I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

Aeiiaoeueeee aea?aeaaiee iaaee/iee oi?aa?neoao

?i. I. Ai?ueeiai

AAC?OE IAOAE?ss A?EAI??AIA

OAeE 618.19-006.6-089.873-08-031.84.849.114.357

AACIINA?AAeI? OA A?AeAeAEAI? ?ACOEUeOAOE I?AAIICAA??AATH*IAI E?EOAAIIss
?AEO IIEI*II? CAEICE O3ciN0-1M0

14.01.07 — iieieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Aeiiaoeuee – 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Aei?i?iiao?ianuee?e aea?aeaai?e iaaee/i?e aeaaeai??
IIC Oe?a?ie.

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?

Einna Aaeaioei Aiaoie??ae/,

Aei?i?iiao?ianueea aea?aeaaia iaaee/ia

aeaaeai?y IIC Oe?a?ie,

caa?aeoaa/ eaoaae?ith iieieia??,
i?iiaiaai?

ae?aaiinoeee oa i?iiaiaai? oa?ai??.

Io?oe?ei? iiiiaioe:

1. aeieoi? iaaee/ieo iaoe, i?ioani? Aiiaea? A?eai??e Aaneeueiae/,

caa?aeoaa/ eaoaae?ith iieieia?? Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo

?i. I. Ai?ueeiai.

2. aeieoi? iaaee/ieo iaoe, i?ioani? Oa?oo?iia Aaea??e ?aaiiae/,
caa?aeoaa/ iaoeiai-aeine?aeiei a?aeae?eaiiyi iooeei iiei/ii? caeice
Oe?a?inueeiai IAe? iieieia?? oa ?aae?ieia??.

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I.
Aiaiiieueoey IIC Oe?a?ie, i. Ee?a.

Caoeno a?aeaoaeaoueny “ 17 ” eenoiiaaea 1999 ?. i 11
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 11.600.01 a
Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ca aae?anith: 340003,
i. Aeiiaoeuee, i?. ?ee?/a, 16.

C aeena?oaoe??th iiaeia iciaeiieoenue a a?ae?ioaoe? Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo ?i. I. Ai?ueeiai ca aae?anith:
340003, i. Aeiiaoeuee, i?. ?ee?/a, 16.

Aaoi?aoa?ao ?ic?neaiee “ 1 ” aa?aniy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii?

a/aii? ?aaee, aeieoi? iaaee/ieo iaoe,

i?ioani?
?.?. Nieaeae

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. A no?oeoo?? iieieia?/ii? caoai?thaaiino? na?aae
ae?iie Oe?a?ie ?ae iiei/ii? caeice caeia? ia?oa i?noea, neeaaeath/e 53,7
ia 100 oen. ae?ii/iai ianaeaiiy. Na?aae an?o ceiye?nieo iiaiooai?aiue o
ae?iie Oe?a?ie ?ae iiei/ii? caeice neeaaea? 18,6% [Oaaei?aiei C.I. c
ni?aaao., 1996], a ?in?? oeae iieaciee aeaui aeua — 19,6%. ?iia??i?noue
caoai??oe i?ioyaii aeeooy ?aeii iiei/ii? caeice ii aeaiei ?in?enueeeo
iaiieia?a neeaaea? — 3,5% [Aenaeue A.I., Eaoya?i A.I., 1998]. Ca
ioe?ieith aenia?o?a Anana?oiuei? i?aai?caoe?? ioi?iie caei?ia’y aei 2000
?ieo a na?o? aoaea aeyaeyoeny aei 1iei. iiaeo aeiaaee?a ?aeo oe???
eieae?caoe?? [Naieaeacia A.O., 1996]. Ia iaio o?eaiaeia neooaoe?y a NOA
? e?a?iao Cao?aeii? ?a?iie. Ii ?ic?aooieai aia?eeainueeeo iieieia?a
iaeaea eiaeia aeanyoa ae?iea ia? oain caoai??oe ?aeii iiei/ii? caeice
i?ioyaii aeeooy. A 1993 ?ioe? a NOA ca?a?no?iaaii 180000 iiaeo aeiaaee?a
ea?oeeiiie iiei/ii? caeice ? 46000 iiia?ei a?ae oeueiai caoai?thaaiiy. A
e?a?iao ?a?iie caoai?thaai?noue na?aae 40-??/ieo ae?iie 1: 1000, na?aae
60-??/ieo — 1: 500 [Edwards M.J., 1994].

Iano?eueee aeniea /anoioa ?icaeoeo iooeei oe??? eieae?caoe?? ia
aeeeeeaea a o?eaiae ca oiiae ?aiiueiai aeyaeaiiy ? aoaeoeaiiai e?eoaaiiy
?o. sseui a NOA 75%-80% aia?oa aeyaeaieo iooeei iiei/ii? caeice
a?aeiinyoueny aei I-II noaae??, c ieo 2/3 aac iaoanoac?a a ?aa?iia?i?
e?ioaoe/i? aocee [Moore M.P. Kinne D.W., 1994], oi a Oe?a?i? oeae
iieaciee cia/ii ieae/a — 59,3% [Oaaei?aiei C.I. c ni?aaao., 1996], a ?ae
in situ ? a?noieia?/iith ciao?aeeith a i?aia?aoao i?ney naeoi?aeueii?
?acaeoe??, aeeiiaii? c i?eaiaeo eieae?ciaaieo oi?i o?a?iaaeaiiiaoica.
Aeei?enoaiiy iaiia?ao?/iiai ne?ei?iaa a Oaaoe?? aeicaieeei aeyaeoe 44%
iooeei ?ici??ii iaioa 15ii [Tabar L. et al., 1992]. Ia iao iiaeyae, oaeo
aenieo ieoiio aaao ii/aoeiaeo oi?i ?aeo iiei/ii? caeice ca ei?aeiiii
iiaeia iiynieoe a?eueo aeineiiaeei ??aiai ae?aaiinoe/ii? aia?aoo?e ?
canoinoaaiiyi ianiaeo ne?ei?iaiaeo i?ia?ai, a?eueo aenieei ??aiai
oeea?e?caoe??.

Iaaooue i? aeey iaei??? eieae?caoe?? ?aeo ia oa?aeoa?iee iano?eueee
??ciiiai?oiee i?aeo?ae aei e?eoaaiiy, ye i?e ?aeo iiei/ii? caeice. A
ca’yceo ?c ci?iith iiaeyae?a ia i?e?iaeo oeueiai caoai?thaaiiy (A.
O?oa?, 1977) noaei i/aaeaeiei, ui oa?aeoa? i?noeaai-?aa?iia?iiai
o??o?a?/iiai ao?o/aiiy ia ae??oo? i?iaeaio ?aaeeeaeueiiai aee?eoaaiiy.
I? iia?aoe?y Oienoaaea, i? noia??aaeeeaeueia ianoaeoii?y O?aaia-Oieae?ia
ia aeaee i/?eoaaiiai iie?ioaiiy aeaeeaa?iino?, caoa cia/ii iia??oeee
aaciina?aaei? ?acoeueoaoe, i?ecaaee aei ?iaae?aeecaoe?? a?eueoino?
oai?eo.

Oe?eeii i?e?iaeii aeieeea i?iaeaia ia?aaeyaeo i?aeoiae?a aei e?eoaaiiy
?aeo iiei/ii? caeice. Ca ei?aeiiii i?aaiicaa??aath/? iia?aoe??
aeeiiothoueny c 70-o ?ie?a [Veronesi U. et al., 1986, Harris J.R. et
al., 1986, Fisher E.R. et al., 1986, Blichert-Toft M. et al., 1988].
Iacaaaeath/e ia iaeaea 30-??/iee ia??iae niinoa?aaeaiiy, aein? ia
neeaeiny ?aeeii? aeoiee a?aeiinii a?aeai?o oai?eo aeey
i?aaiicaa??aath/iai e?eoaaiiy, iioeiaeueiiai ianyao ?acaeoe??,
iaiao?aeiino? aae’thaaioiiai aieeao. A?aeiioaiiy aei oeueiai aeaeo
e?eoaaiiy o a?o/eciyieo iieieia?a a?aeiinii no?eiaia, a iieacaiiy aei
iueiai noaaeyoueny iaiaaeaii. Aaaaoi ieoaiue ii aeai?e i?iaeai?
aeiaaathoue a?eueo aeaoaeueiiai aea/aiiy. Oea ? ?ic?iaea e?eoa???a
a?aeai?o oai?eo aeey i?aaiicaa??aath/iai e?eoaaiiy, ? ioe?iea
?acoeueoao?a e?eoaaiiy a caeaaeiino? a?ae ianyao iia?aoe?? ia iiei/i?e
caeic? ? ?aa?iia?iiio e?ioaoe/iiio aia?ao?, ? aeioe?euei?noue
canoinoaaiiy aae’thaaioii? i?iiaiaai? oa?ai?? c o?aooaaiiyi aaaeo/eo
i?iaiinoe/ieo i?eciae?a (noai iaino?oaeueii? ooieoe?? ae?iee,
eieae?caoe?y iooeeie, ?? ?ici??, ni?aa?aeiioaiiy ?ici??o iooeeie aei
?ici??o iiei/ii? caeice, ii?oieia?/ia no?oeoo?a iooeeie, noai
?aa?iia?ieo e?ioaoe/ieo aoce?a).

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa ?
o?aaiaioii oaiaoeee eaoaae?u iieieia??, i?iiaiaai? ae?aaiinoeee oa
i?iiaiaai? oa?ai?? Aei?i?iiao?ianueei? aea?aeaaii? iaaee/ii? aeaaeai??
«I?aaiicaa??aath/a e?eoaaiiy ?aeo iiei/ii? caeice», N aea?ae?a?no?aoe??
01984007531.

Iaoa aeine?aeaeaiiy: iie?ioaiiy aaciina?aaei?o ? a?aeaeaeaieo
?acoeueoao?a e?eoaaiiy oai?eo ia ?ae iiei/ii? caeice O?3niN0-1I0 oeyoii
ai?iaaaeaeaiiy i?aaiicaa??aath/eo iaoiaeee o??o?a?/iiai ao?o/aiiy c
o?aooaaiiyi i?iaiinoe/ieo oaeoi??a ? aae’thaaioieo cania?a aieeao.

Caaea/? aeine?aeaeaiiy:

1.Ioe?ieoe oa?aeoa? ?aii?o ? i?ci?o oneeaaeiaiue a caeaaeiino? a?ae
ianyao o??o?a?/iiai ao?o/aiiy ia iiei/i?e caeic? ? iaoaia?e iaeano?;

2.Ioe?ieoe oa?aeoa? i?ci?o oneeaaeiaiue i?e o??o?a?/iiio ? eiia?iiaaiiio
e?eoaaii?;

3.Aea/eoe /anoioo i?noeaai-?aa?iia?ieo ?aoeeaeea?a a caeaaeiino? a?ae
ianyao iia?aoe?? ? aeayeeo i?iaiinoe/ieo i?eciae?a (aaee/eia iooeeie ?
?ici?? iiei/ii? caeice, eieae?caoe?y, a?noieia?/ia aoaeiaa iooeeie,
iaino?oaeueia ooieoe?y);

4.Ioe?ieoe aoaeoeai?noue i?aaiicaa??aath/iai e?eoaaiiy ia i?aenoaa?
ianooiieo e?eoa???a: aac?aoeeaeeaia aeaeeaa?i?noue, caaaeueia
aeaeeaa?i?noue, ye?noue aeeooy oai?eo;

5.Aea/eoe ?ieue aae’thaaioii? i?iiaiaai? oa?ai?? a caaacia/aii?
i?noeaai-?aa?iia?iiai eiio?ieth i?ney i?aaiicaa??aath/eo iia?aoe?e ?
ianoaeoii??;

6.?ic?iaeoe ? iaa?oiooaaoe e?eoa??? a?aeai?o oai?eo aeey
i?aaiicaa??aath/eo iia?aoe?e i?e O?3niN0-1 c o?aooaaiiyi i?iaiinoe/ieo
i?eciae?a.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa a Oe?a?i? i?iaaaeaia
ioe?iea ?acoeueoao?a i?aaiicaa??aath/iai e?eoaaiiy ?aeo iiei/ii? caeice
O?3niN0-1M0, ?ic?iaeai? ? iaa?oioiaai? iieacaiiy aei iueiai c
o?aooaaiiyi aeayeeo i?iaiinoe/ieo i?eciae?a, a naia: a?aeiia?aei?noue
?ici??o iooeeie aei ?ici??o iiei/ii? caeice, eieae?caoe?y iooeeie, ??
a?noieia?/ia no?oeoo?a, noai iaino?oaeueii? ooieoe?? ae?iee.

Aea/aiee aieea ianyao o??o?a?/iiai ao?o/aiiy ia ye?noue aeeooy oai?eo ia
?ae iiei/ii? caeice. Iieacaii, ui i?aaiicaa??aath/? iia?aoe?? /eiyoue
cia/ii iaioee ineoio?aaioth/ee aieea, i?ae ianoaeoii?y.

Aia?oa iieacaia iiaeeea?noue ?icoe?aiiy iieacaiue aei i?aaiicaa??aath/eo
iia?aoe?e i?e a?aeiia?aeieo noaae?yo ?aeo iiei/ii? caeice ? iiaeai?
e?eoa??th a?aeai?o oai?eo.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. ?iaioa ia? aaciina?aaei?
i?aeoe/ia cia/aiiy caaaeath/e ia ca?eueoaiiy caoai?thaaiino? ia ?ae
iiei/ii? caeice ? iani?eyoeeaee aieea o?aaeeoe?eieo iaoiaeee e?eoaaiiy
ia a?aeaeaeai? ooieoe?iiaeuei? ?acoeueoaoe ? ye?noue aeeooy ae?iie.
Canoinoaaiiy i?aaiicaa??aath/eo iia?aoe?e aeicaiey? nooo?ai iie?ioeoe
ia?aa?a i?neyiia?aoe?eiiai ia??iaeo, oei naiei nei?ioeoe n?iee
aini?oaeueiiai aoaio e?eoaaiiy, ?ai?oa ?icii/aoe niaoe?aeueio oa?ai?th.
I?aaiicaa??aath/? iaoiaeeee e?eoaaiiy ? ia o?eueee iaae?eiei iaoiaeii
e?eoaaiiy, a ? i?noyoue a nia? aoaeoeaiee eiiiiiaio ?aiiuei?
?aaa?e?oaoe??.

Oe?iea i?iiaaaiaea i?aaiicaa??aath/iai e?eoaaiiy ?aeo iiei/ii? caeice
aoaea ni?eyoe a/aniiio caa?iaiith ae?iie ca eaae?o?eiaaiith iaaee/iith
aeiiiiiaith, a iaiaaeaiiy ?iaae?aeecoth/eo iia?aoe?e i?eaaaea aei
caa?aaeaiiy o?ce/iiai ? nioe?aeueii-ineoieia?/iiai noaoono oai?eo.

?ic?iaeai? e?eoa??? a?aeai?o oai?eo aeey i?aaiicaa??aath/iai e?eoaaiiy
ia iio?aaothoue canoinoaaiiy neeaaeieo aeine?aeaeaiue, ye? aei?iai
eiooothoue.

?acoeueoaoe aeine?aeaeaiiy aeei?enoiaothoueny a ?iaio? iieieia?/iiai
noaoe?iia?o 4-? i?nueei? aaaaoii?io?eueii? e?ea?i? i.
Aei?i?iiao?ianueea, oa?eoi??aeueiiai iaaee/iiai ia’?aeiaiiy «Iieieia?y»
i. Aei?i?iiao?ianueea, iieieia?/iiai noaoe?iia?o 9-? i?nueei? e?ea?i? i.
Aei?i?iaeca?aeeinueea, E?eai??cueeiai i?nueeiai iieieia?/iiai
aeeniaina?o.

Io?eiai? aeai? ciaeoee nai? a?aeia?aaeaiiy i?e i?aeaioiaoe? iaoeiai?
a?ioo?e «No/ani? i?aeoiaee aei ae?aaiinoeee ? e?eoaaiiy ?aeo iiei/ii?
caeice» (1998?.), a ?yae? aeo?iaeueieo noaoae, a oaeiae
aeei?enoiaothoueny a iaaeaaia?/iiio i?ioean? ia eaoaae?? iieieia??,
i?iiaiaai? ae?aaiinoeee ? i?iiaiaai? oa?ai?? Aei?i?iiao?ianueei?
aea?aeaaii? iaaee/ii? aeaaeai??.

Iniaenoee aianie caeiaoaa/a. Aaoi?ii iniaenoi i?iaaaeaiee aiae?c
iaoeiai? e?oa?aoo?e ii i?iaeai?, aeeiiaiee ?ioi?iaoe?eiee iiooe,
i?iaaaeaiee iaa?? iaoa??aeo. Naiino?eii i?iiia?iaaii a?ey 20% oai?eo.

Aeai? i?iaiae?ciaai?, noaoenoe/i? ia?iaeai? ? ?ioa?i?aoiaai? iniaenoi
aaoi?ii. I?e iaienaii? ?iaioe ia aeei?enoai? ?aea? oa ?acoeueoaoe
aeine?aeaeaiue ni?aaaoi??a.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy ?iaioe a?aeaeo?
a ioae?eaoe?yo. Aeena?oaoe?y ai?iaiaaia ia can?aeaii? eaoaae?e
iieieia??, i?iiaiaai? ae?aaiinoeee oa i?iiaiaai? oa?ai?? (5 o?aaiy
1999?.) Iniiai? iieiaeaiiy aeena?oaoe?eii? ?iaioe aeiiia?aeaeeny ?
iaaiai?thaaeeny ia iaoeiai-i?aeoe/i?e eiioa?aioe?? «Iia? aeinyaiaiiy a
iaaeeoeei? ? a?ieia??» (Aei?i?iiao?ianuee, 1995), I I?aeia?iaeiiio
eiia?an? «?aaa?e?oaoe?y ? iae?aoeaia iaaeeoeeia» (sseoa, 1996),
iaoeiai-i?aeoe/i?e eiioa?aioe?? «Ceiye?ni? iiaiooai?aiiy: caniae
ae?aaiinoeee ? e?eoaaiiy, no/ani? oaiaeaioe?? ? ia?niaeoeae»
(Aei?i?iiao?ianuee, 1998), I I?aeia?iaeiiio eiia?an? «The sentinel node
in diagnosis and treatment of cancer» (Ainoa?aeai, 1999), iaoeiaiio
oiaa?enoa? iieieia?a (Aei?i?iiao?ianuee, 1996, 1997, 1998, 1999).

Ioae?eaoe??. Iaoa??aee aeena?oaoe?? iioae?eiaai? a iaoeia?e a?ioo??
«No/ani? i?aeoiaee aei ae?aaiinoeee ? e?eoaaiiy ?aeo iiei/ii? caeice»
(1998), 4 aeo?iaeueieo noaooyo (iaeia ca iaeiiin?aiei aaoi?noaii)
iaoeiaeo aeaeaiiue, caoaa?aeaeaieo AAE Oe?a?ie, ? i’yoe oaciaeo ?iaioao.

No?oeoo?a ? ianya aeena?oaoe??. Aeena?oaoe?y neeaaea?oueny ?c anooio, 5
?icae?e?a, ocaaaeueiaiiy iaea?aeaieo ?acoeueoao?a, aeniiae?a, i?aeoe/ieo
?aeiiaiaeaoe?e, nieneo e?oa?aoo?e (224 ia?oiaeaea?aea), aeiaeaoeo,
aeeeaaeaia ia 145 noi??ieao ae?oeiaaiiai oaenoo. ?iaioa ?ethno?iaaia 31
oaaeeoeath, 17 iaethieaie.

Iniiaiee ci?no aeena?oaoe??

Iaoa??aee ? iaoiaee. ?iaioa a?oioo?oueny ia ?acoeueoaoao ianoaaeaiiy oa
e?eoaaiiy 385 oai?eo ia ?ae iiei/ii? caeice O?3niN0-1 a iieieia?/ieo
noaoe?iia?ao i. Aei?i?iiao?ianueea. C ieo o 202 aeeiiai?
i?aaiicaa??aath/? iia?aoe?? (aeine?aeaeoaaia a?oia), o 183 —
?aaeeeaeueia ianoaeoii?y ii Iaaeaio (eiio?ieueia a?oia). A?oie oai?eo
?aeaioe/i? ii aaaeo/ei i?iaiinoe/iei i?eciaeai, ui i?aeoaa?aeaeo?oueny
aeaieie noaoenoe/ii? ia?iaee, ? i?aeeyaathoue ii??aiyiith. No?iai?
?aiaeii?caoe?? i?iaanoe ia aaeaeiny, oae ye aeiaiaeeeinue i?eeiaoe aei
oaaae a?aeiia?aei?noue ae?aiao?a iooeeie ?ici??o caeice, eieae?caoe?th
iooeeie ?, ianaiia?aae, caiaeo oai?i? ia i?iiiiiaaiee ianya iia?aoe??.

?ici?? iiei/ii? caeice aecia/aany ii ?ici??o athnoaaeoa?a ?
eeaneo?eoaaany ye A(N1), B(N2), C(N3), Ae(N4), AeAe(N5). Iaie ?ic?iaeai?
e?eoa??? a?aeiia?aeiino? ?ici??o iooeeie aei ?ici??o iiei/ii? caeice
(oaae. 1).

Oaaeeoey 1

E?eoa??? a?aeai?o oai?eo aeey i?aaiicaa??aath/eo iia?aoe?e a caeaaeiino?
a?ae ?ici??o iooeeie ? ?ici??o iiei/ii? caeice

?ici?? iiei/ii? caeice ?ici?? iooeeieA(N1)aei 1 niB(N2)aei 2 niC(N3)aei
3 niAe(N4) oa a?eueoaaei 4 ni

O 316 oai?eo ae?aaiic i?aeoaa?aeaeaiee i?e aeeiiaii? naeoi?aeueii?
?acaeoe?? c oa?i?iiaei a?noieia?/iei aeine?aeaeaiiyi, ui aeicaieeei
io?eiaoe ia ?io?aiia?aoe?eiiio aoai? aeai? ca ?noeii? ?ici??e iooeeie,
?? ii?oieia?/io no?oeoo?o, nooi?iue ceiye?niino?. Ciaiiy oeeo
oa?aeoa?enoee aea? ciiao o??o?ao aea?aoe iioeiaeueiee ianya ?acaeoe??
iiei/ii? caeice. A ca’yceo c oeei aaaaea?ii ioieoe?eio a?iin?th
iaaeioe?eueiith a oeo aeiaaeeao, eiee ia ia?aaeaa/a?oueny
iaiaaeuethaaioiee aieea (o?i?ioa?aiaaoe/iee /e i?iiaiaaee).

Naeoi?aeueio ?acaeoe?th aeeiioaaee, a?aenooiath/e 1-2 ni a?ae
iae?ineii?/ii aecia/aiiai e?ath iooeeie. Noai e?a?a ?acaeoe?? ia
?io?aiia?aoe?eiiio aoai? ioe?ithaaee iae?ineii?/ii. I?e i?aeic?? ia
ia?aaeeeaeuei?noue ia?aeiii? ?acaeoe?? /e iayaiino? noiooiuei?
o?a?icii-e?noicii? oai?iae i?iaiaeeee ?a?acaeoe?th aei ianyao
eaaae?aioaeoii??, e?a? ?acaeoe?? ia?e??oaaeenue aeey ianooiiiai
iaoiii?oieia?/iiai aiae?co. O 52 ae?iie aeeiiaia naeoi?aeueia ?acaeoe?y,
o 150 — eaaae?aioaeoii?y. I?iaeiaaeaiiy iooeeiiiai ?inoo ii e?ath
?acaeoe?? i?ney i?aaiicaa??aath/eo iia?aoe?e aeyaeaii o 1,5% oai?eo.
Ioeueoeoeaio?e/i?noue a aeaeaeaiiio i?aia?ao? — o 8 (4%) oai?eo.

Iaoaiaa e?ioaaeaiaeoii?y ia aeeiioaaeanue o 69 oai?eo a no?ee?e
iaiiiaoc? c ee?i?/ii oa niiieia?/ii ia ca?eueoaieie e?ioaoe/ieie
aoceaie.

Ianya e?ioaaeaiaeoii?? aecia/aany i?ney ?aa?c?? iaoaiai? yiee. O oai?eo
c iooeeiaie aei 2 ni ? ee?i?/ii ?ioaeoieie e?ioaoe/ieie aoceaie c iaoith
aecia/aiiy ?aa?iia?ii? ?iciianthaeaeaiino? aeeiioaaee e?ioaaeaiaeoii?th
aoce?a I-II ??aiy (ieaei?, na?aaei? iaoaia? ? ?io?aiaeoi?aeuei? aocee).
I?e i?aeic?? ia iaoanoaoe/ia o?aaeaiiy oi/a a iaeiiai e?ioaoe/iiai
aocea, a oaeiae o oai?eo c iooeeiaie a?eueoa 2 ni aeeiioaaee oioaeueio
e?ioaaeaiaeoii?th.

Oioaeueia iaoaiaa e?ioaaeaiaeoii?y i?iaaaeaia o 91 oai?i?, iaeiae
a?noieia?/ii i?aeoaa?aeaeaia ?? iaiao?aei?noue o?eueee o 47. E?ioaoe/i?
aocee I-II ??aiy aeaeaeai? o 42 ae?iie, o an?o i?e ianooiiiio
iaoiii?oieia?/iiio aeine?aeaeaii? iaoanoace ia aeyaeaii.
A?ia?ae?aaiinoeea iaoanoac?a a ?aa?iia?i? e?ioaoe/i? aocee ia
aeiiia?aoe?eiiio aoai? neeaea 64,7%, i?e ?io?aiia?aoe?ei?e ?aa?c??
iaoaiai? ae?eyiee — 40,5% ? iaoiiaeaia ye ii?oieia?/ieie ci?iaie
aeia?iye?niiai oa?aeoa?o (aee?iaa ia?a?iaeaeaiiy aocea, e?ioi?aeia
a?ia?ieac?y), oae ? iiaithaaiiyi o??o?aa “iaaeiioe?ieoe” ?aa?iia?iee
noaoon. A eiio?ieuei?e a?oi? a?ia?ae?aaiinoeea i?e ee?i?/iiio
ianoaaeaii? neeaea 59,6%.

I?iiaiaaa oa?ai?y i?ei?iaia o 140 oai?eo i?ney i?aaiicaa??aath/eo
iia?aoe?e ? o 75 i?ney ianoaeoii??.

Ii?ii?iaiiy i?iaiaeeeinue ia aaia-oa?aiaaoe/ieo onoaiiaeao “?ieon” oa
“Aaao” a ?aaeei? cae/aeiiai o?aeoe?thaaiiy aeice (2A? uiaeiy 5 ?ac ia
oeaeaeaiue). Ii?ii?ithaaee caa?aaeaio /anoeio iiei/ii? caeice oa ciie
?aa?iia?iiai iaoanoacoaaiiy. NIAe ia iiei/io caeico 50A? oa 10A?
aeiaeaoeiai ia ?oaaoeue, ii?ii?iaiiy ii/eiaee c 10-12 aeiy i?ney
iia?aoe??. Ciie e?ioia?aeoieo ii?ii?ithaaee i?ney cae?i/aiiy e?ioi?a?
aei NIAe ia iaoaiao ae?eyieo — 46 A?, i?aeeeth/e/ii-iaaeeeth/e/io —
48-50 A?, ia?anoa?iaeueio — 40-44 A?.

Aae’thaaioia o?i?ioa?ai?y i?iaiaeeeanue ca noaiith CMF, 6 eo?n?a.
O?i?ii?iiaiaaa e?eoaaiiy i?ei?iaia o 29 oai?eo i?ney i?aaiicaa??aath/eo
iia?aoe?e ? 16 — i?ney ianoaeoii??, i?e ii?aeiaii? ne?aeoth/eo
iani?eyoeeaeo i?iaiinoe/ieo i?eciae?a — o?aaeaiiy e?ioaoe/ieo aoce?a c
100% aeo?niaiiyi e?ioi?aeii? oeaieie, iayai?noue iooeeiieo aiaie?a a
noaeeiao, y?/ieeiaa /e iaaeie?eiaa iaoiaaiaoe/ia oi?ia. O?i?ioa?ai?y aac
ii?ii?iaiiy i?iaaaeaia o 15 ae?iie i?ney i?aaiicaa??aath/eo iia?aoe?e ?
15 — i?ney ianoaeoii??. Oe? oai?? a?aeiiaeeenue a?ae i?iiaiaai? oa?ai??.

Ai?iiiioa?ai?th aioeano?iaaiaie (oaiieneoai) canoiniaoaaee o ae?iie a
ia?eiaiiiaoc?, aeicith 20ia/ aeiao i?ioyaii 2-o ?ie?a ? a?eueoa.

Aea/aii aieea ianyao o??o?a?/iiai ao?o/aiiy ia ye?noue aeeooy ae?iie ca
iaoiaeeeith, ?ic?iaeaiith Naieo-Iaoa?ao?aenueeei IAe? iieieia?? ?i. I.I.
Iao?iaa ? oaeineiiaeaiith eaoaae?ith iieieia??, i?iiaiaai? ae?aaiinoeee
oa i?iiaiaai? oa?ai?? AeAeIA [Caa?c?ii A.O., 1997].

I?e aea/aii? a?aeaeaeaieo ?acoeueoao?a aeei?enoiaoaaee ?ioa?aaeueiee
iaoiae aeiaeeaaiiy [Aeaie??i A.A., 1982]. Iaoa??ae ii?aoeueiaaiee
noaoenoe/ii ia IAI- 486 ca noaiaea?oieie i?ia?aiaie (Lotus 1.2.3.;
Excel).

?acoeueoaoe aeanieo aeine?aeaeaiue. Aeei?enoaiiy i?aaiicaa??aath/eo
iaoiaeee e?eoaaiiy aeicaieeei nooo?ai iie?ioeoe ia?aa?a
i?neyiia?aoe?eiiai ia??iaeo — ia 14,7% nei?ioeeinue /enei ?aii?o
i?neyiia?aoe?eieo oneeaaeiaiue. Caaaeyee aeei?enoaiith e?ioaaeaiaeoii??
aoce?a I-II ii?yaeeo ciaioeeanue o?eaae?noue e?ioi?a?, a ca’yceo c /ei
ai?ei? oneeaaeiaiiy a ?ai? niinoa??aaeenue a 2 ?ace ??aeoa.

Aeyaeaii aeinoia??ia iia??oaiiy yeino? aeeooy oai?eo ia ?ae iiei/ii?
caeice i?e ieaioaaii? e?eoaaiiy, ye i?aaiicaa??aath/iai, oae ?
ianoaeoii??. sse?noue aeeooy oai?eo, o yeeo ia?aaeaa/aeanue ianoaeoii?y,
cieaeaia cia/ii a?eueoa, iniaeeai ii iieacieeai o?ce/iiai noaio. A
i?neyiia?aoe?eiiio ia??iae? niinoa??aaee ??cea iia??oaiiy yeino? aeeooy
o ae?iie i?ney ianoaeoii?? (?<0,05) ? iaaeinoia??ia cieaeaiiy eiai i?ney i?aaiicaa??aath/eo iia?aoe?e. I?ney ianoaeoii?? ??cei cieceeenue iieacieee no?eeino? aei no?ano oa iniaenoinoieo oa?aeoa?enoee, oiae? ye i?ney caa??aath/eo iia?aoe?e aiie i?aeoe/ii ia ci?ieeenue. A iaio a?oiao ci?ieany iieaciee naenoaeueiino?, iaeiae iia??oaiiy eiai iaioa ae?aaeaii i?e canoinoaaii? i?aaiicaa??aath/eo iaoiaeee. Niinoa??aa?oueny oaiaeaioe?y aei i?aeaeuaiiy iieacieea o?ce/iiai noaio o ae?iie aeine?aeaeoaaii? a?oie. Ci?ie iianyeaeaiii? ? o?oaeiai? aeoeaiino? ?aeaioe/i? a iaio a?oiao. Oaeei /eiii, i?aaiicaa??aath/? iia?aoe?? /eiyoue iaioo ineoio?aaioth/o ae?th, iieaaooth/e nioe?aeueio aaeaioaoe?th ae?iie i?ney cae?i/aiiy e?eoaaiiy. Iaioa o?aaiaoecaoe?y oeaiei i?e i?aaiicaa??aath/eo iia?aoe?yo ia iiei/i?e caeic? oa ?aa?iia?iiio e?ioaoe/iiio aia?ao?, oaeaeea o?ce/ia ?aaa?e?oaoe?y ae?iie ni?eyea nei?i/aiith a?eueo ye a 2 ?ace /enea i?ci?o i?neyiia?aoe?eieo oneeaaeiaiue (22,4% i?ney ianoaeoii?? ? 9,8% i?ney aeeiiaiiy i?aaiicaa??aath/eo o??o?a?/ieo ao?o/aiue c iaoaiaith e?ioaaeaiaeoii??th). Canoinoaaiiy e?ioaaeaiaeoii?? aoce?a I-II ??aiy ni?eyei cieaeaiith /anoioe iaa?yeo aa?oiuei? e?ioe?aee c 11,0% aei 4,8%. Canoinoaaiiy i?iiaiaai? oa?ai?? a aeine?aeaeoaai?e a?oi? i?eaaei aei iiyae iaa?yeo aa?oiuei? e?ioe?aee II-III nooiaith o 4,9% ae?iie, ieaeneoo - o 1,0%, a oie /an ye i?e o??o?a?/iiio iaoiae? oeeo oneeaaeiaiue ia niinoa??aaee. I?ney eiia?iiaaiiai e?eoaaiiy a eiio?ieuei?e a?oi? i?ci? oneeaaeiaiiy ae?aaiinoiaai? o 38,7% oai?eo i?ioe 11,1% - i?ney ianoaeoii?? aac ii?ii?iaiiy. Oaeei /eiii, aeei?enoaiiy aae’thaaioii? i?iiaiaai? oa?ai?? i?aaeth? ia?aaaae i?aaiicaa??aath/eo o??o?a?/ieo ao?o/aiue ? nooo?ai iia??oo? ?acoeueoaoe o ae?iie i?ney ianoaeoii??. Ii?ii?iaiiy cii e?ioia?aeoieo i?ney o??o?a?/ieo ao?o/aiue c e?ioaaeaiaeoii??th i?eaaei aei iiyae o 4,5% ae?iie e?ioinoaco III nooiaith ? ieaeneoo, a 2,5 ?ace ca?eueoeeanue /anoioa iaa?yeo aa?oiuei? e?ioe?aee na?aaeiueiai nooiaith. AE?iee iio?aaoaaee e?eoaaiiy 2-3 ?ace ia ??e, iai?aaeaiiai ia iie?auaiiy ?aieia?/ieo aeanoeainoae e?ia?, i?e?ioee?eoeyoe?? a e?ioe?aoe?. Ie aaaaea?ii, ui nooo?aa iia??oaiiy a?aeaeaeaieo ?acoeueoao?a i?e canoinoaaii? i?iiaiaai? oa?ai?? aeeeoo? iaiao?aei?noue ia?aaeyaeo iieacaiue aeey aeaiiai iaoiaeo iacaeaaeii a?ae oa?aeoa?o aeeiiaiiai o??o?a?/iiai ao?o/aiiy i?e iooeeiao aei 3 ni, iniaeeai i?e a?aenooiino? iaoanoac?a a ?aa?iia?ieo e?ioaoe/ieo aoceao. I?aaiicaa??aath/a e?eoaaiiy ?aeo iiei/ii? caeice O?3ni N0-1 ia i?eaaei aei iia??oaiiy caaaeueii? ?noeiii? 3-o ??/ii? ? eoioeyoeaii? 5-oe ??/ii? aeaeeaa?iino?. Oae, ?noeiia 3-??/ia aeaeeaa?i?noue noaiiaeea 95,5?2,3% a aeine?aeaeoaai?e a?oi? ? 93,4?2,3% a eiio?ieuei?e. Eoioeyoeaia 5-??/ia aeaeeaa?i?noue 91,1?2,1% ? 89,8?2,5%, a?aeiia?aeii (??0,1). Aaaaea?oueny, ui iaeiei ?c iaea?eueo aaaiieo a?aoiaio?a i?ioe aeei?enoaiiy i?aaiicaa??aath/eo iaoiaeee e?eoaaiiy ? aenieee ??aaiue i?noeaaeo ?aoeeaeea?a. Ie ia niinoa??aaee aeinoia??iiai iia??oaiiy i?noeaai-?aa?iia?ieo ?acoeueoao?a i?ney i?aaiicaa??aath/eo iia?aoe?e. I?noeaa? ?aoeeaeeae aeyaeai? o 7,9% ae?iie aeine?aeaeoaaii? a?oie ? 6,0% - eiio?ieueii? (?>0,05). Iaea?eueoa /enei ?aoeeaeea?a a iiei/i?e caeic?
? a?oaei?e no?ioe? aeyaeai? a ia?o? 3 ?iee i?ney ia?aeiiiai e?eoaaiiy.
I?noeaa? ?aoeeaeeae i?ney i?aaiicaa??aath/iai e?eoaaiiy eeaneo?eoaaee ye
?noeii?, yeui aiie aeieeaee a oeaiei? iiei/ii? caeice, oe???,
i?aeoe??i?e ee?oeiaei?, a?oaeieo i’ycao ia a?eueo /ei a 3 ni a?ae
i?neyiia?aoe?eiiai ?oaoey. ?aoeeaeea a ?ioiio eaaae?aio? ?icoe?ithaaee
ye iiao iooeeio. ?noeii? i?noeaa? ?aoeeaeeae a aeine?aeaeoaai?e a?oi?
aeyaeai? o 13 (6,4%) ae?iie, c ieo o 11 (5,4%) aiie ciaoiaeeeenue a
oeaiei? iiei/ii? caeice, o 2 (1,0%) — a aea?i? ? i?aeoe??i?e ee?oeiaei?.
O 1 oai?i? (0,5%) ae?aaiinoiaaia iiaa iooeeia ia 2-io ?ioe?
niinoa?aaeaiiy. Ia 4-5 ?ioe? niinoa?aaeaiiy i?noeaa? ?aoeeaeeae aeyaeyee
cia/ii ??aeoa — o 2 oai?eo (1,0%).

Oaea ae caeiiii??i?noue uiaei /anoioe ? n?ie?a aeieeiaiiy i?noeaaeo
?aoeeaeea?a i?ine?aeaeo?oueny ? a eiio?ieuei?e a?oi?. ?aoeeaeea a
a?oaei?e no?ie? (oe???, i?aeoe??i?e ee?oeiaei?, a?oaeieo i’ycao) a ia?o?
3 ?iee ae?aaiinoiaaiee o 9 (4,9%) ae?iie, a a?eueo i?ci?o? n?iee ua o
2-o (1,1%).

?noeiia 3-??/ia aac?aoeeaeeaia aeaeeaa?i?noue a aeine?aeaeoaai?e a?oi?
neeaea 93,1?2,1%, 5-??/ia eoioeyoeaia 89,9?2,3%. A eiio?ieuei?e a?oi? —
95,1?1,8% ? 91,8?2,5%, a?aeiia?aeii (?>0,05). Iaeaea o iieiaeie oai?eo
i?ney ianoaeoii?? ?aoeeaeea a a?oaei?e no?ie? aeieea? iaia?aaeiaei? /e
iaeii/anii c iai?oanoaoe??th a?aeaeaeaieo iaoanoac?a, a oie /an, ye
i?ney i?aaiicaa??aath/iai e?eoaaiiy ?aoeeaeea a iiei/i?e caeic? ?
a?aeaeaeaia aeenai?iaoe?y aeyaeythoueny o?eueee o /aoaa?o? oai?eo.
Aaaaea?ii, ui iani?eyoeea? ?acoeueoaoe o oeeo oai?eo a?aeia?aaeathoue,
ianaiia?aae, aenieo nooi?iue aa?aneaiino? iooeeiiiai i?ioeano, a ia
aoaeoeai?noue i?iaaaeaiiai i?noeaai-?aa?iia?iiai e?eoaaiiy.

O 11 oai?eo c i?noeaaei ?aoeeaeeaii i?ney i?aaiicaa??aath/iai e?eoaaiiy
aeeiiaia ianoaeoii?y, o 5 — iiaoi?ia i?aaiicaa??aath/a iia?aoe?y. O 6
oai?eo c i?noeaaei ?aoeeaeeaii a a?oaei?e no?ioe? aeeiiaii ae??coaaiiy,
o iaeii? ae?iee o?i?ii?iiaiaaa e?eoaaiiy i?eaaei aei ae?aaeaiiai ?aa?ano
eieaeueiiai ?aoeeaeeao ? iaaeeeth/e/ieo e?ioaoe/ieo aoce?a. *aoaa?i
ae?iie (36,4%) iiia?ei a ei?ioe? n?iee i?ney aeieeiaiiy i?noeaaiai
?aoeeaeeao a?ae i?ia?anoaaiiy a?aeaeaeaieo iaoanoac?a.

Aea/aia aoaeoeai?noue i?aaiicaa??aath/eo oa o?aaeeoe?eieo iaoiaeee
e?eoaaiiy ?aeo iiei/ii? caeice c o?aooaaiiyi aaaeo/eo i?iaiinoe/ieo
oaeoi??a: ?ici?? iooeeie oa iiei/ii? caeice, eieae?caoe?y ??,
a?noieia?/ia aoaeiaa, nooi?iue ceiye?niino?, noai ?aa?iia?ieo
e?ioaoe/ieo aoce?a, iaino?oaeueia ooieoe?y, a?e.

Oae, i?e A-?ici??? iiei/ii? caeice i?noeaa? ?aoeeaeeae ae?aaiinoiaai? o
13,6%, i?e N-?ici??? — o 7,2%, Ae ? a?eueoiio ?ici??? — o?eueee o 5,6%
ae?iie. O oai?eo c aaeeeeie iiei/ieie caeicaie (Ae-?ici?? oa a?eueoa) ie
ia niinoa??aaee iia??oaiiy i?noeaaeo ?acoeueoao?a ?c ca?eueoaiiyi
?ici??o iooeeie. A oie aea /an, i?e A- oa N-?ici??? caeice
i?ine?aeaeo?oueny aeinoia??ia ca?eueoaiiy /enea eieaeueieo ?aoeeaeea?a
i?e ca?eueoaii? ae?aiao?a iooeeie. Ie ia niinoa??aaee i?noeaaeo
?aoeeaeea?a i?e iooeeiao ?O?1ni o ae?iie c A-?ici??ii caeice, oiae? ye
i?e ?O=1,5ni /anoioa eieaeueiiai ?aoeeaeeaoaaiiy neeaea 15%. I?e
N-?ici??? caeice ?c ca?eueoaiiyi aaee/eie iooeeie ia 1ni (aei 3ni)
/anoioa ?aoeeaeea?a a iiei/i?e caeic? ca?eueoeeanue ia 6,8% (c 4,3% i?e
iooeeiao aei 2 ni aei 11,1% i?e iooeeiao a?eueoiai ?ici??o). Ie
iiynith?ii oea ciaioaiiyi ianyao ?acaeoe?? c einiaoe/ieo i??eoaaiue.

Ne?ae a?aecia/eoe, ui i?noeaa? ?aoeeaeeae aeyaeai? o 6,7% ae?iie i?ney
eaaae?aioaeoii?? ? o 9,6% i?ney naeoi?aeueii? ?acaeoe??. I?e/iio, an?
?aoeeaeeae a inoaiiueiio aeiaaeeo ae?aaiinoiaai? ia 1-2 ?ioe?
niinoa?aaeaiiy.

O oai?eo iieiaeoa 40 ?ie?a i?noeaa? ?aoeeaeeae aeieeaee iaeaea a 3 ?ace
/ano?oa (16,1% i?ioe 5,9% o ae?iie noa?oa 40 ?ie?a, ?<0,05), aea ie aaaaea?ii, ui a?e iieiaeoa 40 ?ie?a ia ? i?ioeiieacaiiyi aeey canoinoaaiiy i?aaiicaa??aath/eo iaoiaeee e?eoaaiiy, oae ye oaiaeaioe?y aei iia??oaiiy i?noeaai-?aa?iia?ieo ?acoeueoao?a a oe?e a?eia?e a?oi? niinoa??aa?oueny ? a aeiaaeeo aeeiiaiiy ianoaeoii?? (10,7% iinoeaaeo ?aoeeaeeaia o aeiiie iieiaeoa 40 ?ieia i 7,5% o oai?eo noa?oa 40 ?ieia) ? iaoiiaeaia, ia iao iiaeyae, a?ieia?/ieie iniaeeainoyie iooeeiiiai i?ioeano o iieiaeeo ae?iie. Caaaeueia 5-??/ia aeaeeaa?i?noue i?e ?O?3niN0-1 iacaeaaeii a?ae ianyao iia?aoe?? caa??aa?oueny ia aeineoue aenieiio ??ai?, neeaaeath/e 93,4%. I?eeiath/e aei oaaae ni?eyoeeaee ia?aa?a i?neyiia?aoe?eiiai ia??iaeo, nooo?aa ciaioaiiy /enea oyaeeeo i?ci?o oneeaaeiaiue, iie?ioaiiy yeino? aeeooy ae?iie, o yeeo i?ei?iaia i?aaiicaa??aath/a e?eoaaiiy,ie aaaaea?ii aeaiee iaoiae e?eoaaiiy ?aeo iiei/ii? caeice o iieiaeeo ae?iie i??i?eoaoiei. O aeiiie a iaiiiaoci eieaeueii ?aoeeaeeae iiney i?aaiicaa??aath/iai e?eoaaiiy niinoa?iaaee ia 2,8% aieueoa, iiae iiney ianoaeoiii? (6,7% i 3,9%, aiaeiiaiaeii). Ie aaaaea?ii, ui oaeoi?ii ?eceeo a aeaiiio aeiaaeeo ? ia noai iaiiiaoce, a ?io? i?iaiinoe/i? oaeoi?e. A iaio a?oiao niinoa??aaee oaiaeaioe?th aei ca?eueoaiiy /anoioe i?noeaaeo ?aoeeaeea?a ?c ca?eueoaiiyi ?ici??o iooeeie: 7,2% i?e ?O1 ? 9,1% i?e ?O2 a aeine?aeaeoaai?e oa 4,5% oa 8,3%, a?aeiia?aeii, a eiio?ieuei?e. O oai?eo c aioo??oiueii?ioieiaei ?aeii ?aoeeaeea?a i?ney i?aaiicaa??aath/iai e?eoaaiiy ia aoei, ui iaoiiaeaii, ia iao iiaeyae, canoinoaaiiyi a?eueoeo ca ianyaii ?acaeoe?e, a oaeiae iaioith /anoioith ioeueoeoeaio?e/iiai ?inoo i?e aeai?e a?noieia?/i?e no?oeoo?? ?aeo. *anoioa i?noeaaeo ?aoeeaeea?a a eiio?ieuei?e a?oi? ia caeaaeaea a?ae nooiaith ceiye?niino? iooeeie - 6,7% i?e G2 oa 5,8% i?e G3. A aeine?aeaeoaai?e a?oi? aeyaeaii iaaeinoia??ia iia??oaiiy i?noeaaeo ?acoeueoao?a i?e G3 (9,0% i?ioe 7,4% i?e G2). Aeey iaio a?oi oa?aeoa?ia ca?eueoaiiy i?noeaaeo ?aoeeaeea?a i?e ?N1 - 7,7% i?e ?N0 i?ioe 8,5% i?e ?N1 a aeine?aeaeoaai?e ? 5,0% oa 9,5%, a?aeiia?aeii, a eiio?ieuei?e. Iaoanoaoe/ia o?aaeaiiy iaoaiaeo e?ioaoe/ieo aoce?a, ia iao iiaeyae, ia ? i?ioeiieacaiiyi aeey aeeiiaiiy i?aaiicaa??aath/eo iia?aoe?e. I?e ?aeaioe/i?e /anoio? i?noeaaeo ?aoeeaeea?a niinoa??aa?oueny iie?auaiiy caaaeueii? 5-??/ii? aeaeeaa?iino? ia 9,4% o ae?iie, yeei i?iaaaeaia i?aaiicaa??aath/a e?eoaaiiy. Iiaeeeai, oea iaoiiaeaii iaioei o?aaiaoeciii o??o?a?/iiai ao?o/aiiy, ni?eyoeeaeie oiiaaie aeey o?ce/ii? oa ineoieia?/ii? ?aaa?e?oaoe?? ae?iie. Eieaeuei? ?aoeeaeeae i?e aioo??oi?e eieae?caoe?? iooeeie ae?aaiinoiaai? o 7,3% ae?iie i?ney i?aaiicaa??aath/iai e?eoaaiiy ? 3,6% - i?ney ianoaeoii??. I?e ciai?oi?e eieae?caoe?? o 8,2% ? 7,7%, a?aeiia?aeii. Aeayea iia??oaiiy i?noeaaeo ?acoeueoao?a o oai?eo ia ?ae iiei/ii? caeice aioo??oiuei? eieae?caoe?? a aeine?aeaeoaai?e a?oi?, ii??aithth/e c eiio?ieueiith, iiynith?ii canoinoaaiiyi iaioeo ca ianyaii ?acaeoe?e c einiaoe/ieo i??eoaaiue. Aea/aia 3-??/ia aac?aoeeaeeaia aeaeeaa?i?noue c o?aooaaiiyi aaaeo/eo i?iaiinoe/ieo oaeoi??a (oaae.2). Oaaeeoey 2 Aac?aoeeaeeaia 3-o ?i/ia aeaeeaa?iinoue a caeaaeiinoi a?ae i?iaiinoe/ieo i?eciaeia I?iaiinoe/iee A?oia oai?eo i?eciae aeineiaeaeoaaia eiio?ieueia naeaeeaa?i. naeaeeaa?i. tIaino?oaeueia ooieoeiy:caa?aaeaia82 92,7?3,68193,8?3,10,23iaiiiaoca12093,3?3,010296,1?1,90,78?O112594,4?2,41 1196,4?1,70,69?O2 7790,9?4,17293,1?3,40,42G210894,4?2,710495,2?2,30,23G3 8991,0?3,96994,2?3,00,65N015593,5?2,914196,5?2,10,83N14791,5?4,54290,5?2 .10,15Eieaeicaoeiy:ciaiioiy14793,2?2,911794,0?1,80,24aioo?ioiy5592,7?4,0 5596,4?2,90,76 I? iaeei c aeacaieo oaeoi??a naiino?eii ia aieeaa? ia i?noeaai-?aa?iia?i? ?acoeueoaoe e?eoaaiiy ye a aeine?aeaeoaai?e, oae ? a eiio?ieuei?e a?oi?. Aaaaea?ii, ui i?e ni?aa?aeiioaiiyo “?ici?? iooeeie / ?ici?? caeice” ?O?1ni / A-?ici??, ?O?2ni / N-?ici?? oa ?O?3ni / Ae oa a?eueoa ?ici?? iiei/ii? caeice iaia? iaiao?aeiino? i?eeiaoe aei oaaae oae? oaeoi?e ye eieae?caoe?y ia?aeiiiai aiaieua, a?noieia?/ia no?oeoo?a ? nooi?iue ceiye?niino? iooeeie. Iiaeeeai aeeiiaoe i?aaiicaa??aath/? iia?aoe?? a aeiaaeeo ?O=1,5-2ci / A-?ici?? oa ?O=2-3ni / N-?ici?? iiei/ii? caeice, iaeiae, iaiao?aeii a?aoiaoaaoe oa, ui i?e ea?oeeiiiao c aioo??oiueii?ioieiaei eiiiiiaioii naeoi?aeueia ?acaeoe?y ia ? aaeaeaaoiei ao?o/aiiyi, a aeeiiaoe eaaae?aioaeoii?th i?e iooeeiao, ui ?ici?uai? ii ia?eoa??? aioo??oi?o eaaae?aio?a, iaiiaeeeai. I/aaeaeii, a oeeo aeiaaeeao aeioe?eueii canoinoaaoe iaiaae’thaaioio o?i?ioa?ai?th /e ia?aaeiiia?aoe?eio i?iiaiaao oa?ai?th c iaoith ciaioaiiy ?ici??o iooeeie. Aea/aia aoaeoeai?noue eiia?iiaaiiai iaoiaeo e?eoaaiiy oai?eo ia ?ae iiei/ii? caeice O?3niN0. O??o?a?/iee iaoiae i?ei?iaiee o 152 oai?eo, c yeeo o 56 aeeiiai? i?aaiicaa??aath/? iia?aoe??, o 96-ianoaeoii?y ii Iaaeaio. Aae’thaaioia i?iiaiaaa oa?ai?y i?iaaaeaia o 144 ae?iie - 99 a aeine?aeaeoaai?e a?oi? ? 45- a eiio?ieuei?e. Aiae?c iaea?aeaieo ?acoeueoao?a ia aeyaea aeinoia??ii? ??cieoe? a caaaeuei?e 3-o ??/i?e aeaeeaa?iino? i?e o??o?a?/iiio oa eiia?iiaaiiio iaoiae? e?eoaaiiy (95,4?1,7% oa 93,7?1,9%) (oaae.3). Oaaeeoey 3 Caaaeueia 3-o ??/ia aeaeeaa?i?noue a caeaaeiino? a?ae iaoiaeo e?eoaaiiy Iaoiae e?eoaaiiyAeine?aeaeoaaia a?oiaEiio?ieueia a?oianaeaeeaa?i?noue %naeaeeaa?i?noue %tO??o?a?/iee5698,2?1,19693,7?1,92,05 Eiia?iiaaiee 99 91,9?2,9 45** 97,8?1,3 1,84*t=2,03**t=1,78 A iaio a?oiao, iacaeaaeii a?ae ianyao i?noeaai-?aa?iia?iiai o??o?a?/iiai ao?o/aiiy, niinoa??aa?oueny oaiaeaioe?y aei cieaeaiiy aeaeeaa?iino? o ae?iie ?c caa?aaeaiith iaino?oaeueiith ooieoe??th (?>0,05). Iani?eyoeea?
?acoeueoaoe e?eoaaiiy iaoiiaeai?, ia iao iiaeyae, aenieith aa?aneai?noth
iooeeiiiai i?ioeano o iieiaeeo ae?iie, iaiaieo?noiaaiith aeenai?iaoe??th
ia iiiaio ia?aeiiiai e?eoaaiiy.

Iia??oaiiy ?acoeueoao?a i?e ?aeo iiei/ii? caeice ?O2 a ii??aiyii? c ?O1
ia i?ioe??/a aeaiei e?oa?aoo?e.

Ie ia aeyaeee ? ?noioiiai ciaioaiiy /enea i?noeaaeo ?aoeeaeea?a i?ney
aae’thaaioii? i?iiaiaai? oa?ai?? (6,1% i?ney i?aaiicaa??aath/eo
iia?aoe?e c ii?ii?iaiiyi ? 8,9% i?ney i?aaiicaa??aath/eo iia?aoe?e a
naiino?eiiio aa??aio?, 6,7% i?ney ianoaeoii?? c i?iiaiaaith oa?ai??th ?
5,2% i?ney ianoaeoii?? aac i?iiaiaai? oa?ai??).

Aac?aoeeaeeaia 3-??/ia aeaeeaa?i?noue a caeaaeiino? a?ae iaoiaeo
e?eoaaiiy i?aaenoaaeaia a oaae. 4.

Oaaeeoey 4

Aac?aoeeaeeaia 3-o ??/ia aeaeeaa?i?noue a caeaaeiino? a?ae iaoiaeo
e?eoaaiiy

Iaoiae e?eoaaiiyAeine?aeaeoaaia a?oiaEiio?ieueia a?oianaeaeeaa?i?noue

%naeaeeaa?i?noue %tO??o?a?/iee5691,1?3,89694,8?2,20,84

Eiia?iiaaiee

99

93,9?2,2

45**

97,8?1,0

1,63*t=0,64**t=1,25

Aeei?enoaiiy i?iiaiaai? oa?ai?? ni?eyei eeoa ca?eueoaiith
aac?aoeeaeeaiiai ?ioa?aaeo (a na?aaeiueiio ia 11,2 i?n. a
aeine?aeaeoaai?e a?oi? ? ia 23,9 i?n. — a eiio?ieuei?e), oaeei /eiii
oaeoe/ii ia a?aeaa?ioei aeieeiaiiy eieaeueiiai ?aoeeaeeao, a o?eueee
a?aenoioei ia aeayeee /an eiai iai?oanoaoe?th. C iaoith aeyaeoe
eiioeiaaio oai?eo, ui iio?aaothoue canoinoaaiiy i?iiaiaai? oa?ai?? i?ney
i?aaiicaa??aath/eo iia?aoe?e, ie a?eueo aeaoaeueii i?iaiae?coaaee
?acoeueoaoe o??o?a?/iiai ? eiia?iiaaiiai i?aaiicaa??aath/iai e?eoaaiiy
(oaae. 5).

Ia ia?oee iiaeyae ?nio? a?aei?ii?noue a aac?aoeeaeeai?e aeaeeaa?iino? o
ae?iie ?c caa?aaeaiith iaino?oaeueiith ooieoe??th, i?e iooeeiao ?O1,
iaeiae aiia ia a??ia?aeia. I?noeaa? ?aoeeaeeae i?ney i?aaiicaa??aath/eo
iia?aoe?e aac i?iiaiaai? oa?ai?? aeieeee o 3-o oai?eo ?c caa?aaeaiith
iaino?oaeueiith ooieoe??th, i?e/iio o an?o ia?aeiia iooeeia ia
ia?aaeuoaaea 2 ni. Ine?eueee o??o?a?/iee iaoiae aoa canoiniaaiee o?eueee
o 17 ae?iie ? aeey iiaiioe?iiiai aiae?co e?euee?noue oai?eo iaaeinoaoiy,
ie i?iaiae?coaaee a?oio oai?eo c iooeeiith ?O1.

C 4 oai?eo c i?noeaaei ?aoeeaeeaii o 3 oai?eo aoa ?noeiiee ?aoeeaeea, ui
ae?aaiinooaaany a ia?oee ??e niinoa?aaeaiiy (aac?aoeeaeeaiue ?ioa?aae
5,3?2,5 i?n.), o 1 oai?i? ?aoeeaeea, aeyaeaiee /a?ac 23 i?nyoey i?ney
aeeo/aiiy ia?aeiii? iooeeie, ?icoe?iaiee ye iiaa iooeeia. O 2-o ae?iie c
?noeiiei ?aoeeaeeaii iiei/i? caeice A-?ici??o, o iaei??? — N-?ici??o.
Iia?aoe?y aeeiiaia a ianyc? naeoi?aeueii? ?acaeoe??. ?aoeeaeea a
iiei/i?e caeic? i?ney naeoi?aeueii? ?acaeoe?? c i?iiaiaaith

Oaaeeoey 5

Aac?aoeeaeeaia 3-o ??/ia aeaeeaa?i?noue a aeine?aeaeoaai?e a?oi? i?e
o??o?a?/iiio ? eiia?iiaaiiio e?eoaaii? a caeaaeiino? a?ae i?iaiinoe/ieo
i?eciae?a

I?iaiinoe/iee

i?eciaeIaoiae e?eoaaiiy

to??o?a?/iee eiia?iiaaieenaeaeeaa?i?nouenaeaeeaa?i?noueIaino?oaeueia

ooieoe?y:caa?aaeaia1782,4?6,84295,2?2,11,80iaiiiaoca3994,9?2,65793,0?2,9
0,49?O13989,7?4,16195,1?1,71,22?O21794,1?2,93892,1?3,50,44G1-23190,3?3,7
4893,7?3,90,63G32190,5?3,94092,5?3,40,38Eieae?caoe?y:ciai?oiy

aioo??oiy

Ianya ?acaeoe??:

naeoi?aeueia

eaaae?aioaeoii?y37

19

22

3491,9?3,8

89,5?4,7

86,4?6,1

94,1?2,368

31

24

7594,1?1,8

93,5?3,1

91,7?4,0

94,7?1,90,52

0,71

0,73

0,20

oa?ai??th aeyaeaiee o 2-o c 24 oai?eo (8,3%) ia 2-io ?ioe?
niinoa?aaeaiiy (na?aaei?e aac?aoeeaeeaiee ia??iae — 18,5?4,5 i?n.). O
ae?iie, yeei aeeiiaia eaaae?aioaeoii?y ? ii?ii?iaiiy ia i?iaiaeeeiny,
i?noeaa? ?aoeeaeeae aeyaeai? o 2-o c 34 oai?eo (5,9%), i?ney
eiia?iiaaiiai e?eoaaiiy ?aoeeaeea a iiei/i?e caeic? ae?aaiinoiaaiee o
5-oe c 75 oai?eo (6,7%), c ieo o 4-o (5,3%) a ia?o? 3 ?iee
niinoa?aaeaiiy, o iaei??? (1,4%) /a?ac 53 i?n. i?ney cae?i/aiiy
e?eoaaiiy. Oaeei /eiii, caaaeath/e ia ?aii? oa?i?ie aeyaeaiiy ?aoeeaeeao
a iiei/i?e caeic? o a?eueoino? oai?eo c i?noeaaei ?aoeeaeeaii i?ney
i?aaiicaa??aath/iai e?eoaaiiy, iiaeia i?eionoeoe, ui ii/aoeiai
o??o?a?/ia ao?o/aiiy aoei aeeiiaia a iaaeinoaoiueiio ianyc? ? ii e?ath
?acaeoe?? aoa i?enooi?e iooeeiiee ??no.

?icoaooaaiiy iooeeie o aioo??oi?o eaaae?aioao iiei/ii? caeice ia ni?eyei
iia??oaiith i?noeaaiai eiio?ieth iaae oai?iaith iacaeaaeii a?ae oiai,
canoiniaoaaeany aae’thaaioia i?iiaiaaa oa?ai?y /e aoea aeeiiaia o?eueee
i?aaiicaa??aath/a iia?aoe?y. Nooi?iue ceiye?niino? ye naiino?eiee
i?iaiinoe/iee i?eciae oaeiae ia aieeaaea ia /anoioo i?noeaaiai
?aoeeaeeaoaaiiy. A iaio a?oiao ie ia niinoa??aaee a??ia?aeiiai
ca?eueoaiiy /enea ?aoeeaeea?a a iiei/i?e caeic? i?e iooeeiao iecueei?
aeeoa?aioe?eiaee.

A?eueo ni?eyoeea? ?acoeueoaoe i?ney o??o?a?/iiai e?eoaaiiy iooeei ?O2 a
aeine?aeaeoaai?e a?oi? coiiaeai?, ia iaoo aeoieo oei, ui o ia?aaaaeiiai
/enea ae?iie oe??? a?oie ?ici?? iiei/ii? caeice Ae ? a?eueoa aeicaieea
aeeiiaoe ?acaeoe?th a?eueoiai ianyao.

Aeoiaey/e c aeeeaaeaiiai aeua, aaaaea?ii ?aoaeueiee oa?i?iiaee
iaoiii?oieia?/iee eiio?ieue ca aaeaeaaoi?noth i?aaiicaa??aath/iai
o??o?a?/iiai ao?o/aiiy aaaeeeaei oaeoi?ii iie?ioaiiy
i?noeaai-?aa?iia?iiai eiio?ieth i?ney i?aaiicaa??aath/iai e?eoaaiiy ?aeo
iiei/ii? caeice.

Ia iaoo aeoieo, iioeiaeueiee ??aaiue i?noeaai-?aa?iia?iiai eiio?ieth
iaae oai?iaith iiaeia caaacia/eoe, ia?aaeon?i, aeeiiaiiyi aaeaeaaoiiai
o??o?a?/iiai ao?o/aiiy. Ie aaaaea?ii iiaeeeaei oo?eiaoenue a?ae
aeei?enoaiiy i?iiaiaai? oa?ai?? i?e iooeeiao aei 3 ni ? a?aenooiino?
iaoanoac?a a iaoaia? e?ioaoe/i? aocee o oai?eo c ?ici??ii iiei/ieo caeic
Ae ? a?eueoa iacaeaaeii a?ae noaio iaino?oaeueii? ooieoe??, eieae?caoe??
ia?aeiiiai aiaieua ? a?noieia?/ii? no?oeoo?e, o ae?iie c iooeeiith aei 1
ni i?e A-?ici??? ? iooeeiith aei 2 ni i?e N-?ici??? iiei/ii? caeice a
aeiaaeeo ciai?oiuei? eieae?caoe?? ? a?aenooiino? aioo??oiueii?ioieiaiai
eiiiiiaioo.

Aeniiaee

1. Aeei?enoaiiy i?aaiicaa??aath/eo iia?aoe?e i?e ?aeo iiei/ii? caeice
O?3niN0-1 i?eaiaeeoue aei cieaeaiiy /enea ?aii?o i?neyiia?aoe?eieo
oneeaaeiaiue (iaaiithaaiiy ?aie, e?ioi?ay) iaeaea ia 15%, i?ci?o
oneeaaeiaiue (iaa?ye aa?oiuei? e?ioe?aee, ieaeneo) a 2 ?ace a ii??aiyii?
c ianoaeoii??th. I?aaiicaa??aath/a e?eoaaiiy /eieoue cia/ii iaioo
ineoio?aaioth/o ae?th, i?ae o?aaeeoe?eia e?eoaaiiy.

2. Iaea?eueo iioeiaeueiei e?eoa???i a?aeai?o oai?eo aeey i?iaaaeaiiy
i?aaiicaa??aath/eo iia?aoe?e ? ni?aa?aeiioaiiy “?ici?? iooeeie / ?ici??
iiei/ii? caeice”. ?io? e?eoa??? (eieae?caoe?y, a?noieia?/ia no?oeoo?a,
noai ?aa?iia?ieo e?ioaoe/ieo aoce?a, iaino?oaeueia ooieoe?y, a?e), oi/a
? iathoue i?iaiinoe/ia cia/aiiy, aea ia iiaeii? ea?aeeiaeueii aieeaaoe
ia aea?? iaoiaeo o??o?a?/iiai ao?o/aiiy i?e ?icaeyaeoaaieo noaae?yo
i?ioeano.

3. Aeinoaoi?e ??aaiue i?noeaai-?aa?iia?iiai eiio?ieth i?ney aeeiiaiiy
i?aaiicaa??aath/eo iia?aoe?e caaacia/o?oueny oeyoii aeeiiaiiy
aaeaeaaoii? ca ianyaii ?acaeoe?? ca oiiae ?aoaeueiiai oa?i?iiaiai
ii?oieia?/iiai aea/aiiy e?a?a aeaeaeaiiai i?aia?aoo.

4. Aae’thaaioia i?iiaiaaa oa?ai?y ia ni?ey? ?noioiiio iie?ioaiith
i?noeaaeo ?acoeueoao?a e?eoaaiiy, a eeoa cao?eio? ia aeayeee /an
iai?oanoaoe?th eieaeueiiai ?aoeeaeeao. Ii?yae c oeei, i?iiaiaaa oa?ai?y
i?eaiaeeoue aei ca?eueoaiiy /enea i?ci?o oneeaaeiaiue iaeaea a 2 ?ace
i?ney i?aaiicaa??aath/eo iia?aoe?e ? a 3,5 ?ace i?ney ianoaeoii??. A oie
aea /an, i?iiaiaaa oa?ai?y aoaea aei?a/iith i?e ?N1, ia?aaeeeaeuei?e
?acaeoe??, ioeueoeoeaio?e/iiio ?ino?, iayaiino? iooeeiieo aiaie?a a
e?iaaiinieo ? e?ioaoe/ieo noaeeiao. I?e ?N0 ne?ae ii?ii?ithaaoe o?eueee
caa?aaeaio /anoeio iiei/ii? caeice.

5. Caaaeath/e ia oa, ui ?aa?iia?iee ?aoeeaeea i?ney i?aaiicaa??aath/eo
iia?aoe?e aac e?ioaaeaiaeoii?? a iine?aeoth/iio aeyaeaiee eeoa o 1,5%
oai?eo, aaaaea?ii iiaeeeaei ?iiae? oo?eiaoenue a?ae iaoaiai? aeenaeoe??
i?e iaiaeueiiaaieo e?ioaoe/ieo aoceao iaoaiai? iaeano? o ae?iie a
no?ee?e iaiiiaoc?.

6. A?aoiaoth/e aeinoaoiuei aenieee ??aaiue aeaeeaa?iino?, iaae?eiee
?aa?iia?iee eiio?ieue ? ?noioia ciaioaiiy /enea i?ci?o oneeaaeiaiue,
aaaaea?ii e?ioaaeaiaeoii?th aoce?a I-II ii?yaeeo i?e I noaae?? ?aeo
iiei/ii? caeice aaeaeaaoiei o??o?a?/iei ao?o/aiiyi.

7. Aeei?enoaiiy i?aaiicaa??aath/eo iaoiaeee e?eoaaiiy ?aeo iiei/ii?
caeice O?3niN0-1 ia i?eaiaeeoue aei iia??oaiiy a?aeaeaeaieo ?acoeueoao?a
a ii??aiyii? c o?aaeeoe?eieie iaoiaeeeaie e?eoaaiiy i?e ?noioiiio
iie?ioaii? aaciina?aaei?o ?acoeueoao?a.

I?aeoe/i? ?aeiiaiaeaoe??

1. Ia iniia? ?acoeueoao?a i?iaaaeaiiai aeine?aeaeaiiy ?aeiiaiaeo?ii i?e
a?aeai?? oai?eo aeey i?aaiicaa??aath/iai e?eoaaiiy ea?oaaoenue
ne?aeoth/eie ni?aa?aeiioaiiyie “?ici?? iooeeie / ?ici?? iiei/ii?
caeice”: iooeeia aei 1 ni i?e A-?ici??? iiei/ii? caeice, iooeeia aei 2ni
i?e N-?ici??? iiei/ii? caeice, iooeeia aei 3 ni i?e Ae e a?eueoiio
?ici??? iiei/ii? caeice iacaeaaeii a?ae ?ioeo i?iaiinoe/ieo i?eciae?a.
Iiaeeeai aeeiiaoe i?aaiicaa??aath/o iia?aoe?th i?e iooeei? 1,5-2 ni a
iiei/i?e caeic? A-?ici??a ? iooeei? 2-3 ni a iiei/i?e caeic? N-?ici??o a
aeiaaeeo ciai?oiuei? eieaeecaoe?? aiaieua oa i?e a?aenooiino?
aioo??oiueii?ioieiaiai eiiiiiaioo. I?e aioo??oi?e eieaeecaoe?? iooeeie ?
i?ioieiaiio ?aeia? ia oii? aioo??oiueii?ioieiaiai a aeiaaeeo i?eaaaeaieo
aeua ni?aa?aeiioaiue “?ici?? iooeeie / ?ici?? iiei/ii? caeice i?iiiio?ii
i?ei?ieoe iaiaaethaaioio o?i?ioa?ai?th /e ia?aaeiia?aoe?eio i?iiaiaao
oa?ai?th c iaoith ciaioaiiy ?ici??o iooeeie.

2. Iaae?ei?noue i?noeaai-?aa?iia?iiai eiio?ieth i?e i?aaiicaa??aath/iio
e?eoaaii? iiaeiia caaacia/oaaoeny ia?aae onueiai aeinoaoi?i ca ianyaii
o??o?a?/iei ao?o/aiiyi c iaia’yceiaei oa?i?iiaei ii?oieia?/iei
aeine?aeaeaiiyi e?a?a ?acaeoe?? ia i?aaeiao i?iaeiaaeaiiy iooeeiiiai
?inoo.

3. Aaaaea?ii iiaeeeaei oo?eiaoenue a?ae aae’thaaioii? i?iiaiaai?
oa?ai?? i?ney i?aaiicaa??aath/eo iia?aoe?e i?e ?aeo iiei/ii? caeice aei
3 ni ? a?aenooiino? iaoanoac?a a iaoaia? e?ioaoe/i? aocee o ae?iie c Ae
e a?eueoei ?ici??ii iiei/ii? caeice iacaeaaeii a?ae eieae?caoe??,
a?noieia?/ii? no?oeoo?e iooeeie, noaio iaino?oaeueii? ooieoe??. A oaeiae
o ae?iie c iooeeiith aei 1 ni a iiei/i?e caeic? A-?ici??o, iooeeiith aei
2 ni a iiei/i?e caeic? N-?ici??o i?e ciai?oi?e eieaeecaoe?? ?
a?aenooiino? aioo??oiueii?ioieiaiai eiiiiiaioo. I?e aioo??oi?e
eieaeecaoe?? ? i?ioieiaiio ?aeia? ia oii? aioo??oiueii?ioieiaiai, i?e
iaoanoaoe/iiio o?aaeaii? iaoaiaeo e?ioaoe/ieo aoce?a,
ioeueoeoeaio?e/iiio ?ino?, iayaiino? iooeeiieo aiaie?a a e?ioaoe/ieo /e
e?iaaiinieo noaeeiao aoaea oi?niei i?ei?ieoe i?iiaiaao oa?ai?th.

4. I?iiiio?ii ia aeeiioaaoe iaoaiao e?ioaaeaiaeoii?th o ae?iie a
no?ee?e iaiiiaoc? i?e a?aenooiino? ee?i?/ieo oa niiieia?/ieo aeaieo ca
iaoanoaoe/ia o?aaeaiiy iaoaiaeo e?ioaoe/ieo aoce?a.

5. O ae?iie c iooeeiith aei 2 ni c iaoith aecia/aiiy ?aa?iia?ii?
?iciianthaeaeaiino? i?iiiio?ii aeeiioaaoe e?ioaaeaiaeoii?th aoce?a I-II
??aiy.

Nienie ?ia?o, iioae?eiaaieo ca oaiith aeena?oaoe??

1. Nia?aiaiiua iiaeoiaeu e aeeaaiinoeea e ea/aieth ?aea iiei/iie
aeaeacu /I.A. Aac?oe, A.A.Aea?ea/, N.A. AEa?i, A.O. Caaeceii,
A.N.Eeneeoeeia, I.A. Ianyiieeia, TH.Ae. Iioioeeee, A.O. Nieiaae,
I.E.Oai?inoaiei /Iiae ?aae. i?io. A.A. Einny, Aeiai?iiao?iane, 1998. —
28n.

2. Aeei?enoaiiy ineoiae?aaiinoe/ii? iaoiaeeee BVNR-300 o aea/aii?
aioo??oiuei? ea?oeie oai?iae iieieia?/ieo oai?eo. / Caa?c?ii A.O., Einn?
A.A., Ieueoia I.A., Eeneeoeeia A.N., Aac?oe I.A., Ianyii?eia I.A.
//Iaae. ia?niaeoeae. — 1997, O. 11, N3. — N. 88 — 90.

3. Aac?oe I.A. Ioaeaeaiiua ?acoeueoaou i?aaiinio?aiythuaai ea/aiey ?aea
iiei/iie aeaeacu I-II noaaeee // Aanoi. i?iaeai aeieiaee e iaaeeoeeiu. —
1998. — N22. — N. 112-116.

4.?aoeeaeeau ?aea iiei/iie aeaeacu iinea i?aaiinio?aiythuaai ea/aiey /
A.A. Einny, I.A. Aac?oe, I.A. Ianyiieeia, A.O. Caaeceii // Aanoi.i?iaeai
aeieiaee e iaaeeoeeiu. — 1999. — N1. — N.119-122.

5.Iaiin?aaenoaaiiua ?acoeueoaou ea/aiey ?aea iiei/iie aeaeacu a
caaeneiinoe io iauaia iia?aoeaiiai aiaoaoaeuenoaa / Einny A.A., Aac?oe
I.A., Caaeceii A.O., Ianyiieeia I.A., Aeiia?aaeia A.TH. //Aanoi. i?iaeai
aeieiaee e iaaeeoeeiu. — 1999. — N1. — N.116-118.

6. Caaeceii A.O., Aac?oe I.A. Eco/aiea oeia ioiioaiey e aieacie a
aeeaaiinoeea e oeo/oaiee ea/anoaa aeecie iieieiae/aneiai aieueiiai
//Iiaua aeinoeaeaiey a iaaeeoeeia e aeieiaee. Oacenu iao/ii-i?aeoe/.
eiioa?aioeee. — Aeiai?iiao?iane. — 1995. — N. 16-17.

7. Caaeceii A.O., Einny A.A., Aac?oe I.A. Ineoieiae/aneea e eeeie/aneea
aniaeou i?aaiinio?aiythuaai ea/aiey ?aea iiei/iie aeaeacu //Iaeeeaoeaiay
iaaeeoeeia e ?aaaeeeoaoeey a cae?aaiio?aiaiee. Na. iao/iuo ?aaio
iaaeaeoia?iaeiiai eiia?anna 22-28 ai?aey 1996 a., sseoa. — I.1996. — N.
81-82.

8.Eiina?aaoeaiia ea/aiea ?aea iiei/iie aeaeacu /A.A. Einny, I.A.Aac?oe,
A.O. Caaeceii, A.E.*oaeiue, A.N.A?eoei, A.A. Oanaiei, I.A. Ianyiieeia,
O.A. ss?aiaiei //Iaeeeaoeaiay iaaeeoeeia e ?aaaeeeoaoeey. — 1997. — N1.
— N. 16-17.

9.Aeeyiea iauaia iia?aoeaiiai ea/aiey iiooieae iiei/iie aeaeacu ia
ineoieiae/aneia ninoiyiea e ea/anoai aeecie aieueiuo /A.O. Caaeceii,
A.A. Einny, I.A. Ieueoia, I.A. Aac?oe, A.A. Oanaiei, I.A.Ianyiieeia,
A.N. Eeneeoeeia // Iaeeeaoeaiay iaaeeoeeia e ?aaaeeeoaoeey. — 1997. —
N2. — N.17.

10.Eeeie/aneea e ineoieiae/aneea ?acoeueoaou i?aaiinio?aiythuaai ea/aiey
?aea iiei/iie aeaeacu (?IAE) /A.O. Caaeceii, A.A. Einny, I.A. Aac?oe,
A.N. Eeneeoeeia, E.A. Eeoaei //International J. on immunorehabilitation.
— 1997. — N4, N. 597.

Aac?oe I. A. Aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe
i?aaiicaa??aath/iai e?eoaaiiy ?aeo iiei/ii? caeice O?3ni N0-1M0. —
?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.07 — iieieia?y. — Aeiiaoeueeee aea?aeaaiee
iaaee/iee oi?aa?neoao ?i. I. Ai?ueeiai IIC Oe?a?ie, Aeiiaoeuee, 1999.

Aeena?oaoe?y i?enay/aia i?aaiicaa??aath/iio e?eoaaiith ?aeo iiei/ii?
caeice. Aea/ai? aaciina?aaei? oa a?aeaeaeai? ?acoeueoaoe, a oaeiae
ye?noue aeeooy oai?eo a caeaaeiino? a?ae ianyao i?noeaai-?aa?iia?ii?
oa?ai??. C’yniaaii, ui aeei?enoaiiy i?aaiicaa??aath/eo iaoiaeee
e?eoaaiiy i?eaiaeeoue aei nooo?aiai iie?auaiiy aaciina?aaei?o
?acoeueoao?a ? iaioi? ineoio?aaioth/i? ae?? aac iia??oaiiy eieaeueiiai
eiio?ieth, caa?aaeaii? aeineoue aenieiai ??aiy aeaeeaa?iino?. ?ic?iaeai?
iieacaiiy uiaei a?aeai?o oai?eo aeey i?aaiicaa??aath/eo iia?aoe?e oa
aae’thaaioii? i?iiaiaai? oa?ai?? c o?aooaaiiyi aeayeeo i?iaiinoe/ieo
i?eciae?a (noai iaino?oaeueii? ooieoe??, ni?aa?aeiioaiiy «?ici?? iooeeie
/ ?ici?? iiei/ii? caeice», eieae?caoe?y, a?noieia?/ia no?oeoo?a, noai
iaoaiaeo e?ioaoe/ieo aoce?a). I?eaaaeai? aeai? i?i iiaeeea?noue
nei?i/aiiy ianyao e?ioaaeaiaeoii?? i?e I noaae?? i?ioeano, a oaeiae
aacia/i?noue a?aeiiae a?ae iaoaiai? aeenaeoe?? o oai?eo a no?ee?e
iaiiiaoc? i?e ee?i?/ii ?ioaeoieo e?ioaoe/ieo aoceao.

Eeth/ia? neiaa: ?ae iiei/ii? caeice, i?aaiicaa??aath/a e?eoaaiiy,
i?noeaa? ?aoeeaeeae, aeaeeaa?i?noue, i?iaiinoe/i? oaeoi?e.

Bezruk N.G. Immediate and remote result breast conserving treatment of
breast cancer patients T3 smN0-1M0.- Manuscript.

Thesis for the scientific degree of Candidate of Medical sciences on a
specialiti 14.01.07 — oncology.- Donetsk state medical university by M.
Gorky.-Donetsk, 1999.

This work conserns breast conserving treatment of mamma cancer patients.
We studied immediate and remote results and quality of life depending on
volume local-regional therapy. We defined, that use of breast conserving
therapy leads to significant improvement of immediate results and
decrease of psychological trauma without worsening of local control.
This method of treatment preserves enough high level of survival. We
studied indication for selection of patients for breast conserving
treatment and adjuvant radiation therapy depending on different
prognostic factors such as menstrual function, site of tumor, relation
of volume of tumor and size of breast, status of axillary lymphonodes.

Our work provides information about possibility of diminishing of volume
of lymph-node dissection for patient with I stage of disease and safety
of refuse of axillary dissection for menopausal patients without
clinical involvement of the axilla.

Key words: Breast cancer, breast preserving treatment, local recurrens,
survival, prognostic factors.

Aac?oe I.A. Iaiin?aaenoaaiiua e ioaeaeaiiua ?acoeueoaou
i?aaiinio?aiythuaai ea/aiey ?aea iiei/iie aeaeacu O3 niN0-1M0. —
?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.07- iieieiaey. — Aeiiaoeeee ainoaea?noaaiiue
iaaeeoeeineee oieaa?neoao ei. I. Ai?ueeiai IC Oe?aeiu, Aeiiaoee, 1999.

Aeenna?oaoeey iinayuaia i?aaiinio?aiythuaio ea/aieth ?aea iiei/iie
aeaeacu O?3niN0-1M0. Eco/aiu iaiin?aaenoaaiiua e ioaeaeaiiua ?acoeueoaou
o 385 aieueiuo a caaeneiinoe io oa?aeoa?a ianoii-?aaeiia?iie oa?aiee. O
202 aieueiuo auiieiaiu i?aaiinio?aiythuea iia?aoeee, o 183 — ianoyeoiiey
ii Iaaeaeaio. Onoaiiaeaii, /oi eniieueciaaiea i?aaiinio?aiythueo
iaoiaeee ea/aiey i?eaiaeeo e nouanoaaiiiio oeo/oaieth
iineaiia?aoeeiiiiai oa/aiey ca n/ao oiaiueoaiey i?iaeieaeeoaeueiinoe
eeioi?ae e aiieiuo ineiaeiaiee a ?aia. I?aaiinio?aiythuea iia?aoeee
ieacuaatho cia/eoaeueii iaiueoaa ineoio?aaie?othuaa aicaeaenoaea, /ai
o?aaeeoeeiiiay ianoyeoiiey, iaeaa/ay oai naiui nioeeaeueioth
aaeaioaoeeth aeaiuei iinea ieii/aiey ea/aiey. Ana yoi niinianoaoao
nie?auaieth aieaa /ai a 2 ?aca /enea iicaeieo ineiaeiaiee.

Aiaeec ioaeaeaiiuo ?acoeueoaoia ia auyaee aeinoiaa?iiai oooaeoaiey
ianoii-?aaeiia?iuo ?acoeueoaoia iinea i?aaiinio?aiythueo iia?aoeee a
n?aaiaiee n ianoyeoiieae (7,9% e 6,0% ianoiuo ?aoeeaeeaia,
niioaaonoaaiii). Eco/aia yooaeoeaiinoue ea/aiey a caaeneiinoe io
iaeioi?uo i?iaiinoe/aneeo oaeoi?ia: iaino?oaeueiay ooieoeey, ?acia?
iiooiee, eieaeecaoeey, aenoieiae/aneia no?iaiea, ninoiyiea iiaeiuoa/iuo
eeioaoe/aneeo oceia. Ie iaeei ec auoaia?a/eneaiiuo i?eciaeia
naiinoiyoaeueii ia aeeyao ia ianoiua ?acoeueoaou ea/aiey, eae
i?aaiinio?aiythuaai, oae e o?aaeeoeeiiiiai. Iaaeaaeiinoue
ianoii-?aaeiia?iiai eiio?iey iinea i?aaiinio?aiythueo iia?aoeee
ii?aaeaeyaony i?aaeaea anaai aeinoaoi/iui ii iauaio oe?o?ae/aneei
aiaoaoaeuenoaii n o/aoii niioaaonoaey “?acia? iiooiee / ?acia? iiei/iie
aeaeacu” e iaycaoaeueiui n?i/iui enneaaeiaaieai e?aaa ?acaeoeee ia
i?aaeiao i?iaeieaeaiey iiooieaaiai ?inoa. I?aaeeaaaai iioeiaeueiua
niioiioaiey «?acia? iiooiee / ?acia? iiei/iie aeaeacu (aac oua?aa
einiaoe/iinoe e aaeanoe/iinoe): iiooieue aei 1 ni i?e A- ?acia?a
iiei/iie aeaeacu, iiooieue aei 2ni i?e N- ?acia?a iiei/iie aeaeacu,
iiooieue aei 3 ni i?e Ae e aieueoai ?acia?a iiei/iie aeaeacu. I?e
niaethaeaiee auoaeceiaeaiiuo niioiioaiee iao iaiaoiaeeiinoe o/eouaaoue
oaeea oaeoi?u, eae eieaeecaoeey ia?ae/iiai i/aaa, aenoieiae/aneay
no?oeoo?a e noaiaiue ceiea/anoaaiiinoe iiooiee.

Iaeaieueoaa /enei ?aoeeaeeaia a a?oaeiie noaiea e iiei/iie aeaeaca
aeeaaiinoe?iaaeinue a ia?aua 3 aiaea iinea ia?ae/iiai ea/aiey e i?e
iaaeeaaeauai eiio?iea e naiaa?aiaiiii ea/aiee ia aeeyee ia iineaaeothuee
i?iaiic. Enoeiiay 3-o eaoiyy auaeeaaaiinoue iinea i?aaiinio?aiythuaai
ea/aiey ninoaaeea 95,5%, iinea ianoyeoiiee 93,4%, eoioeyoeaiay 5-eaoiyy
— 91,1% e 89,5%, niioaaonoaaiii.

Eniieueciaaiea eeioaaeaiyeoiiee oceia I-II ii?yaeea i?e I noaaeee ?aea
iiei/iie aeaeacu (42 aieueiuo) ia oooaeoeei iauoth auaeeaaaiinoue,
eioi?ay ninoaaeea 97,6%. ?aaeiia?iuo ?aoeeaeeaia ia auei. I?eieiay ai
aieiaiea aeinoaoi/ii aunieee o?iaaiue auaeeaaaiinoe, iaaeaaeiue
?aaeiia?iue eiio?ieue e nouanoaaiiia oiaiueoaiea /enea iicaeieo
ineiaeiaiee, n/eoaai eeioaaeaiyeoiieth oceia I-II ii?yaeea i?e I noaaeee
?aea iiei/iie aeaeacu aeiionoeiui oe?o?ae/aneei aiaoaoaeuenoaii.

Ec 69 aeaiuei a noieeie iaiiiaoca, eioi?ui eeioaaeaiyeoiiey ia
auiieiyeanue, ?aaeiia?iue ?aoeeaeea aeeaaiinoe?iaai a 1,5%, iauay 3-o
eaoiyy auaeeaaaiinoue — 94,8%, 5-eaoiyy eoioeyoeaiay — 89,4%. A nayce n
yoei n/eoaai aiciiaeiui eiiaaea aicaea?aeaoueny io iiaeiuoa/iie
aeennaeoeee o aeaiuei a noieeie iaiiiaoca i?e iaiaeueie?oaiuo
eeioaoe/aneeo oceao yoie iaeanoe.

Eco/aia yooaeoeaiinoue eiiaeie?iaaiiiai ea/aiey i?e O?3niN0 a n?aaiaiee
n oe?o?ae/aneei. Ia auyaeaii aeinoiaa?iiai ?acee/ey a iauae
auaeeaaaiinoe e nouanoaaiiiai oiaiueoaiey /enea ianoiuo ?aoeeaeeaia
iinea aaeuthaaioiie eo/aaie oa?aiee (6,1% iinea eiiaeie?iaaiiiai
i?aaii-nio?aiythuaai ea/aiey e 8,9% iinea i?aaiinio?aiythueo iia?aoeee a
naiinoiyoaeueiii aa?eaioa, 6,7% iinea ianoyeoiiee n eo/aaie oa?aieae e
5,2% iinea ianoyeoiiee). Eniieueciaaiea eo/aaie oa?aiee niinianoaiaaei
eeoue oaaee/aieth aac?aoeeaeeaiiai eioa?aaea (a n?aaeiai ia 11,2 ian. a
enneaaeoaiie a?oiia e ia 23,9 ian. — a eiio?ieueiie), o.a. oaeoe/anee ia
i?aaeioa?aoeei aicieeiiaaiey eieaeueiiai ?aoeeaeeaa, a oieueei
ioiaeaeioei ia iaeioi?ia a?aiy aai iaieoanoaoeeth. N/eoaai, /oi
iioeiaeueiue o?iaaiue ianoii-?aaeiia?iiai eiio?iey iaae aieaciueth
iiaeii iaania/eoue, i?aaeaea anaai, auiieiaieai aaeaeaaoiiai
oe?o?ae/aneiai aiaoaoaeuenoaa. I?aaeeaaaai aicaea?aeaoueny io
eniieueciaaiey eo/aaie oa?aiee i?e iiooieyo aei 3 ni e ionoonoaee
iaoanoacia a iiaeiuoa/iua eeioaoe/aneea oceu o aieueiuo n ?acia?ii
iiei/iuo aeaeac Ae e aieaa iacaaeneii io ninoiyiey iaino?oaeueiie
ooieoeee, eieaeecaoeee ia?ae/iiai i/aaa e aenoieiae/aneie no?oeoo?u, o
aeaiuei n iiooieueth aei 1 ni i?e A-?acia?a e iiooieueth aei 2 ni i?e
N-?acia?a iiei/iie aeaeacu a neo/aa ia?oaeiie eieaeecaoeee e ionoonoaee
aioo?ei?ioieiaiai eiiiiiaioa.

Aeaiiua enneaaeiaaiey iiaeoaa?aeaeatho, /oi eae aeeaeaeoea oae e
ioaeaeaiiua ?acoeueoaou ea/aiey aiaeece?oaiuo noaaeee ?aea iiei/iie
aeaeacu caaenyo ia noieueei io iauaia ianoiuo aicaeaenoaee, neieueei io
aeieiae/aneeo iniaaiiinoae iiooiee ia iiiaio aa iaia?oaeaiey. Oaeei
ia?acii, aaeaeo ?aoaiey oece/aneeo, ineoieiae/aneeo e nioeeaeueiuo
i?iaeai, noaiiaeony i/aaeaeiui, /oi i?aaiinio?aiythuaa ea/aiea, n o/aoii
auoaeceiaeaiiuo iieacaiee, aieaa i?aaeii/oeoaeueiia.

Eeth/aaua neiaa: ?ae iiei/iie aeaeacu, i?aaiinio?aiythuaa ea/aiea,
ianoiua ?aoeeaeeau, auaeeaaaiinoue, i?iaiinoe/aneea oaeoi?u.

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