ai?iaaaeaeaiiy a i?aeoeeo aeno?aei?ii?aeueii?
oaea?ii-oaeeueiai? e?oio?ein?? (AOOE) i?eaaei aei aeiei??iieo ci?i a
e?eoaaii? na/ieai’yii? oai?iae (Chaussy C.G., 1982, Preminger G.M.,
1995). Ia aeoieo aaaaoueio aaoi??a iayai?noue eiie?aiaioa a ?aeei?e
ie?oe? ? iieacaiiyi aei AOOE (Aaiiiaiei A.?., 1994; Aecth?ae A.N., 1994;
Etheueei I.A., 1993). Iiceoeai? ?acoeueoaoe iaea?aeai? i?e e?eoaaii?
ei?aeiaeaeiiai iao?ie?o?aco ?aeeii? ie?ee (Aecth?ae A.N.,1996; Streem
S.B.,1993). Ii?aeiaiiy aeno?aei?ii?aeueii? e?oio?ein?? c e?oie?cii
a?aee?eei iia? ia?niaeoeae (Aic?aiia I.O.,1994). AOOE ? aoaeoeaiei,
iaeio?aaiaoe/iei iaoiaeii e?eoaaiiy, ui ia i?eaiaeeoue aei iia??oaiiy
ooieoe?? ?aeeii? ie?ee (O?eioa O.I.,1996; Karlsen S.J.,1991).

A oie aea /an iia?aeiiey?oueny i?i iaaaoeaiee aieea oaea?ieo oaeeue ia
ii?oieia?/ii-ooieoe?iiaeueiee noai ia?aioeie ie?ee (Aa?aiiee N.?.,1997;
Marsellan F.J.,1988; Liedl B.,1989). O?aaia ie?ee i?ae /an e?oio?ein??,
niiioaiiee oa?aeoa? a?aeoiaeaeaiiy o?aaiaio?a eaiaiy iiaeooue i?ecaanoe
aei na?eicieo oneeaaeaiue, oaeeo ye aaiaoiia, aino?ee i?aeiiao?eo
?aeeii? ie?ee, aio??y (Aecth?ae A.N.,1994). Aeei?enoaiiy
aeno?aei?ii?aeueii? oaea?ii-oaeeueiai? e?oio?ein?? a e?eoaaii? oai?eo
iao?ie?o?acii ?aeeii? ie?ee aeeeeea? iaaaci?aenoaaio iaa?aaei?noue. Ia
aecia/ai? iiaeeeaino? oeueiai iaoiaea, iieacaiiy ? i?ioeiieacaiiy,
?aoe?iiaeueia iaoiaeeea i?iaaaeaiiy AOOE, oaeoeea aaaeaiiy oai?eo a
i?neyiia?aoe?eiiio ia??iae?, i?io?eaeoeea oneeaaeiaiue o oai?eo c
?aeeiith ie?eith.

Oiio aea/aiiy iniaeeainoae aeei?enoaiiy aeno?aei?ii?aeueii? e?oio?ein??
o oai?eo iao?ie?o?acii ?aeeii? ie?ee ia? aaeeea iaoeiaa ? i?aeoe/ia
cia/aiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie

Aeena?oaoe?eia ?iaioa ? o?aaiaioii iaoeiai-aeine?aeii? oaie,
caoaa?aeaeaii? AeEIO, iiia? aea?aeaaii? ?a?no?aoe?? 0198U001636.

Iaoa aeine?aeaeaiiy:

iie?ioeoe ye?noue e?eoaaiiy oai?eo iao?ie?o?acii ?aeeii? ie?ee oeyoii
?ic?iaee i?eioeei?a iioeiaeueiiai aeei?enoaiiy aeno?aei?ii?aeueii?
oaea?ii-oaeeueiai? e?oio?ein??.

Caaea/? aeine?aeaeaiiy:

1. Aecia/eoe iieacaiiy ? i?ioeiieacaiiy aei aeno?aei?ii?aeueii?
e?oio?ein?? eaiai?a ?aeeii? ie?ee.

2. ?ic?iaeoe iioeiaeueio iaoiaeeeo e?oio?ein??, aaaeaiiy ia?aae- ?
i?neyiia?aoe?eiiai ia??iae?a.

3. Aea/eoe aoaeoeai?noue, iaeaeeae/? oa a?aeaeaeai? ?acoeueoaoe
aeei?enoaiiy AOOE a e?eoaaii? iao?ie?o?aco ?aeeii? ie?ee.

4. Aea/eoe ci?ie ooieoe?iiaeueiiai noaio ?aeeii? ie?ee aei ? i?ney
e?oio?ein??.

5. I?iaanoe aiae?c oneeaaeiaiue, ?ic?iaeoe caoiaee ?o onoiaiiy ?
i?io?eaeoeee.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

Aia?oa eiiieaenii aea/aii oa?aeoa? aieeao oaea?ieo oaeeue ia
ooieoe?iiaeueiee noai ?aeeii? ie?ee a iaeaeeae/ee ? a?aeaeaeaiee i?ney
AOOE ia??iaee. Anoaiiaeaii, ui AOOE i?eaiaeeoue aei cieaeaiiy
eeoai/eiai? o?eueo?aoe??, iia??oaiiy nae?aoi?ii-aene?aoi?ieo i?ioean?a
oa i?e?ioee?eoeyoe?? a ia?o? 3 aeiae i?ney AOOE. Aea oe? ci?ie cai?ioi?,
? aaea /a?ac 1 i?nyoeue i?ney iia?aoe?? a?aeaoaa?oueny cia/ia iie?ioaiiy
ooieoe?? ie?ee, ca?eueoo?oueny (ia 23 %) ?? ooieoe?iiaeueiee ?aca?a. O
a?aeaeaeaiee (aei 5 ?ie?a) ia??iae ooieoe?y ie?ee noaa?e?co?oueny,
caa??aa?oueny iie?ioaiiy aene?aoe??.

Oaeineiiaeaia oaoi?ea e?oio?ein?? a caeaaeiino? a?ae eieae?caoe?? oa
?ici???a eiie?aiaioa. Anoaiiaeaii, ui i?e ?icoaooaaii? eaiaiy a /aoa/eao
ie?ee aia?a?y ?iioeuen?a ia? aooe i?i?iaeueiith (aei 17 eA), o ienoe? –
17-18 eA, a na/iaiae? i?eionoei? iaeneiaeuei? ?aaeeie. I?e ?ici??ao
eiie?aiaioa a?eueoa 1,5 ni aeioe?eueii ?oeioaaoe eai?iue o aeae?eueea
naain?a, a ia aeei?enoiaoaaoe aei?noe? (c iai?oaith a?eueoa 18 eA)
?aaeeie e?oio?ein??.

?ic?iaeaia ?aoe?iiaeueia oaeoeea aaaeaiiy ia?aae- ? i?neyiia?aoe?eiiai
ia??iae?a, yea aeeth/a? iaia’yceiaa e?eoaaiiy eaeueeoeueiciiai
i?aeiiao?eoo ? anoaiiaeaiiy noaioo i?e ?ici??ao eaiaiy a?eueoa 1,5 ni
aei AOOE; iiaiaeeiiee eiio?ieue ca ae?o?acii i?ney e?oio?ein?? ? iaaaeia
a?aeiiaeaiiy ianaaeo na/? i?e iano?oeoe?? na/iaeo oeyo?a o?aaiaioaie
eiie?aiaioa.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a

Aeeiiaia aeine?aeaeaiiy aeicaieeei iaa?oiooaaoe i?eioeeie
?aoe?iiaeueiiai aeei?enoaiiy AOOE o oai?eo c ?aeeiith ie?eith.

Aecia/ai? e?eoa??? a?aeai?o oai?eo ia iao?ie?o?ac ?aeeii? ie?ee aeey
e?eoaaiiy iaoiaeii aeno?aei?ii?aeueii? e?oio?ein??. Anoaiiaeaii, ui
iieacaiiyi aei AOOE o oai?eo c ?aeeiith ie?eith ? iayai?noue o ie?oe?
aai na/iaiae? eiie?aiaioa ?ici??ii aei 2,5 ni, yeee i?eaiaeeoue aai
iiaea i?eaanoe aei ii?ooaiiy o?iaeeiai?ee; i?ioeiieacaiiyi – aino?ee
/aai caaino?aiiy o?ii?/iiai/ i?aeiiao?eo, iayai?noue iooeeie ie?ee aai
na/iaiaeo, ii?ooaiiy caeaoiino? e?ia? aei cai?oaiiy, ui ia i?aeaea?oueny
ei?aeoe??.

?ic?iaeaia iaoiaeeea e?oio?ei?? o oai?eo c ?aeeiith ie?eith a
caeaaeiino? a?ae ?ici??o ? eieae?caoe?? eiie?aiaioa.

Cai?iiiiiaaii iii?oi??ia ca noaiii oai?eo i?ney AOOE c o?aooaaiiyi
?acoeueoao?a caaaeueiiee?i?/ieo, ?aioaaiieia?/ieo, oeueo?acaoeiaeo ?
a?io?i?/ieo aeine?aeaeaiue.

?ic?iaeaii ia?ae?e caoiae?a i?io?eaeoeee oneeaaeiaiue e?oio?ein??.

Iniaenoee aianie caeiaoaa/a

?aeay aeena?oaoe?eii? ?iaioe cai?iiiiiaaia iaoeiaei ea??aieeii.
Caeiaoaa/aa? iaeaaeeoue aecia/aiiy caaea/, aaeaeaaoieo iao?
aeena?oaoe?eii? ?iaioe, oa iaoiaeieia?/ii? iniiae ?? aeeiiaiiy. A?aea??,
ianoaaeaiiy ? e?eoaaiiy oai?eo ia iao?ie?o?ac ?aeeii? ie?ee aei ? i?ney
e?oio?ein?? i?iaiaeeeenue aaoi?ii naiino?eii. AOOE aeeiioaaeenue ye
naiino?eii, oae ? c iaoeiaei ea??aieeii. ?ioa?i?eoaoe?y caeiaooeo
?acoeueoao?a, iaoeiaeo iieiaeaiue oa aeniiae?a aeeiioaaeenue ?acii c
iaoeiaei ea??aieeii. ?aae?ieia?/i? oa a?io?i?/i? aeine?aeaeaiiy
i?iaaaeaii ni?eueii c oao?aoeyie a?aeiia?aeiiai i?io?eth.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??

Iniiai? iieiaeaiiy aeena?oaoe?? aeiiia?aeaeeny ia iaoeiai-i?aeoe/iee
eiioa?aioe?? ?inoeoooo o?ieia?? oa iao?ieia?? (1993), ia VII Ieaioi?
I?aae?iiy Oe?a?inueeiai oiaa?enoaa o?ieia?a (Ee?a, 1995), ia II
eiioa?aioe?? o?ieia?a Eacaonoaia (Aeiaoe, 1995), ia VIII Ieaioi?
Anioe?aoe?? o?ieia?a Oe?a?ie (O?oneaaaoeue, 1998). Aeena?oaoe?eia ?iaioa
ai?iaiaaia ia iaoeiai-i?aeoe/i?e eiioa?aioe?? ?inoeoooo o?ieia?? oa
iao?ieia?? (1999).

Ioae?eaoe??

Ca oaiith aeena?oaoe?? iioae?eiaaii 13 iaoeiaeo ?ia?o, c yeeo 3 – o
iaoeiaeo oaoiaeo aeaeaiiyo o aeaeyae? aeo?iaeueieo noaoae.

No?oeoo?a ? ianya ?iaioe

Aeena?oaoe?eia ?iaioa neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 4
?icae?e?a aeanieo aeine?aeaeaiue, aeniiae?a, nieneo aeei?enoaieo
aeaea?ae yeee aeeth/a? 232 ?iaioe ( 98 a?o/eciyieo oa 134 ca?oa?aeieo
aaoi??a). Aeena?oaoe?th aeeeaaeaii ia 140 noi??ieao iaoeiiieno,
?ethno?iaaii 25 ?enoieaie oa 7 oaaeeoeyie.

INIIAIEE CI?NO

Iaoa??aee, iaoiaee ? ianya i?iaaaeaieo aeine?aeaeaiue

A ?iaio? i?iaaaeaii aiae?c ?acoeueoao?a e?eoaaiiy 143 oai?eo
iao?ie?o?acii ?aeeii? ie?ee. *ieia?e?a aoei 69/48%/, ae?iie- 74 /52%/.
A?e iaoe?aio?a a?ae 26 aei 74 ?ie?a, na?aaei?e a?e 502,6 ?ie?a. ?aeeio
i?aao ie?eo iaee 72 oai?eo, ?aeeio e?ao -71 oai?ee. 50 /35%/ oai?eo iaee
?aoeeaeeai? eaiai?. ?ici??e eiie?aiaio?a a?ae 0,6 aei 4,3 ni, a
na?aaeiueiio 2,00,2 ni; o 14 /9,8%/ aoee ei?aeiiiae?ai? eaiai?, o 23
/16%/ -aaaaoi/enaeuei? eaiai?. 82 /57%/ oai?ei aoei aeeiiaii
aeno?aei?ii?aeueio oaea?ii-oaeeueiao e?oio?ein?th, 61 /43%/- a?aee?eoa
o??o?a?/ia ao?o/aiiy.

AOOE i?iaiaeeee ia e?oio?eioi?? MPL-9000 “Dornier” /I?ia//eia/, yeee
aeei?enoiao? aeaeo?ia?ae?aae?/iee i?eioeei aaia?aoe?? oaea?ieo oaeeue ?
ia? oeueo?acaoeiao oa ?aioaaiieia?/io nenoaie eieaoe?? eiie?aiaioa.

An? oai?? i?ioiaeeee eiiieaenia ianoaaeaiiy, yea aeeth/aei
caaaeueiiee?i?/i?, eaai?aoi?i?, ?aioaaiieia?/i?, oeue?acaoeiaa oa
?aae?ieia?/i? aeine?aeaeaiiy. A noaio ianoaaeaiiy aoiaeeei: aea/aiiy
aiaiiaco, ee?i?/iee iaeyae, caaaeuei? aiae?ce e?ia? oa na/?, a?io?i?/i?
aiae?ce e?ia? /aecia/aiiy e?aaoeieio, na/iaeie, oeoe?o, aeaeo?ie?o?a,
a?e??oa?ia, a?eeiaeo o?aeoe?e/, ee??ain-oanoe /eeoai/eiaa o?eueo?aoe?y
oa eaiaeueoeaaa ?aaani?aoe?y/, eiaaoeia?aia, o?ainii?o nieae,
iiaiaeeiiee ae?o?ac, i?e?ia?ieia?/ia aeine?aeaeaiiy na/? c
aioea?ioeeia?aiith. ?aioaaiieia?/ia ianoaaeaiiy neeaaeaeinue c
iaeyaeiai? oa aene?aoi?ii? o?ia?ao??, i?e iaiao?aeiino? aeiiiaithaaeinue
?ao?ia?aaeiith o?aoa?ii?aeia?ao??th. Oeueo?acaoeiaa aeine?aeaeaiiy
i?iaiaeeeinue ia aia?ao? “Brul & Kjer” /Aeai?y/ c iaia’yceiaei
neaioaaiiyi ie?ee a o?ueio i?iaeoe?yo. ?aae?iioee?aei? iaoiaee aeeth/aee
?aae?i?cioiiio ?aiia?ao?th c 131?-a?io?aiii, aeeiai?/io eiii’thoa?io
iao?inoeeio?a?ao?th c 131?-a?io?aiii ? 99mOn-AeOIA, c aecia/aiiyi
eeoai/eiai? o?eueo?ao?? oa aoaeoeaiiai ie?eiaiai ieaciiia?ao; iai?yio
aia?iiao?inoeeio?a?ao?th. Aeine?aeaeaiiy i?iaiaeeeinue ia aaia-eaia??
“Nucleotron” /Aieaiae?y/.

Ia?iaeo ?acoeueoao?a i?iaaaeaieo aeine?aeaeaiue cae?enithaaee c
aeei?enoaiiyi caaaeueiii?eeiyoeo iaoiae?a noaoenoe/ii? ia?iaee aeaieo ia
eiii’thoa?? AAI-AO c ?ioaa?iaaiei iaeaoii “QPRO” oa noaoenoe/iei iaeaoii
“Statgraf”.

?acoeueoaoe aeanieo aeine?aeaeaiue.

Aea/aiiy ?acoeueoao?a e?eoaaiiy 82 oai?eo, yeei aoei aeeiiaii
aeno?aei?ii?aeueio oaea?ii-oaeeueiao e?oio?ein?th iieacaei, ui aaaeeeaei
oaeoi?ii, yeee iaoiiaeth? oni?o oa?ai?? ? ?aoaeueiee a?aea?? oai?eo,
/?oea aecia/aiiy iieacaiue ? i?ioeiieacaiue aei oeueiai iaoiaea
e?eoaaiiy. Iieacaiiyi aei AOOE aoea iayai?noue o ie?oe? aai na/iaiae?
eiie?aiaioo ?ici??ii aei 2,5 ni, yeee i?eaiaeea, aai i?a iioaioe?eii
i?eaanoe aei ii?ooaiiy o?iaeeiai?ee. Aaaaea?ii ca aeioe?eueia aeae?eyoe
eaiai? ?aeeii? ie?ee ?ici??ii aei ? iiiaae 1,5 ni. I?e AOOE-iiiioa?ai??
eaiai?a ?ici??ii iiiaae 1,5 ni cia/ii c?inoa? e?euee?noue oneeaaeiaiue,
iaoiiaeaieo iano?oeoe??th o?aaiaioaie eaiaiy na/iaeo oeyo?a /ie?eia?
eieueee, caaino?aiiy i?aeiiao?eoo, ie?ai- oa aio??y/, ui iio?aao?
iaa?aeeeaaeieo ao?o/aiue /eaoaoa?ecaoe?y na/iaiaea, anoaiiaeaiiy noaioo,
o?aoa?ie?oiaeno?aeoe?y, ia?eooaiia iao?inoii?y/. I?ioeiieacaiiyi aei
AOOE ? aino?ee /aai caaino?aiiy o?ii?/iiai/ i?aeiiao?eo, iayai?noue
iooeeie ie?ee aai na/iaiaea, ii?ooaiiy cai?oaiiy e?ia?, ui ia
i?aeaea?oueny ei?aeoe??.

Ia?aaeiia?aoe?eia ianoaaeaiiy aeyaeei oae? ?acoeueoaoe. Cieaeaiiy
aaiiaeia?io e?ia? aei 1092 a/e a?aei?/aii o 11 /13%/ oai?eo, eaeeioeeoic
aoa i?aeaeuaiee o 8 /10%/ oai?eo aei 121,5 o109/e. Iieacieee e?aaoeieio
oa na/iaeie ne?iaaoee e?ia? aoee i?aeaeuaieie o 12 /15%/ oai?eo aei
0,1720,1 iiieue/e ? 13,11,2 iiieue/e a?aeiia?aeii. Ci?ie a caaaeueiiio
aiae?c? na/? aeyaeai? o 70 /88%/ oai?eo. ?ino o?eiieoeueoo?e iaea?aeaii
o 29 /35%/ oai?eo. Ia i?aenoaa? o?ia?ao?? oa OCAe aecia/ai? ?ici??e
eaiai?a: 0,6-2,5 ni, a na?aaeiueiio 1,40,2 ni. 5 /6%/ oai?eo iaee 2
eaiai?, 1 /1%/ oai?ee –3 eaiai?. Eieae?caoe?y eiie?aiaio?a: o ienoe?
ie?ee –65 /80%/, o /aoa/eao – 14 /17%/, o aa?oi?e o?aoei? na/iaiaea- 3
/3%/ aeiaaeee. ?aae?i?cioiiia ?aiia?ao?y aoea aeeiiaia 40 oai?ei,
aeeiai?/ia iao?inoeeio?a?ao?y c aia?iiao?inoeeio?a?ao??th 31 oai?iio.
?acoeueoaoe iaaaaeai? a oaaeeoeyo ? 1, 2.

Oaaeeoey ?1.

Iieacieee ?aae?i?cioiiii? ?aiia?ao?? /??A/ o oai?eo iao?ie?o?acii
?aeeii? ie?ee aei ? i?ney AOOE.

IieacieeeAei I?ney AOOEAOOE3 aeiae3 i?nyoe?1 ??e3 ?iee5 ?ie?aO
iaen, oa.4,00,53,80,43,70,33,70,33,80,44,00,4O 1/2,
oa.221,8352,2*120,7*100,8*111,0*121,0*A,
?ii/n845,2925,1934,5914,6943,7933,5IA,
%663,1753,0*553,5*543,3553,1553,5AII,
ie/oa4212651328*50225*468244802847421

Oaaeeoey ?2.

Iieacieee aeeiai?/ii? iao?inoeeio?a?ao?? o oai?eo

iao?ie?o?acii ?aeeii? ie?ee aei ? i?ney e?oio?ein??.

iieacieeeaei AOOEi?ney AOOE3 aeiae1 i?nyoeue1??e3 ?iee5?ie?aOiaen,
oa4,5±0,37,8±0,5*5,0±0,44,3±0,44,5±0,54,5±0,4T1/2,
oa48±3,672±4,1*29±3,0*32±3,1*34±4,0*35±3,8*EO,
ie/oa46±2,138±2,257±2,8*58±3,5*56±3,2*55±3,1*O?I,
%47±2,640±2,058±2,8*60±3,3*58±2,1*58±2,4*Oa,
n8,2±0,38,0±0,26,5±0,6*7,2±0,67,0±0,56,8±0,5O1/2aai.,n18±1,121±1,317±1,2
18±1,317±1,820±1,4IAAA,
%36±1,927±1,7*34±2,126±2,9*30±3,126±3,0*I?ei?oea. *?

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