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Диференційований підхід до лікування ерозії шийки матки у жінок репродуктивного періоду: Автореф. дис… канд. мед. наук / Н.Г. Прядко, Ін-т педіатрії

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IINOEOOO IAAeIAO???, AEOOA?NOAA OA AIIAEIEIAI?

AEAAeAII? IAAeE*IEO IAOE OE?A?IE

I?ssAeEI IAOAEss A?EAI?IAIA

OAeE:618.146-002.446-08-035-055.2

AeEOA?AIOe?EIAAIEE I?AeO?Ae

AeI E?EOAAIIss A?IC?? OEEEE IAOEE

O AE?IIE ?AI?IAeOEOEAIIAI IA??IAeO

14.01.01 – aeooa?noai ? aiiaeieiaiy

A A O I ? A O A ? A O

aeena?oaoei? ia caeiaoooy iaoeiaiai

nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoeiy ? ?oeiien

?iaioa aeeiiaia a Aeiiaoeueeiio aea?aeaaiiio iaaee/iiio oiiaa?neoaoi
ii.I.Ai?ueeiai IIC Oe?a?ie.

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?, caneoaeaiee aeiy/
iaoee i oaoi?ee Oe?a?ie, *aeea Aieiaeeie? Ee?eeiae/, caaiaeoaa/ eaoaae?e
aeooa?noaa, aiiaeieiai? oa ia?eiaoieiai? Aeiiaoeueeiai aea?aeaaiiai
iaaee/iiai oiiaa?neoaoo ii.I.Ai?ueeiai IIC Oe?a?ie.

Ioioeieii iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? ?aaithoa E?ae?y ?aai?aia, caa?aeoth/a
a?aeae?eaiiyi ?aaa?e?oaoe?? ?ai?iaeoeoeaii? ooieoe?? ae?iie Iinoeoooo
iaaeiao?i?, aeooa?noaa oa aiiaeieiai? AII Oe?a?ie, i.Ee?a

aeieoi? iaaee/ieo iaoe, i?ioani? Eioaiaae/ ?aaai?y A?eoi??aia,
caa?aeoth/a eaoaae?ith aeooa?noaa oa aiiaeieiai? ?2 Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I.E.Ooieea IIC Oe?a?ie

I?iaiaeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.I.I.Aiaiiieueoey IIC Oe?a?ie,
i.Ee?a, eaoaae?a aeooa?noaa oa a?iaeieia?? ?1

Caoeno aiaeaoaeaoueny ” 8 ” ethoiai 2000 ?ieo i 1300 aiaeeii ia
caniaeaiii niaoe?ae?ciaaii? a/aii? ca?aaee Ae 26.553.01 ii caoenoo
aeena?oaoeie ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe ca
niaoeiaeueiinoyie “Iaaeiao?iy”, “Aeooa?noai i aiiaeieiaiy” i?e ?inoeoooi
iaaeiao?i?, aeooa?noaa oa aiiaeieiai? AII Oe?a?ie (04050, i.Ee?a-50,
aoe.Iaio?euenueeiai, 8).

C aeena?oaoei?th iiaeia iciaeiieoeny a iaoeiaie aiaeiioaoei Iinoeoooo
iaaeiao?i?, aeooa?noaa oa aiiaeieiai? AII Oe?a?ie (04050, i.Ee?a-50,
aoe.Iaio?euenueeiai, 8).

Aaoi?aoa?ao ?icineai?e ” 25 ” a?oaeiy 1999 ?.

A/aiee nae?aoa?

niaoeiaeiciaaii? a/aii? ?aaee
EAAOIIIA E.A.CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueiinoue oaie. Na?aae caoai?thaaiue ae?ii/i? noaoaai? noa?e
a?ic?y oeeee iaoee aeioaia? i?iaeiaaeo? caeeoaoeny iaei??th c iaea?eueo
aeooaeueieo iaaeeei-nioe?aeueieo i?iaeai o no/ani?e a?iaeieia?? e
iieieia??. O no?oeoo?? a?iaeieia?/ii? caoai?thaaiino? oey iaoieia?y
caeia? aaaeeeaa i?noea. Iniaeeao aaaeeea?noue i?iaeaia iaaoaa? o ca’yceo
c oei, ui cacia/aia caoai?thaaiiy aeyaey?oueny a ae?iie iieiaeiai a?eo.
O?eaaea i?io?eaiiy caoai?thaaiiy, /ano? ?aoeeaeeae, iaaaeaeaaoia
e?eoaaiiy i?ecaiaeyoue aei ?icaeoeo a aeayeeo aeiaaeeao aeenieanoe/ieo
i?ioean?a. Ca inoaii? 5 ?ie?a a?aecia/a?oueny ca?eueoaiiy /anoioe
aeenieac?e ai?oae?th oeeee iaoee a ae?iie o a?oe? aei 30 ?ie?a
[I.A.?oaeaeiaa ? ni?aaa., 1995]. A Oe?a?i? a?aecia/a?oueny c?inoaiiy
nia?oiino? a?ae ?aeo oeeee iaoee o a?eiaiio ?ioa?aae? 25-49 ?ie?a, ui
iia’ycaii c iecueeith aoaeoeai?noth e?eoaaiiy oiiiaeo oa ia?aaeiooeeiieo
caoai?thaaiue oeeee iaoee a iieiaeeo ae?iie [I.A. Aieeoia?an oa ni?aaa.,
1997; I.I.Eau?oeia, 1997; A.I.N??ia, 1988], a oaeiae iaaeinoaoiueith
aoaeoeai?noth ae?aaiinoe/ieo caoiae?a.

Iacaaaeath/e ia iayai?noue cia/ii? e?eueeino? ?ia?o a?o/eciyieo oa
caei?aeiiieo aaoi??a, ui aea/athoue i?iaeaio a?ic?? oeeee iaoee
[E.I.Aan?e?anueea, 1986; A.E.AEaeaciia, oa ni?aaa., 1984; ?. A.Eioai?a?/
oa ni?aaa., 1997; A.Eaia, 1964], aeioaia? aaaaoi aeooaeueieo ieoaiue,
iia’ycaieo c oe??th iaoieia??th, ?ic?iaeai? iaiiai?noth. Neeaaei?noue
iaoiaaiaco, ie?ai? noi?iie yeiai ? i?aaeiaoii aeeneon??, aecia/athoue
oie oaeo, ui iacaaaeath/e ia cia/iee a?naiae caoiae?a oa cania?a aeey
e?eoaaiiy a?ic?? oeeee iaoee, ?oiy aoaeoeai?noue ? iaaeinoaoiueith,
iae/ano?oa /a?ac oi?iaeueiee i?aeo?ae aei i?aeai?o oaeoeee e?eoaaiiy.
Ona cacia/aia i?ecaiaeeoue o cia/iiio a?aenioeo aeiaaee?a aei
?aoeeaeea?a caoai?thaaiiy aai a?aenooiino? iiceoeaieo ?acoeueoao?a
e?eoaaiiy.

O ca’yceo c oeei ia aeeeeea? noii?a?a oie oaeo, ui iaea?eueo
?aaeeeaeueiei caniaii cieaeaiiy /anoioe a?ic?e oeeee iaoee ? nai?/ania e
aaeaeaaoia ?? e?eoaaiiy.

Iio?aaothoue oaeiae iiaeaeueoi? ?ic?iaee iaoiaee ?iaeea?aeoaeueiiai
i?aeoiaeo aei e?eoaaiiy a?ic?? oeeee iaoee, ui c oni?oii
canoiniaothoueny a ?ioeo iaeanoyo i?aeoe/ii? iaaeeoeeie.

Aeuaaeeeaaeaia oa?aeoa?eco? aaaeeea?noue aeine?aeaeoaaii? i?iaeaie ?
aecia/a? iaoo oa iniiai? caaaeaiiy aeine?aeaeaiiy.

Ca`ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioa aeeiiaia
aiaeiiaiaeii ieaio IAe? Aeiiaoeueeiai aea?aeaaiiai iaaee/iiai
oiiaa?neoaoo (Oeo? oeie IE 950605, ? aea?ae?a?no?aoei? 0195V010459,
o?a?iaio i?ia?aie “Iia? i?aeoiaee aei ae?aaiinoeee oa e?eoaaiiy
aacie?aeiiai oethao”).

Iaoa – iaoeiaa ia??oiooaaiiy oaeineiiaeaiiy iaoiae?a ae?aaiinoeee,
i?io?eaeoeee ? e?eoaaiiy a?ic?? oeeee iaoee o iieiaeeo ae?iie ia iniia?
?iaeea?aeoaeueiiai i?aeoiaeo aei aeai?o cania?a oa?ai??, ni?yiiaaieo ia
oi?ioaaiiy ii?oieia?/ii oa ooieoe?iiaeueii iiaiioe?iieo ai?oae?th ?
no?iie oeeee iaoee.

Caaea/?:

1. Aecia/eoe /eiieee ?eceeo o?eaaeiai i?io?eaiiy a?ic?? oeeee iaoee a
iieiaeeo ae?iie ia i?aenoaa? ee?i?ei-noaoenoe/iiai aiae?co
a?iaeieia?/iiai aiaiiaco ae?iie ?c aeaiith iaoieia??th.

2. I?iaanoe ii?oieia?/ia oa a?noio?i?/ia aea/aiiy noaio ai?oae?th ?
no?iie oeeee iaoee, ioa?aeoa?ecoaaoe iniaeeaino? aiaeie?eiiiai noaoono e
?ioiieo ci?i o iieiaeeo ae?iie c a?ic??th oeeee iaoee.

3. Aeaoe ii??aiyeueio ioe?ieo ??ciiiai?oieo iaoiae?a e?eoaaiiy a?ic??
oeeee iaoee a iieiaeeo ae?iie: EA*-aieeao, e??i-EA* ?
e??i-EA*-ai?iiiaeueiiai aieeao, ? ai?iaaaeeoe ?o o i?aeoeeo.

4. ?ic?iaeoe ? ai?iaaaeeoe can?a ?iaeea?aeoaeueiiai i?aeai?o iaoiaeee
e?eoaaiiy a?ic?? oeeee iaoee o ae?iie ?aiiueiai ?ai?iaeoeoeaiiai a?eo ?c
aeei?enoaiiyi eiii’thoa?ii? i?ia?aie aeey aecia/aiiy a?ieia?/ii aeoeaieo
oi/ie.

Iaoeiaa iiaecia io?eiaieo ?acoeueoao?a.

Aia?oa aeae?eai? a?oie ?eceeo ii ?icaeoeo aeenieanoe/ieo i?ioean?a oeeee
iaoee o i?aee?oe?a ? iieiaeeo ae?iie.

Aia?oa aea/ai? a?noieia?/i? ? a?noio?i?/i? iniaeeaino? ai?oae?th ?
i?aeeyaath/eo oeaiei a?ic?? oeeee iaoee o iieiaeeo ae?iie aei ? i?ney
canoinoaaiiy cai?iiiiiaaieo iaoiae?a e?eoaaiiy.

Ia i?aenoaa? ii?oi-a?noio?i?/ieo aeine?aeaeaiue a?ic?? oeeee iaoee
oia?oa anoaiiaeaii, ui ?cieueiaaiee EA*-aieea ii?yae ?c e?ea?aeaoe??th
yaeu caiaeaiiy a i?aeeyaath/eo oeaieiao o aiaieuao ieineiee?oeiii?
iaoaieac?? oeee?iae?e/iiai ai?oae?th, iiaeoeth? i?ioeane i?aaeeueii?
aeeoa?aioe?eiaee ? aeic??aaiiy iieiaeeo ee?oei aacaeueiiai i?ioa?eo, ui
ae?eyoueny.

Aeaii ii??aiyeueio oa?aeoa?enoeeo ee?i?ei-eaai?aoi?ieo, ii?oieia?/ieo,
ai?iiiaeueieo oa ?ioiieia?/ieo iieaciee?a ?acoeueoao?a cai?iiiiiaaieo
iaoiae?a e?eoaaiiy a?ic?? oeeee iaoee a iieiaeeo ae?iie. I?e oeueiio
aia?oa aeiaaaeaii, ui canoiniaai? iaoiaee e?eoaaiiy ia ci?iththoue
ii?oi-ooieoe?iiaeueieo iniaeeainoae ai?oae?th ? i?aeeyaath/eo oeaiei
oeeee iaoee, ii?iae?cothoue iieacieee noaoaaeo ai?iii?a ? i?noeaaiai
?ioi?oaoo.

Aia?oa ?ic?iaeaiee ? iaoeiai ia??oioiaaiee ?iaeea?aeoaeueiee i?aeo?ae
aei aeai?o iaoiaeo eiiieaeniiai e?eoaaiiy a?ic?? oeeee iaoee a iieiaeeo
ae?iie ?c aeei?enoaiiyi eiii’thoa?ii? i?ia?aie c iaoith i?aeaeuaiiy
aoaeoeaiino? e?eoaaiiy.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a. ?ic?iaeaii iaoiae aeoeaiiai
aeyaeaiiy a?oi i?aeaeuaiiai ?eceeo ii ?icaeoeo a?ic?? oeeee iaoee.
Ii?oieia?/ii aeiaaaeaii, ui ia oii? ?nioth/i? a?ic?? oa?aeoa?iei ?
?icaeoie aeoeaii? ?aca?aiiee?oeiii? a?ia?ieac?? c ieineiee?oeiiith
iaoaieac??th oeee?iae?e/iiai ai?oae?th ? oi?ioaaiiyi o i?noeyo noeeo
aeaio oei?a ai?oae?th aeae?eueeio ?yae?a iieiaeeo iac??eeo ee?oei
neaaiiciiai ai?oae?th. Anoaiiaeaii, ui oey iaoieia?y oeeee iaoee
caeaa?eueoiai ii?aeio?oueny ?c caiaeueieie noaiaie oa aeena?icii i?oae.
Iayai?noue iaoieia?/ieo ??ai?a eiioeaio?aoe?? y?/ieeiaeo ai?iii?a o
ieaci? e?ia? i?ecaiaeeoue aei ii?ooaiiy i?ioean?a i?e?iaeii?
o?ainoi?iaoe?? ca ?aooiie aeoea?caoe?? i?ie?oa?aoe?? ai?oae?th oeeee
iaoee e oiia?eueiaiiy ee?oeiii? aeeoa?aioe?eiaee aae aei oi?ioaaiiy
aeenieanoe/ieo ci?i. Aeyaeaii aeoeaaoe?th ?ioiieia?/ieo ?aaeoe?e o cii?
a?ic??, ui a??ia?aeii ca?eueoo?oueny i?e ii?aeiaii? oeueiai
caoai?thaaiiy ?c caiaeueieie i?ioeanaie aai ai?iiiaeueieie ii?ooaiiyie.

?ic?iaeaii eiiieaenio oa?ai?th a?ic?e oeeee iaoee c aeei?enoaiiyi
?cieueiaaiiai EA*-aieeao, eiia?iiaaiiai e??i-EA*-aieeao oa c
canoinoaaiiyi ai?iiiaeueieo i?aia?ao?a, ui ni?ey? i?aeaeuaiith
aoaeoeaiino? e?eoaaiiy, cieaeaiith /anoioe ?aoeeaeea?a oa caaacia/o?
ooieoe?iiaeueio iiaiioe?ii?noue oeeee iaoee.

?acoeueoaoe ai?iaaaeaeai? a i?aeoeeo a?iaeieia?/ieo a?aeae?eaiue ?
ae?ii/eo eiinoeueoaoe?e Aeiiaoeueeiai aea?aeaaiiai ?a??iiaeueiiai
oeaio?o ioi?iie iaoa?einoaa oa aeeoeinoaa, i?nueeiai iieiaiaiai aoaeeieo
?1 i. Ia??oiiey, oeaio?aeueieo i?nueeeo e?ea?aiue i.Aeeieo?iai,
i.Ae?oaeeiaee, Oe?E i.Eiinoyioei?aee.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy aeena?oaoe?? ?
?acoeueoaoe iaoeiaeo aeine?aeaeaiue iia?aeiieai? e iaaiai?ai? ia
I?aeiaeani?e iaoeiai-i?aeoe/i?e eiioa?aioe?? (Aeiiaoeuee, 1995), ia 5-io
I?aeia?iaeiiio eiia?an? ii iaoieia?? oeeee iaoee ? eieueiineii??
(E?ae?a, 1995), ia oe?a?inueei-i?iaoeuee?e iaoeiai-i?aeoe/i?e
eiioa?aioe?? aeooa??a-a?iaeieia?a (Aeiiaoeuee, 1996), ia I?aeia?iaeiiio
eii??an? ?ioaeoieia?a (Aeiiaoeuee, 1999).

Ioae?eaoe??. Ii oai? aeena?oaoe?? iioae?eiaaii 10 ?ia?o, ?c ieo 3 noaoo?
a aeo?iaeao, 3 o ca??eao iaoeiaeo i?aoeue, 4 oace aeiiia?aeae ia
c’?caeao, eiioa?aioe?yo ? eiia?anao.

No?oeoo?a e ianya aeena?oaoe??. ?iaioa aeeeaaeaia ia 175 noi??ieao ?
neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 5 ?icae?e?a naiino?eieo
aeine?aeaeaiue, aiae?co oa ocaaaeueiaiiy io?eiaieo ?acoeueoao?a,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, nieneo aeei?enoaieo aeaea?ae (307
iaeiaioaaiue), ye? caeiathoue 29 noi??iie. ?iaioa i?noeoue 15 oaaeeoeue,
19 ?enoie?a ? 2 aeiaeaoee, ye? caeiathoue 14 noi??iie.

Iniaenoee aianie caeiaoaa/a.

Aeena?oaioea naiino?eii i?iaaea ianoaaeaiiy iaoe??ioie, aea?aea
aaeaeaaoi? iaoiaee/i? caoiaee, cae?enieea ee?i?/ia, ?ino?oiaioaeueia
ianoaaeaiiy iaoe??ioie, aea/eea ai?iiiaeueio ooieoe?th y?/iee?a oa noai
i?noeaaiai ?ioi?oaoo oeeee iaoee, ?acii ?c i?io. ?.A.Aaneeaiei aeeiiaea
a?noieia?/ia oa oeeoieia?/ia aeine?aeaeaiiy oeaiei oeeee iaoee. Aeyaeea
oaeoi?e ?eceeo ii ?icaeoeo a?ic?? oeeee iaoee o i?aee?oe?a ? iieiaeeo
ae?iie; aea/eea ee?i?/i? ? ii?oieia?/i? iniaeeaino? oeueiai
caoai?thaaiiy a caeaaeiino? a?ae ee?i?ei-ii?oieia?/ii? oi?ie oa
canoiniaaieo ?ai?oa iaoiae?a e?eoaaiiy. Naiino?eii ?ic?iaeea oa
i?iaiaeeea eo?ne e?eoaaiiy, iaaeyae ca iaoe??ioeaie i?ney i?iaaaeaii?
oa?ai??. Aeeiiaea aiae?c io?eiaieo ?acoeueoao?a, ?o noaoenoe/io ia?iaeo
oa c?iaeea aeniiaee.

Aeneiaethth aeeaieo iiaeyeo caa. eaoaae?ith iaoieia?/ii? aiaoii??
AeiiAeIO, aeieoi?o iaaee/ieo iaoe, i?io. Aaneeaiei ?.A. ca
eiinoeueoaoeaio aeiiiiiao c ieoaiue ii?oieia??.

INIIAIEE CIINO

I?ae iaoei niinoa?aaeaiiyi ciaoiaeeeiny 207 iieiaeeo ae?iie c a?ic??th
oeeee iaoee o a?oe? a?ae 16 aei 28 ?ie?a. A caeaaeiino? a?ae
canoiniaaiiai iaoiaeo e?eoaaiiy aiie aoee ?icae?eai? ia o?e a?oie. Aei
I-? a?oie oa?eoee 68 iaoe??ioie, ui iaea?aeoaaee e?eoaaiiy oeeee iaoee
iaoiaeii ?cieueiaaiiai aieeao e?aeiuei aeniei/anoioiei aei?ii?ithaaiiyi
(EA*-oa?ai?y) ia a?ieia?/ii aeoeai? oi/ee (AAO) aeoioieoo?e a?aeiia?aeii
ciaiiyi eeane/ii? aieei?aoeaenioa?aie?? [A.O.AEa?e?i oa ni?aaa., 1988;
A.E. Ia/a?ao oa ni?aaa., 1989; Ae.I. Oaa??aa 1994], II-o a?oio neeaee 74
iaoe??ioee, ui iaea?aeoaaee e??ie?eoaaiiy oeeee iaoee a ii?aeiaii? c
e?aeiueiaeniei/anoioiei aieeaii ? III-y a?oia c 65 in?a, aoea iiaeaia
iaoe??ioeaie, ui iaea?aeoaaee e??ie?eoaaiiy oeeee iaoee a niieo/aii? c
EA*-aieeaii ii oi/eao aeoioieoo?e ?acii c ai?iiiaeueiith oa?ai??th,
IV-a, eiio?ieueia, a?oia neeaaeaeany c 40 iieiaeeo ae?iie ?c caei?iaith
oeeeith iaoee.

Ii?yae ?c caaaeueiiee?ie/ieie oa eaai?aoi?ieie iaoiaeaie aeine?aeaeaiiy
on?i iaoe??ioeai i?iaiaeeeiny a?iaeieia?/ia ianoaaeaiiy, i?inoa oa
?icoe?aia eieueiineii?y, oeeoieia?/ia aea/aiiy aeae?eaiue i?oae oa
oeeee iaoee, a?noieia?/ia, a?noio?i?/ia aeine?aeaeaiiy oeaiei, ioe?iea
oano?a ooieoe?iiaeueii? ae?aaiinoeee (OOAe), ai?iiiaeuei?
aeine?aeaeaiiy, a oaeiae i?iaaaeaia aea/aiiy noaio i?noeaaiai
aoii?aeueiiai ?ioi?oaoo e oeueo?acaoeiaa neaioaaiiy i?aai?a iaeiai oaco.
Ia?iaea io?eiaieo iaoa??ae?a cae?enithaaeany c aeei?enoaiiyi
noaiaea?oieo iaoiae?a aa??aoe?eii? noaoenoeee. Eieueeinii ?acoeueoaoe
aeineiaeaeaiiy i?aaenoaaeaii a oaenoi o aeaeyaei cia/aiue na?aaeiueiai
noaoenoe/iiai oa eiai noaiaea?oii? iiieeee.

Na?aae ianoaaeaieo iaea?eueoo e?euee?noue neeaee o/i? aeueo oa na?aaei?o
iaa/aeueieo caeeaae?a (44.4% a iniiaieo a?oiao ? 45.0% – o
eiio?ieuei?e), ui a?aeiia?aea? nioe?aeueiiio noaoono cacia/aii? a?eiai?
eaoaai???. Caa?oa? ia naaa oaaao aenieee iieaciee iai?aoethth/eo ae?iie
(35.8% ? 30.0%, a?aeiia?aeii) i?e iecueeiio a?aenioeo ?ia?oieoeue ?
neoaeaiaoe?a (20.3% ? 25.0%), ui ? a?aeaeoeii oaia??oiuei? neeaaeii?
nioe?aeueii-aeiiii?/ii? neooaoe??. A?aecia/aii aenieee a?aenioie
iaiae?oaeaieo ae?iie c a?ic??th – 72.9%, o eiio?ieuei?e a?oi? – 65.0%.
C caaaeueii? e?eueeino? ianoaaeaieo iaei? iieiae iaee o?eueee 9.7%
ae?iie iniiaieo a?oi, a a eiio?ieuei?e a?oi? – 7.5%. O oie aea /an,
33.9% ae?iie iniiaieo a?oi iaee a aiaiiac? aai?oe: iaeei – 28.5%, aeaa
– 3.9%, o?e ? a?eueoa – 1.5%, ui aoei a??ia?aeii aeua, i?ae o
eiio?ieuei?e a?oi? – 8.0% (?0.05), i?e oiio, ui o III-e a?oi? e?euee?noue iaoe??ioie ?c
ii?ooaiiyie iaino?oaeueiiai oeeeeo aoea a??ia?aeii aeuith, i?ae o II-e
a?oi?. Ii??aiyiiy iieaciee?a ai?oae?caoe?? a?ic?? oeeee iaoee o an?o
o?ueio a?oiao aeaiiino?o? cia/ii e?au? ?acoeueoaoe a II-e ? III-e a?oiao
i?ae o I-e, aea aei 12 oeaeiy caai?einy eeoa 47.1% a?ic?e (?I-II0.05). Io?eiai? ?acoeueoaoe
i?aeoaa?aeaeoaaeeny a?noieia?/iei aea/aiiyi eiio?ieueieo i?e?ia?iin?e,
ocyoeo ioieoe?eiiith aieeith. I?e oeueiio aecia/aii, ui a on?o
i?aia?aoao oeeea iaoee aoea ae?eoa aaaaoioa?iaei ieineei ai?oae??i ?c
ae?aaeaiith aeeoa?aioe?eiaeith oa??a ? ia??aiii??iei ?iciiae?eii
ae?eiaaio a ae?eyieao ??ciiiai?oii? c??eino?. A?eueo c??eee o oeae
ia??iae ai?oae?e a?aecia/aany o iaoe??ioie III-? a?oie. I?aeeyaath/a
niieo/ia oeaieia aoea aieieienoith c oii?yaeeiaaiei ?icoaooaaiiyi io/e?a
aieieii, aac caiaeueii? ee?oeiii? ?io?eueo?aoe??.

E?euee?noue iaoe??ioie c aeueaiaeeniaii?a?th, ui nea?aeeeenue ia aie? a
aeeaio? oa a iiia?aeo iaia?aaeiaei? e o ia?o? aei? iaino?oaoe??,
ioaeioo, neaae?noue, ae?ao?aeea?noue o I-e a?oi? ciaioeeany a 2.4 ?ace,
o II-e a?oi? – a 2.5 ?ace, o III-e a?oi? – o 8 ?ac?a. Ii?iae?caoe?y
?eoio iaino?oaoe?e i?ioyaii 6 i?nyoe?a ?c a?aeiiaeaiiyi aeaioaciiai
oeeeeo niinoa??aaeany o I-e a?oi? a 1.5% aeiaaee?a, o II-e a?oi? – a
4.1%, ? o III-e a?oi? – a 10.8% iaoe??ioie.

Oaeei /eiii, i?e i?iaaaeaii? eiiieaeniiai e?eoaaiiy a?ic?e oeeee iaoee
iaoiaeii EA*-oa?ai?? o ii?aeiaii? c e??iaeano?oeoe??th ? EA*-oa?ai?? o
niieo/aii? c e??i-ai?iiiaeueiei iaoiaeii a?aecia/aia nei?i/aiiy oa?i?i?a
iiaii? ai?oae?caoe??, nei?i/aiiy ia??iaeo a?aeoi?aiaiiy no?oio oa
e?ioi?a?.

?acoeueoaoe eiiieaeniiai aeei?enoaiiy eiia?iiaaieo o?eoacieo i?aeueieo
aanoaaai?a o ii?aeiaii? c EA*-aieeaii na?ae/aoue i?i i?enei?aiiy
i?ioean?a ?aaaia?aoe?? oa aeic??aaiiy aaaaoioa?iaiai ieineiai ai?oae?th
i?ney e??iaieeao ia oii? ii?iae?caoe?? a?iioaeyii-a?iio?ca?ii-y?/ieeiaeo
aca?iia?aeiinei, noaa?e?caoe?? ?eoio iaino?oaoe?? i?e caa?aaeai?e
oeeee?/iino? o ae?iaoe? aiaeiaaiieo ai?iii?a.

A?aeaeaeai? ?acoeueoaoe aea/aiiy noaio oeaiei oeeee iaoee aeyaeee, ui
/a?ac 1 ??e i?ney i?iaaaeaiiai e?eoaaiiy o I-e a?oi? iiaia aee?eoaaiiy
a?ic?? oeeee iaoee ianooieei a 51.5%, c ieo c??eee ai?oae?e
aeoioea?a?eno aoa o 88.5% aeiaaee?a. Aoaeoeai?noue cai?iiiiiaaieo
iaoiae?a e?eoaaiiy a iaoe??ioie II-? a?oie neeaea 93.8%, a a III-e a?oi?
– 95.9%. Aea/aiiy ?ai?iaeoeoeaii? ooieoe?? ia aeyaeei ?? ii?ooaiue i? a
iaei??? c ianoaaeaieo iaoe??ioie.

Ioe?iea aeuaaeeeaaeaieo ?acoeueoao?a aeine?aeaeaiue aeicaiey? aaaaeaoe,
ui aeia?? oaeoeee aaaeaiiy a?ic?? oeeee iaoee a iieiaeeo ae?iie
caeaaeeoue a?ae ?? ii?oi-aiaeineii?/ieo oa?aeoa?enoee, a?ae iayaiino?
caiaeueieo caoai?thaaiue aai?oae?e, ii?ooaiue iaino?oaeueiiai oeeeeo, ui
noi?iaiaeaeothoueny aenoaaai?oaeueiith iaoieia??th, a oaeiae a?ae
oa?aeoa?o naenoaeueii? iiaaae?iee iaoe??ioie. Oaea oaeoeea aecia/a?
aeeoa?aioe?eiaaiee i?aeo?ae aei i?aeai?o iaoiaeo e?eoaaiiy a?ic?? oeeee
iaoee.

I?e iayaiino? a iieiaeeo, niiaoe/ii caei?iaeo iaoe??ioie ?c iaii?ooaiith
ai?iiiaeueiith ?aaoeyoe??th iaino?oaeueiiai oeeeeo, iaoneeaaeiaieo
caiaeueieie caoai?thaaiiyie a?ic?e oeeee iaoee aai i?ney i?iaaaeaiiy
ao?i-iaoiaaiaoe/iiai e?eoaaiiy caiaeueieo aai aeena?ioe/ieo noai?a
neeciaeo iaieiiie i?oae ? oeeee iaoee; yeui i?e oeueiio eieueiineii?/ii
aecia/a?oueny aeoii?y oeee?iae?e/iiai ai?oae?th, iacae?i/aia aai
cae?i/aia ciia o?ainoi?iaoe??, o oeeoieia?/ieo iaceao aeyaey?oueny
iaoaieaciaaiee ai?oae?e, a a?noieia?/ii – caeicenoi-nini/eiaee
aiaeioea?a?eic, iiaeia ?aeiiaiaeoaaoe e?eoaaiiy a?ic?? iaoiaeii
EA*-aieeao ia a?ieia?/ii aeoeai? oi/ee, i?ae?a?ai? ?iaeea?aeoaeueii c
aeei?enoaiiy eiii’thoa?ii? i?ia?aie. Oeae iaoiae aeioe?eueii
aeei?enoiaoaaoe a iaoe??ioie, ui aia?oa caa?ioeeny aeey e?eoaaiiy a?ic??
oeeee iaoee.

C iaeyaeo ia aieea EA*-oa?ai?? ia iae?i-ai?iiiaeuei? aca?iia?aeiineie ?
noai i?noeaaiai aoii?aeueiiai ?ioi?oaoo, eiai aa?oi ?aeiiaiaeoaaoe aei
aeei?enoaiiy a eiiieaeniiio e??i-EA* e?eoaaii? ?aoeeaeeaoth/eo a?ic?e
oeeee iaoee a iieiaeeo iaoe??ioie, ui no?aaeaeathoue o?ii?/ieie
niiaoe/ieie caoai?thaaiiyie, o aeiaaeeao iayaiino? caiaeueieo
caoai?thaaiue aai?oae?e, a oaeiae i?e a?ic??, ui ?aoeeaeeao? i?ney
?ai?oa i?iaaaeaiiai e?eoaaiiy aaaio?eii i?e eieueiineii?/ieo ea?oeiao
iie?a oa iai?ey?ii? ciie iaoaieac?? oeee?iae?e/iiai ai?oae?th aai
i?inoi? eaeeiieae?? ia oii? a?ic?? oeeee iaoee c a?noieia?/ii aeyaeaiith
caeicenoith, caeicenoi-nini/eiaith a?ic??th aai eaeeiieae??th.

I?e iayaiino? ii?ooaiue iaino?oaeueiiai oeeeeo aai ci?i oano?a
ooieoe?iiaeueii? ae?aaiinoeee ia oii? ia?a?aoiaaii? aeua iaoieia?? a
eiiieaen e?eoaaiiy a?ic?? oeeee iaoee ?aeiiaiaeo?oueny aeeth/aoe
o?ueiooaciee ai?iiiaeueiee i?aeueiee eiio?aoeaioea. Inoaii?e ii?iae?co?
ai?iiiaeuei? aca?iia?aeiineie a i?aai?ci? oa caaacia/o? iie?ioaiiy
iai?iieo i?ioean?a o oeaieiao ai?iiicaeaaeieo i?aai?a, yeei ? oeeea
iaoee, a oaeiae ni?ey? i?enei?aiith i?ioean?a ?aaaia?aoe?? ? aeic??aaiiy
aaaaoioa?iaiai ieineiai ai?oae?th.

Iieacieeaie aoaeoeaiino? oa?ai?? a?ic?? oeeee iaoee ? iaea?aeaiiy a
?acoeueoao? e?eoaaiiy ii?oieia?/ii c??eiai ai?oae?th oa ooieoe?iiaeueii
iiaiioe?iieo oeaiei oeeee iaoee. Oea iaaeae? ni?ey? cieaeaiith
e?eueeino? oiiiaeo ? ia?aae?aeiaeo caoai?thaaiue oeueiai i?aaio, a
oaeiae aeicaiey? iiaiioe?iii aeeiiaoe iaoe??ioeai naith aaia?aoeaio
ooieoe?th. Ai?iiiaeueieie oa ?ioiieia?/ieie e?eoa??yie aoaeoeaiino?
yaeeeny ii?iae?caoe?y aeine?aeaeoaaieo iieaciee?a ? i?eaaaeaiiy ?o aei
??aiy a eiio?ieuei?e a?oi?.

Oaeei /eiii, ioe?iea aoaeoeaiino? cai?iiiiiaaiiai iaie eiiieaeniiai
?iaeea?aeoaeueiiai i?aeoiaeo aei e?eoaaiiy a?ic?? oeeee iaoee, a oaeiae
i?io?eaeoeea ?aoeeaeea?a oeueiai caoai?thaaiiy aai ?icaeoeo
aeenieanoe/ieo i?ioean?a a ai?oae?? c o?aooaaiiyi no/anieo
nioe?aeueii-aeiiii?/ieo /eiiee?a, aeicaiey? ?aeiiaiaeoaaoe oaeee
i?aeo?ae aeey oe?ieiai canoinoaaiiy a ae?ii/eo eiinoeueoaoe?yo, aeaiieo
noaoe?iia?ao oa a?iaeieia?/ieo a?aeae?eaiiyo.

Ai?iaaaeaeaiiy ?ic?iaeaieo eiiieaenieo e?eoaaeueii-i?io?eaeoe/ieo
caoiae?a o i?aeoeeo ?iaioe ae?ii/eo eiinoeueoaoe?e, aeaiieo noaoe?iia??a
iie?ee?i?e oa a?iaeieia?/ieo a?aeae?eaiue i?ecaaei aei nei?i/aiiy
oa?i?i?a e?eoaaiiy a?ic?? oeeee iaoee c 12 oeaei?a aei 10.4 i?e
EA*-oa?ai??, c 9 oeaei?a aei 6.9 i?e e??i-EA* oa aei 6.7 oeaei?a i?e
e??i-EA*-ai?iiiaeueiiio iaoiaeao e?eoaaiiy, cieaeaiith e?eueeino?
oneeaaeiaiue ia 60%, 68% ? 71% a?aeiia?aeii eiaeiiio iaoiaeo. I?e
oeueiio ia?aeiia aeaeoaeaiiy iaoe??ioie c a?ic??th oeeee iaoee
a?aeiia?aeii cai?iiiiiaaiei iaoiaeai e?eoaaiiy neeaei 51.7%, 93.8% ?
95.9%.

AENIIAEE

1. Aei /eiiee?a ?eceeo o?eaaeiai ?nioaaiiy aai ?aoeeaeeaoth/iai ia?aa?ao
a?ic?? oeeee iaoee ? aeieeiaiiy aeenieanoe/ieo i?ioean?a o iieiaeeo
ae?iie a?aeiinyoueny ?aii?e ii/aoie noaoaaiai aeeooy aei 16 ?ie?a
(34.3%), /anoa ci?ia noaoaaeo ia?oia??a (38.6%), aai?oe a aiaiiac?
(33.9%), caoai?thaaiiy, ui ia?aaeathoueny noaoaaei oeyoii (68.1%),
ii?ooaiiy iaino?oaeueii? ooieoe?? (25.6%), aeno?aaai?oaeuei?, o oiio
/ene? ?ioaeoe?eii-aea?a?/i? caoai?thaaiiy (56.7%), a oaeiae canoinoaaiiy
c e?eoaaeueiith iaoith aaaio?ea (55.1%).

2. O?eaaea ia?nenoaioe?y iaoiaaiieo caoaeiee?a o aai?oaeueiiio o?aeo?
iieiaeeo ae?iie (28.5% aeiaaee?a), ii?ooaiiy iaino?oaeueiiai oeeeeo
(22.2%) ? ai?iiiaeuei? ci?ie ii oeio a?ia?ano?iaaiai?? aai
a?iii?iaanoa?iiai?? (69.6%) aeeeeeathoue ii?ooaiiy i?ioean?a
i?ie?oa?aoe??, aeeoa?aioe?eiaee ? aeic??aaiiy ee?oei ai?oae?th oeeee
iaoee, ui aaaea aei ii?oieia?/ieo ci?i ye c??eeo, oae ? iieiaeeo
ai?oae?aeueieo ee?oei; i?e oeueiio a i?aeeyaath/eo oeaieiao
aeiaaino?ieiai caa??aathoueny iciaee caiaeaiiy.

3. O iieiaeeo ae?iie c a?ic??th oeeee iaoee anoaiiaeai? ci?ie
eiioeaio?aoe?? Ig A, M, G a neeco oea?a?eaeueiiai eaiaeo a 98.6%
niinoa?aaeaiue, iniaeeai i?e iayaiino? caiaeueiiai eiiiiiaioa (97.6%),
ui na?ae/eoue i?i ?aaeoe?th ?ioiii? nenoaie ye ia caiaeaiiy, oae ? ia
i?ioeane aeoeaiiai ?iciiae?eo iieiaeeo ee?oei o ae?eyieao a?ic??.

4. EA*-oa?ai?y ii?iae?co? ai?iiiaeuei? (64.2%) oa ?ioiieia?/i? (72.7%)
iieacieee, noeioeth? i?e?iaei? i?ioeane o?ainoi?iaoe?? oeee?iae?e/iiai
ai?oae?th a aaaaoioa?iaee ieineee o cii? a?ic?? (51.5%) iieiaeeo ae?iie,
ui i?ecaiaeeoue aei caai?iiy iaoneeaaeiaieo a?ic?e oeeee iaoee.

5. Canoinoaaiiy eiiieaeniiai e??i-EA* e?eoaaiiy e?ea?aeo? caiaeaiiy a
cii? a?ic?? a 97.3% ? i?enei?th? i?ioeane ?aaaia?aoe?? ai?oae?th oeeee
iaoee c ooai?aiiyi ii?oieia?/ii ? ooieoe?iiaeueii noeaeiai ai?oae?th
cai?noue ianoeaeiai iaoaieaciaaiiai oeee?iae?e/iiai ai?oae?th a 95.9%,
ui i?aeoaa?aeaeo?oueny eieueiineii?/ieie ? a?noieia?/ieie
aeine?aeaeaiiyie.

6. Ii?aeiaiiy e??i-EA* e?eoaaiiy a?ic?? oeeee iaoee c ai?iiiaeueiith
oa?ai??th eiia?iiaaieie i?aeueieie eiio?aoeaioeaaie aeicaiey? a iieiaeeo
ae?iie c ii?ooaiiyi iaino?oaeueiiai oeeeeo ia oii? caiaeueieo
caoai?thaaiue aai?oae?e ii?iae?coaaoe ci?iai? ai?iiiaeuei? (92.5%) oa
?ioiieia?/i? (67.1%) iieacieee, ui noai?th? ni?eyoeea? oiiae aeey
i?ioeano caai?iiy a?ic?? oeeee iaoee.

7. ?ic?iaeaiee ? ai?iaiaaiee iaoiae ?iaeea?aeoaeueiiai i?aeoiaeo aei
eiiieaeniiai e?eoaaiiy a?ic?? oeeee iaoee a iieiaeeo ae?iie caaacia/o?
i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy oe??? iaoieia??, aeicaiey? nei?ioeoe
oa?i?ie oa?ai?? ia 30%, aeinyaiooe iie?ioaiiy iieaciee?a aeaeoaeaiiy
iaoe??ioie aei 95.9%, cieceoe e?euee?noue oneeaaeiaiue ia 60%, /anoioo
?aoeeaeea?a ia 50%, a oaeiae ia ia? iaaaoeaiiai aieeao ia ?ai?iaeoeoeaio
ooieoe?th.

I?AEOE*I? ?AEIIAIAeAOe??

1. O a?oio ?eceeo ii ?icaeoeo aeenieanoe/ieo i?ioean?a ia oii? ?nioth/i?
a?ic?? oeeee iaoee aeeth/aoe iieiaeeo ae?iie c ?aii?i ii/aoeii noaoaaiai
aeeooy, /anoith ci?iith noaoaaeo ia?oia??a, aai?oaie ? caoai?thaaiiyie,
ui ia?aaeathoueny noaoaaei oeyoii (CINO) a aiaiiac?, ii?ooaiiyie
iaino?oaeueiiai oeeeeo, iayai?noth o?ii?/ieo niiaoe/ieo caoai?thaaiue.

2. Aoaeoeaiei caniaii i?io?eaeoeee ia?aae?aeiaeo caoai?thaaiue oeeee
iaoee a iieiaeeo ae?iie ?c aeiaaino?ieiai ?nioth/ith a?ic??th aaaaeaoe
nai?/anio ae?aaiinoeeo oa e?eoaaiiy niiaoe/ieo, ?ioaeoe?eieo,
aea?a?/ieo caoai?thaaiue o aeeoy/iio oa i?aee?oeiaiio a?oe?
e?ea?yie-iaae?ao?aie, nai?/anio e aaeaeaaoio ei?aeoe?th iaino?oaeueii?
ooieoe?? ae?a/eiie ? ae?a/ao i?aee?oeiaeie a?iaeieiaaie, iiaiioe?iia
iaa/aiiy ae?a/ao-i?aee?oe?a oa iieiaeeo ae?iie iniiaiei iieiaeaiiyi
i?io?eaeoeee caoai?thaaiue, ui ia?aaeathoueny noaoaaei oeyoii oa
iaieaiiaaii? aaa?oiino?.

3. O iieiaeeo ae?iie c a?ic??th oeeee iaoee aeioe?eueii canoiniaoaaoe
eiiieaenia ianoaaeaiiy, ui aeeth/a? eieueiineii?/ia ? ii?oieia?/i?
aeine?aeaeaiiy, ianoaaeaiiy ia iayai?noue o?iaai?oaeueii? ?ioaeoe??, a
oaeiae i?iaiaeeoe ioe?ieo ai?iiiaeueiiai aiiainoaco e eiioeaio?aoe??
?ioiiaeiaoe?i?a A, M, G, o oea?a?eaeueiiio neeco.

4. Ia i?aenoaa? aiae?co aiaiianoe/ieo ? ee?i?ei-eaai?aoi?ieo aeaieo
cae?enithaaoe aeeoa?aioe?eiaaiee i?aeo?ae aei aeai?o iaoiaeo e?eoaaiiy.

5. O aeiaaeeo aeyaeaiiy o?iaai?oaeueii? ?ioaeoe?? aeioe?eueii aei
ii/aoeo e?eoaaiiy a?ic?? oeeee iaoee i?ecia/aoe eiiieaenio
i?ioe?ioaeoe?eio oa?ai?th.

6. E?eoaaiiy oia?oa aeyaeaii? a?ic?? oeeee iaoee c aeei?enoaiiyi
?cieueiaaiiai aieeao EA*-aei?ii?ithaaiiyi i?e?iao?iaiai ae?aiaciio
ii/eiaoe c 5 aeiy iaino?oaeueiiai oeeeeo, ii 10 naain?a i?ioyaii o?ueio
eo?n?a. Aeia?? oi/ie ? o?eaaeino? i?iaaaeaiiy aieeao cae?enithaaoe
?iaeea?aeoaeueii c aeei?enoaiiyi eiii’thoa?ii?
?ioi?iaoe?eii-aeia?aeeiai? nenoaie “I?IOAN?IIAE – 2.*” (i?ia?aia
“AIA?A?ss” IEIOe “NIOOIAAe” i. Aeiiaoeuee).

7. Eiia?iiaaiee iaoiae e??i-EA* aieeao canoiniaoaaoe a iieiaeeo ae?iie
?c eieueiineii?/ieie ea?oeiaie iie?a ? iai?ey?ii? ciie iaoaieac??
oeee?iae?e/iiai ai?oae?th aai i?inoi? eaeeiieae?? ia oii? aeiaaino?ieiai
?nioth/i? a?ic?? c caiaeaiiyi. I?e aeyaeaii? ii?ooaiue o ai?iiiaeueiiio
aiiainoac? aeeth/aoe a noaio e?eoaaiiy eiia?iiaai? i?aeuei?
eiio?aoeaioeae i?ioyaii o?ueio i?nyoe?a.

8. ?ic?iaeaiee ? ai?iaiaaiee iaoiae ?iaeea?aeoaeueiiai i?aeoiaeo a
eiiieaeniiio e?eoaaii? a?ic?? oeeee iaoee iiaea aooe ?aeiiaiaeiaaiee
aeey aeei?enoaiiy a iieiaeeo ae?iie ? oe?ieiai ai?iaaaeaeaiiy a i?aeoeeo
?iaioe ae?ii/eo eiinoeueoaoe?e, aeaiieo noaoe?iia??a ? a?iaeieia?/ieo
a?aeae?eaiue.

NIENIE IIOAE?EIAAIEO I?AOeUe CAeIAOAA*A

CA OAIITH AeENA?OAOe??

Oa?aeoa?enoeea aeeyiey yeci- e yiaeiaaiiuo oaeoi?ia ia ninoiyiea
yiaeioea?aeena o iieiaeuo aeaiuei // Ainiee i?iaeai aiieiai? i
iaaeeoeeie. – 1998. – Aei.14. – N. 35-38.

Ii?oi-yiaeineiie/aneea ?acoeueoaou ea/aiey y?icee oaeee iaoee o
iieiaeuo aeaiuei iaoiaeii EA*-oa?aiee // A?oea eeeie/aneie e
yenia?eiaioaeueiie iaaeeoeeiu. I?eeiaeaiea. – Aeiiaoee, 1999. O. 8. –
N2. – N.19-23. (Niaao. *aeea A.E.).

Ai?iiiaeueiay oa?aiey a eiiieaeniii ea/aiee y?icee oaeee iaoee o
iieiaeuo aeaiuei n ia?ooaieai iaino?oaeueiiai oeeeea // Ainiee i?iaeai
aiieiai? i iaaeeoeeie. – 1999. – Aei.13. – N.23-29 (Niaao. *aeea A.E.).

Eeeie/aneee iiuo i?eiaiaiey aiei ieeeeiao?iaiai aeeaiaciia a ea/aiee
yiaeioea?aeeicia. – A ei.: Iaoa?eaeu iaaeiaeanoiie iao/ii-i?aeoe/aneie
eiioa?aioeee: Oac. aeieeaaeia.- Aeiiaoee, 1995.- N.111. (Niaao.
Aeieaioaiei I.I., Aeiiaiiaa A.E.).

Aiciiaeiinoe eniieueciaaiey aiei ieeeeiao?iaiai eceo/aiey a
aeiaeieiae/aneie i?aeoeea. – A ei.: Aeooaeueiua aii?inu eeeie/aneiai
aeooa?noaa e aeiaeieiaee. – THaeeaeiue nai?iee iao/.o?oaeia.- Aeiiaoee,
1995.- N.184-187.

Connection of chlamydia infection and dysplasia process of the lower
genital tract // In book of abstracts: 5th international meeting on
cervical pathology and colposcopy. – Cracow, 1995. – ?. 123. (Chaika
V.K., Stepchenkova L.V., Iotenko B.A).

Relationship between the erosion of cervix and chlamydial and
ureaplasmial infection // In book of abstracts: 5th international
meeting on cervical pathology and colposcopy. – Cracow, 1995. – ?.117.
(Chaika V.K., Iotenko B.A., Kvashenko V.P., Mogilevkina I.A.).

Ni/aoaiiia i?eiaiaiea ieceieioaineaiiai eaca?a e yeaeo?iiaaieoiuo aiei
ieeeeiao?iaiai aeeaiiciia a ea/aiee yiaeioea?aeeica / Ieceieioaineaiia
eaca?iia eceo/aiea: iaoaieciu aeaenoaey ia aeeaie i?aaieci a
yenia?eiaioaeueiuo e eeeie/aneeo enneaaeiaaieyo, oioiaeeiaie/aneay
oa?aiey e eaca?iay aeia?oa?iey / Oece/aneay iaaeeoeeia. Iaieine, 1996. –
O. 5. – N 1-2. – N.46. (Niaao. Eaaoaiei A.I., Eeuaiei A.A.).

?ieue o?iaaieoaeueiie eioaeoeee a iaoieiaee oaeee iaoee – A ei.:
Niaianoiay oe?aeii-aa?iaineay iao/ii-i?aeoe/aneay eiioa?aioeey aeooa?ia
– aeiaeieiaia. – Nai?iee iao/iuo o?oaeia, Aeiiaoee, 1996. – N.49.

Iaeioi?ua oaiaeaioeee, auyaeaiiua i?e eco/aiee aeenieacee yieoaeey oaeee
iaoee – A ei.: Aeooaeueiua aii?inu eioaeoieiaee a aeooa?noaa e
aeiaeieiaee. – Nai?iee iao/.o?oaeia.- Aeiiaoee, 1999.- N.72. (Niaao.
Eeuaiei A.A.).

AIIOAOeEss

I?yaeei I.A. Aeeooa?aioee?iaaiiue iiaeoiae e ea/aieth y?icee oaeee iaoee
o aeaiuei ?ai?iaeoeoeaiiai ia?eiaea. – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe
ii niaoeeaeueiinoe 14.01.01 – aeooa?noai e aeiaeieiaey. – Einoeooo
iaaeeao?ee, aeooa?noaa e aeiaeieiaee AII Oe?aeiu, Eeaa, 1999.

Caueuaaony iao/ii-i?aeoe/aneay ?aaioa, iinayuaiiay aeooaeueiie i?iaeaia
nia?aiaiiie aeiaeieiaee – aeeaaiinoeea e ea/aieth y?icee oaeee iaoee o
aeaiuei ?ai?iaeoeoeaiiai ia?eiaea. Aeey ?aoaiey yoie i?iaeaiu eco/aiu
aenoieiae/aneea e aenoioeie/aneea iniaaiiinoe yieoaeey e iiaeeaaeaueo
oeaiae y?icee oaeee iaoee aei e iinea i?aaeeiaeaiiuo aaoi?ii iaoiaeia
ea/aiey, aeaia n?aaieoaeueiay oa?aeoa?enoeea eeeieei-eaai?aoi?iuo,
ii?oieiae/aneeo, ai?iiiaeueiuo e eiioiieiae/aneeo iieacaoaeae
?acoeueoaoia i?aaeeiaeaiiuo iaoiaeia ea/aiey. Ia iniiaa eco/aiey aeaiiuo
aiaiiaca e eeeie/aneiai ianeaaeiaaiey auaeaeaii, /oi e oaeoi?ai ?enea
ii ?acaeoeth aeenieanoe/aneeo i?ioeannia oaeee iaoee o iiae?inoeia e
iieiaeuo aeaiuei ioiinyony: oa?aeoa? naenoaeueiiai iiaaaeaiey, iaee/ea
ia?ooaiee iaino?oaeueiiai oeeeea, ae?oaeo aeiaeieiae/aneeo, niiaoe/aneeo
ainiaeeoaeueiuo e eioaeoeeiiii-aeea?ae/aneeo caaieaaaiee, a oaeaea
caaieaaaiee, ia?aaeathueony iieiaui iooai, eniieueciaaiea ?aiaa
iaaaeaeaaoiuo iaoiaeia ea/aiey y?icee oaeee iaoee.

Ianeaaeiaaii 207 aeaiuei n y?iceae oaeee iaoee a aic?anoa 16-24 eao e 40
caei?iauo aeaiei, ninoaaeaoeo eiio?ieueioth a?oiio. A caaeneiinoe io
i?iaiaeeiiai iaoiaea ea/aiey iaoeeaioee auee ?acaeaeaiu ia o?e a?oiiu.
AEaiueiai I-e a?oiiu i?iaiaeeeinue eciee?iaaiiia aicaeaenoaea e?aeia
auniei/anoioiui eceo/aieai (EA*-oa?aiey) ia aeieiae/anee aeoeaiua oi/ee
(AAO) aeoioieoo?u, II-e a?oiiu – e?eiea/aiea oaeee iaoee a ni/aoaiee n
e?aeiaauniei/anoioiui aicaeaenoaeai e III-e a?oiiu – eiiaeie?iaaiiia
e?eiea/aiea a ni/aoaiee n EA* aicaeaenoaeai ii oi/eai aeoioieoo?u ia
oiia ai?iiiaeueiie oa?aiee.

Onoaiiaeaii, /oi eciee?iaaiiia EA*-aicaeaenoaea, ia?yaeo n eeeaeaeaoeeae
yaeaiee ainiaeaiey a iiaeeaaeaueo oeaiyo, a i/aaao ieineieeaoi/iie
iaoaieacee iiaeoee?oao i?ioeannu i?aaeeueiie aeeooa?aioee?iaee e
nic?aaaiey iieiaeuo aeaeyueony eeaoie. I?e ni/aoaiee EA*-oa?aiee n
e?eiaeano?oeoeeae ioia/aii nie?auaiea ia?eiaea iooi?aeaiey no?oia e
eeioi?ee, n?ieia iieiie yieoaeecaoeee, nieaeaiea eiee/anoaa iiai/iuo
aaaaoi-ninoaeenouo ?aaeoeee.

Ia iniiaaiee i?iaaaeaiiuo enneaaeiaaiee ?ac?aaioai e iao/ii iainiiaai
eiaeeaeaeoaeueiue iiaeoiae e auai?o iaoiaea eiiieaeniiai ea/aiey y?icee
oaeee iaoee o iieiaeuo aeaiuei.

I?e iaee/ee o iieiaeuo niiaoe/anee caei?iauo iaoeeaioie n ii?iaeueiui
iaino?oaeueiui oeeeeii ia ineiaeiaiiuo y?icee oaeee iaoee
?aeiiaiaeiaaoue ea/aiea y?icee iaoiaeii EA*-oa?aiee ia aeieiae/anee
aeoeaiua oi/ee. Ea/aiea ?aoeeaeeae?othueo y?icee oaeee iaoee iaoiaeii
e?ei-EA*-oa?aiee ?aeiiaiaeiaaoue iaoeeaioeai, no?aaeathuei o?iie/aneeie
niiaoe/aneeie caaieaaaieyie, a neo/ayo iaee/ey ainiaeeoaeueiuo
caaieaaaiee aaieoaeee, a oaeaea i?e ?aoeeaeeae?othueo y?iceyo iinea
i?iaiaeeiiai ?aiaa ea/aiey aaaioeeii. A neo/aa iaee/ey ia?ooaiee
iaino?oaeueiiai oeeeea ia oiia ioia/aiiie auoa iaoieiaee a eiiieaen
ea/aiey ?aeiiaiaeoaony aeeth/aoue o?aooaciua ai?iiiaeueiua
eiio?aoeaioeau.

I?aaeeiaeaiiue eiiieaen ea/aaii-i?ioeeaeoe/aneeo ia?ii?eyoee iicaieee
nie?aoeoue n?iee ea/aiey y?icee oaeee iaoee n 9 iaaeaeue aei 6.9 i?e
e?ei-EA* e aei 6.7 iaaeaeue i?e e?ei-EA*-ai?iiiaeueiii iaoiaeao ea/aiey,
nieceoue /enei ineiaeiaiee ia 60%, 68% e 71%. I?e yoii ia?ae/iia
aucaei?iaeaiea iaoeeaioie n y?iceae oaeee iaoee niioaaonoaaiii
i?aaeeaaaaiui iaoiaeai ea/aiey ninoaaeei 51.7%, 93.8% e 95.9%.
?ac?aaioaiiue iaoiae ea/aiey aiaae?ai a i?aeoeeo.

Eeth/aaua neiaa: y?icey oaeee iaoee, EA*-oa?aiey, e?eiaeano?oeoeey,
eiiaeie?iaaiiua i?aeueiua aanoaaaiu, o?ainoi?iaoeey, eieueiineiiey,
?aca?aiieeaoi/iay aeia?ieacey, iaoaieacey, aeeooa?aioee?iaaiiue
iiaeoiae.

AIIOAOe?ss

I?yaeei I.A. Aeeoa?aioe?eiaaiee i?aeo?ae aei e?eoaaiiy a?ic?e oeeee
iaoee a ae?iie ?ai?iaeoeoeaiiai ia??iaeo. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca oaoii 14.01.01 – aeooa?noai oa a?iaeieia?y. – ?inoeooo iaae?ao???,
aeooa?noaa oa a?iaeieia?? AII Oe?a?ie, Ee?a, 1999.

Caoeua?oueny iaoeiai-i?aeoe/ia ?iaioa, i?enay/aia aeooaeuei?e i?iaeai?
no/anii? a?iaeieia?? – ae?aaiinoeoe? oa e?eoaaiith a?ic?e oeeee iaoee a
ae?iie ?ai?iaeoeoeaiiai ia??iaeo. Aeey ??oaiiy oe??? i?iaeaie aea/ai?
a?noieia?/i? oa a?noio?i?/i? iniaeeaino? ai?oae?th ? i?aeeyaath/eo
oeaiei a?ic?? oeeee iaoee aei ? i?ney cai?iiiiiaaieo aaoi?ii iaoiae?a
e?eoaaiiy, aeaia ii??aiyeueia oa?aeoa?enoeea ee?i?ei-eaai?aoi?ieo,
ii?oieia?/ieo, ai?iiiaeueieo oa ?ioiieia?/ieo iieaciee?a ?acoeueoao?a
e?eoaaiiy. I?ney aea/aiiy aeaieo aiaiiaco ? ee?i?/iiai ianoaaeaiiy
aeae?eai? a?oie ?eceeo ii ?icaeoeo aeenieanoe/ieo i?ioean?a oeeee iaoee
a i?aee?oe?a ? iieiaeeo ae?iie.

Ia i?aenoaa? i?iaaaeaieo aeine?aeaeaiue ?ic?iaeaiee ? iaoeiai
ia??oioiaaiee ?iaeea?aeoaeueiee i?aeo?ae aei aeai?o iaoiaeo eiiieaeniiai
e?eoaaiiy a?ic?? oeeee iaoee a iieiaeeo ae?iie.

Cai?iiiiiaaiee eiiieaen e?eoaaeueii-i?io?eaeoe/ieo caoiae?a aeicaieea
nei?ioeoe oa?i?i e?eoaaiiy a?ic?? oeeee iaoee oa cieceoe e?euee?noue
oneeaaeiaiue. ?ic?iaeaiee iaoiae e?eoaaiiy ai?iaaaeaeaiee o i?aeoeeo.

Eeth/ia? neiaa: a?ic?y oeeee iaoee, EA*-oa?ai?y, e??iaeano?oeoe?y,
eiia?iiaai? i?aeuei? aanoaaaie, o?ainoi?iaoe?y, eieueiineii?y,
?aca?aiiee?oeiia a?ia?ieac?y, iaoaieac?y, aeeoa?aioe?eiaaiee i?aeo?ae.

SUMMERY

Priadko N.G. The differential approach for treatment of cervix uteri
lesions of women of reproductive period.- Manuscript.

Dissertation for seeking a scientific degree of candidate of medical
sciences in speciality 14.01.01 – Obstetrics and Gynecology.- Institute
of Pediatrics, Obstetrics and Gynecology, Academy of Medical Sciences of
Ukraine, Kiev, 1999.

Scientific work devoted to up to date problem of gynaecology –
diagnostic and treatment of cervix uteri lesions of women of
reproductive period. Histological and histochemical differentiation of
epithelial and subepithelial tissue of cervix uteri lesions before and
after proposed by the author method of treatment were studied.Comparison
characteristic of chnicolaboratory, morphological, gormon and
immunological results of treatment was made.

On the basis of anamnesis and clinical investigations risk groups were
determined according to development of displastical process of cervix
uteri lesions of juvenile and young women.

On the basis of our investigations worked out approach and
scientifically grounded differentiative method for complex treatment of
cervix uteri lesions of young women. Suggested clinico-prophylactive
complex reduced time of treatment of cervix uteri lesions. Complications
were reduced two.

Key words: cervix uteri lesion, high frequency microwave therapy,
crio-therapy, methaplasia, differentiative approach, combined oral
gestagens, colposcopy, transformation, resevcelula gyperplasia.

IA?AE?E OIIAIEO NEI?I*AIUe

EA* – e?aeiueiaeniei/anoioia (aei?ii?ithaaiiy, oa?ai?y, aieea)

AAO – a?ieia?/ii aeoeai? oi/ee

OOAe – oanoe ooieoe?iiaeueii? ae?aaiinoeee

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