I?I?NOA?NOAI IOI?IIE CAeI?IA’ss OE?A?IE

OA?III?EUeNUeEA AeA?AEAAIA IAAeE*IA AEAAeAI?ss

?i. ?.ss.Ai?aa/aanueeiai

Ae?ICAe IEAA AANEEUeIAE*

OAeE 616.14–002/–008.46–073.432.19]–089

aeoieaen-niiia?ao?/i? e?eoa??? O aecia/aiI? iieac?a oa aeai?? iaoiae?a
o??o?a?/iiai e?eoaaiiy o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii?
aino?ei o?iiaioeaa?oii

14.01.03 – O??o?a?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?iii?eue

1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia o Oa?iii?euenuee?e aea?aeaai?e iaaee/i?e aeaaeai??

?i. ?.ss.Ai?aa/aanueeiai (IIC Oe?a?ie, i.Oa?iii?eue)

Iaoeiaee ea??aiee: Caneoaeaiee ae?y/ iaoee ? oaoi?ee Oe?a?ie, aeieoi?

iaaee/ieo iaoe, i?ioani? Eiaaeue/oe Eaii?ae sseeiiae/,

Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y

?i. ?.ss. Ai?aa/aaueneiai IIC Oe?a?ie,

caa?aeoaa/ eaoaae?e oieoaeueii? o??o?a??.

Io?oe?ei? iiiiaioe:

Aeieoi? iaaee/ieo iaoe, i?ioani? Iieion TH??e Ieoaeeiae/,
Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i.?.ss.Ai?aa/aanueeiai,
i?ioani? eaoaae?e caaaeueii? o??o?a??.

Aeieoi? iaaee/ieo iaoe, i?ioani? Aaiee Noaiai Ieeieaeiae/,
?aaii-O?aie?anueea aea?aeaaia iaaee/ia aeaaeai?y, caa?aeoaa/ eaoaae?e
caaaeueii? o??o?a??.

I?ia?aeia onoaiiaa: ?inoeooo ee?i?/ii? ? aenia?eiaioaeueii? o??o?a?? AII
Oe?a?ie (i.Ee?a)

Caoeno aeena?oaoe?? a?aeaoaeaoueny “18” eenoiiaaea 1999 ?ieo i 1200
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee E 58.601.01. o
Oa?iii?euenuee?e aea?aeaai?e iaaee/i?e aeaaeai?? ?i. ?. ss.
Ai?aa/aaanueeiai (46001, i.Oa?iii?eue, Iaeaeai Aie?, 1).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss. Ai?aa/aanueeiai (46001,
i.Oa?iii?eue, aoe. ?onueea, 12).

Aaoi?aoa?ao ?ic?neaiee 18 aeiaoiy 1999 ?.

A/aiee nae?aoa? niaoe?ae?ciaaii? a/aii? ?aaee,

aeieoi? iaaee/ieo iaoe, i?ioani? E?O
I.I.

Caaaeueia oa?aeoa?enoeea ?iaioe

Aeooaeuei?noue i?iaeaie. O?ii?/ia aaiicia iaaeinoaoi?noue ieaei?o
e?ioe?aie – iaeia ?c iaeiioe?ai?oeo caoai?thaaiue, yeith no?aaeaea?
15-22% aei?ineiai ianaeaiiy ?a?iie, c ieo aa?eeiciith oai?iaith –
12-15%, i?neyo?iiaioeaa?oiith oai?iaith — a?ey 8% (Naaaeueaa A.N. e
niaao.,1996; Naaiei A.O., Nooa?aa E.E.,1997; Bergan J.J., 1995). Ca
aeaieie A.E. Ee?eaiei (1996), M.D. Marcovic et al. (1997), G. Critchley
et al. (1997) aino?ee o?iiaioeaa?o oneeaaeith? o?ii?/io aaiicio
iaaeinoaoi?noue a 33,6–66,6% ? niinoa??aa?oueny a 20-40% ianaeaiiy.

Iaaacia/i?noue oa o?aaioi?noue neooaoe?? o oai?eo c o?ii?/iith aaiiciith
iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii, iia’ycaia c oei,
ui a 40% aeiaaee?a iiaa?oiaaee o?iiaioeaa?o aacneiioiiii
?iciianthaeaeo?oueny a i?ieneiaeueiiio iai?yieo c ia?aoiaeii ia aeeaie?
aaiici? iaa?no?ae? ieaei?o e?ioe?aie. *anoioa aiaie?? eaaaiaai? a?oa???
o oaeeo oai?eo nyaa? 10% (O?aaoaaiei A.E., 1996; Eaiaoueaa E.I., 1997;
T.Sandor et al.,1995; Kakkar V.,1996).

Aeiaaaeaii, ui iaiao?aeiei iaoiaeii e?eoaaiiy aino?iai iiaa?oiaaiai
o?iiaioeaa?oo ? iia?aoeaia (Aaiue N.I. e niaao.,1998; Andreotti G.M. et
al.,1996; Krause U. et al.,1998). I?i oa, ii?yae ?c iaaieie oni?oaie,
aeinyaiooeie a e?eoaaii? aeaiiai caoai?thaaiiy, caeeoa?oueny aenieee
??aaiue i?neyiia?aoe?eieo oneeaaeiaiue (Oaa/aiei TH.E., 1999; Campbel
W.B., Ridler B.M.,1995), a i?ioeaio ?aoeeaeea?a aa?eeiciiai ?icoe?aiiy
aai i?ney naoaiaeoii?e noaiiaeoue 31,3 – 75% a caaaeueii-o??o?a?/ieo
noaoe?iia?ao oa aei 9,6% a noaeeiieo a?aeae?eaiiyo (Iaiaoei I.A., 1996;
Aaiaa? ?.E.,1998; Vischer H.M., Schurer-Waldheim H.,1993), ui iaoiiaeth?
iiaeeea?noue iiaoi?iiai aeieeiaiiy aino?iai o?iiaioeaa?oo.

Oaea neooaoe?y neeaeanue a ?acoeueoao? oiai, ui aino?ee o?iiaioeaa?o ?
o?ii?/ia aaiicia iaaeinoaoi?noue ieaei?o e?ioe?aie ?icaeyaeathoueny ye
ie?ai? iaoieia??, aac iaeyaeo ia ?o o?niee aca?iica’ycie. Oea
noi?iaiaeaeo?oueny, c iaeiiai aieo — iaaeinoaoi?i ia?aaeiia?aoe?eiei
ianoaaeaiiyi oai?eo c o?ii?/iith aaiiciith iaaeinoaoi?noth,
oneeaaeiaiith aino?ei o?iiaioeaa?oii, c ae?oaiai – /enaeueiith
eiia?iaoe??th iiaeeeaeo oi?i oa aa??aio?a aeaiiai caoai?thaaiiy. Naia
oiio ia’?i iia?aoe??, ?? iniaeeaino? o aeaii? eaoaai??? oai?eo iiai?noth
iathoue caeaaeaoe a?ae oi/ii? oii?/ii? ae?aaiinoeee ye aino?iai
o?iiaioeaa?oo, oae ? oiiia?aoi-ooieoe?iiaeueii? ae?aaiinoeee o?ii?/ii?
aaiicii? iaaeinoaoiino?, iniaeeai i?e i?neyo?iiaioeaa?oi?e oai?ia?
(Ea?ei N.E., Aueia A.A.,1996; Aaaeaineee A.I.,1998; Flis V.,1995).

Ia nueiaiaei?, iniiaieie iaoiaeaie ianoaaeaiiy iaoieia?? aaiicii?
nenoaie ? ?aioaaiieiio?anoa oa ?aae?i?cioiiia oeaaia?ao?? (I?ieioueaa
N.I.,1994; Ea?aeeei A.A. e niaao.,1998; Campbell W.B., Ridler B.M.,
1995). Iaeiae, aeacai? iaoiaeeee ? ?iaaceaieie, iathoue nai? iaiaaeaiiy
? aeineoue aaeeeo e?euee?noue oneeaaeiaiue (Aiaaeaiia A.A.,1993;
Phillips G.W. et al., 1995; Sprayregen S. et al., 1996).

Ia?niaeoeaieie ? oeueo?acaoeia? iaoiaee ianoaaeaiiy (Ieoueeia A.A. e
niaao.,1996; Eiinoaioeiiaa A.Ae. e niaao.,1996; Naiieeia A.A. e
niaao.,1997; Myers K.A. et al.,1995). Ia iaoo aeoieo iniaeeao oaaao
caneoaiao? oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy, yea ia? aenieo
ae?aaiinoe/io ?ioi?iaoeai?noue o oiiia?ao?/i?e oa ooieoe?iiaeuei?e
ioe?ioe? aaiiciiai ?onea (Eoeeeia A.I.,1997; Ao/ A.A., *a?iooa
E.I.,1997; Yao J.S.T. et al., 1996).

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Oaia
aeena?oaoe?? caoaa?aeaeaia a/aiith ?aaeith Oa?iii?enueei? aea?aeaaii?
iaaee/ii? aeaaeai?? ?i. ?.ss.Ai?aa/aanueeiai IIC Oe?a?ie (i?ioieie ? 10
a?ae 25 o?aaiy 1997 ?ieo) ? ? o?aaiaioii ieaiiai? iaoeiai? ?iaioe
eaoaae?e oieoaeueii? o??o?a?? Oa?iii?enueei? aea?aeaaii? iaaee/ii?
aeaaeai?? ?i. ?.ss.Ai?aa/aanueeiai “Iiia?aaeaeaiiy oa e?eoaaiiy
i?neyiia?aoe?eieo o?iiaiaaii?aa?/ieo ? oiaieo oneeaaeiaiue a
aaaeii?iaeuei?e o??o?a??” (iiia? aea?aeaaii? ?a?no?aoe?? 0195U009228 ).

Iaoa aeine?aeaeaiiy. Iie?aueoe ?acoeueoaoe e?eoaaiiy oai?eo c o?ii?/iith
aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii, oeyoii
?ic?iaee iieac?a ? aeai?o iaoiae?a o??o?a?/iiai e?eoaaiiy c o?aooaaiiyi
aeoieaen-niiia?ao?/ieo e?eoa???a.

Aeey ?aae?caoe?? iaoe ie iinoaaeee ianooii? caaaeaiiy:

1. Ioe?ieoe aeinoia??i?noue oa ?ioi?iaoeai?noue oeueo?acaoeiaiai
aeoieaeniiai aia?ineaioaaiiy i?e o?ii?/ii?e aaiici?e iaaeinoaoiino?,
oneeaaeiai?e aino?ei o?iiaioeaa?oii.

2. Ooi/ieoe iiaeeeaino? oa e?eoa??? oeueo?acaoeiaiai aeoieaeniiai
aia?ineaioaaiiy i?e aeine?aeaeaii? ia?oi?aioieo aai o oai?eo c
o?ii?/iith aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei
o?iiaioeaa?oii.

3. Oaeineiiaeeoe ae?aaiinoe/io oaeoeeo o oai?eo c o?ii?/iith aaiiciith
iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii.

4. ?ic?iaeoe aeai?eoi e?eoaaeueii? oaeoeee o oai?eo c aino?ei
o?iiaioeaa?oii o caeaaeiino? a?ae aeaeo o?ii?/ii? aaiicii?
iaaeinoaoiino?.

5. Aeacaoe ia’?i oa iniaeeaino? o??o?a?/iiai e?eoaaiiy oai?eo c
o?ii?/iith aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei
o?iiaioeaa?oii ia iniia? aeaieo oeueo?acaoeiaiai aeoieaeniiai
aia?ineaioaaiiy.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa canoiniaaiee iaoiae
oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy i?e oae?e o?aaioi?e
iaoieia?? ye o?ii?/ia aaiicia iaaeinoaoi?noue, oneeaaeiaia aino?ei
o?iiaioeaa?oii.

Aia?oa a?aoiaioiaaii aeiaaaeaia iaiao?aei?noue ??ciiai ia’?io
iia?aoeaiiai ao?o/aiiy i?e aino?iio o?iiaioeaa?o? o oai?eo c aa?eeiciith
oai?iaith oa o oai?eo c i?neyo?iiaioeaa?oiith oai?iaith, yeee
aecia/a?oueny aeoieaen-niiia?ao?/ieie ae?aaiinoe/ieie e?eoa??yie.

?ic?iaeaiee niin?a aecia/aiiy iieac?a aei aeno?aaacaeueii? ei?aeoe??
eeaiai?a aeeaieeo aai (Ae?icae I.A. e niaao. Iaoaio ? 2114553, 1998), ui
aeicaieeei eiie?aoecoaaoe aea?? iaoiaeo e?eoaaiiy oai?eo ia o?ii?/io
aaiicio iaaeinoaoi?noue ieaei?o e?ioe?aie.

Aia?oa ?ic?iaeaii ? cai?iiiiiaaii a i?aeoeeo iaoiae ei?aeoe?? eeaiaiii?
iaaeinoaoiino? ia?oi?aioieo aai (Ae?icae I.A. ? ni?aaao. Cayaea ?
98105451 a?ae 19.10.98), ui aeaei iiaeeea?noue cia/ii iie?aueoe
?acoeueoaoe o??o?a?/iiai e?eoaaiiy o?ii?/ii? aaiicii? iaaeinoaoiino?,
oneeaaeiaii? aino?ei o?iiaioeaa?oii.

Iaa?oioiaaii oa cai?iiiiiaaii ??aaiue ? i?noea aeey iaeeaaeaiiy
aianoiiico i?e iia?aoe?? aaoiaaiiciiai iaaeeiiiiai ooiooaaiiy, yeei ?
i?ieneiaeueia /anoeia aaeeei? i?aeoe??ii? aaie o?aaeaii? e?ioe?aee
(Ae?icae I.A. ?aoe. i?aaeeiaeaiea ? 228 i?eiyoia ENNO ei.Aaeoeaaa,
1993), ui aeicaiey? oieeiooe oaoi?/ieo o?oaeiiu?a i?e aeae?eaii? oa
oi?ioaaii? aianoiiico ? iaeii/anii ?icaaioaaeeoe iaeaea? aaiici? nenoaie
— iiaa?oiaao oa aeeaieo.

Cai?iiiiiaai? aeoieaen-niiia?ao?/i? e?eoa??? aeai?o aeinooio A?oia?a aei
ae?ea aaeeei? i?aeoe??ii? aaie, ye? noai?ththoue iioeiaeuei? oiiae aeey
o??o?a?/ieo iai?ioeyoe?e ia naoaii-oaii?aeueiiio c’?aeiaii?.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Anoaiiaeaii aaaeeea?noue
aeeth/aiiy aei eiiieaeno ianoaaeaiiy oai?eo c o?ii?/iith aaiiciith
iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii oeueo?acaoeiaiai
aeoieaeniiai aia?ineaioaaiiy, yea iaiao?aeii i?iaiaeeoe aei aeeiiaiiy
o?aaioiiai iia?aoeaiiai ao?o/aiiy.

Aeiaaaeaii, ui aei??thaaiiy oeueo?acaoeiaei aeoieaeniei aia?ineaioaaiiyi
e?euee?nieo ia?aiao??a e?iaiieeio ii ia?oi?aioiei aaiai, aeicaiey?
aecia/eoe iieace aei ia?aa’ycee, ei??aeoe?? aai ooieoe?iiaeueiiai
caeeoaiiy ia?oi?aio?a.

Ia iniia? aeaieo oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy
noi?ioeueiaai? i?eioeeie o??o?a?/iiai e?eoaaiiy o?ii?/ii? aaiicii?
iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii: i?e aino?iio
o?iiaioeaa?o? ia oii? aa?eeicii? oai?iae oa ?aoeeaeeao aa?eeicii?
oai?iae onoaa?oueny naiee i?ioean aino?iai o?iiaioeaa?oo ? i?e/eie
aeieeiaiiy aa?eeicii? oai?iae oa ?aoeeaeeao aa?eeicii? oai?iae; i?e
aino?iio o?iiaioeaa?o? ia oii? i?neyo?iiaioeaa?oii? oai?iae onoaa?oueny
aino?ee o?iiaioeaa?o oa iie?auo?oueny aaiiciee a?aeieea e?ia? c
e?ioe?aee. I?e iaiiaeeeaino? iie?aueoe ia aeaiee iiiaio aaiiciee
a?aeieea — onoaa?oueny aino?ee o?iiaioeaa?o ia iia??ooth/e ?nioth/ee
eiiiainaoi?iee e?iaia?a.

I?e ??cieo oi?iao o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii?
aino?ei o?iiaioeaa?oii, iioeiaeueiei aeinooiii aei naoaii-oaii?aeueiiai
c’?aeiaiiy ? aeinooi ca A?oia?ii.

I?e aeeiiaii? ia?ao?aniiai noaaiiai-noaaiiaiai ooiooaaiiy iioeiaeueiei
i?noeai aeey iaeeaaeaiiy aianoiiico ? i?ieneiaeueia /anoeia aaeeei?
i?aeoe??ii? aaie o?aaeaii? e?ioe?aee.

Cai?iiiiiaaiee eiiieaen ee?i?ei-ae?aaiinoe/ieo aeine?aeaeaiue oa
iaoiae?a o??o?a?/iiai e?eoaaiiy o?ii?/ii? aaiicii? iaaeinoaoiino?,
oneeaaeiaii? aino?ei o?iiaioeaa?oii ai?iaaaeaeaii a noaeeiia
a?aeae?eaiiy Oa?iii?euenueei? iaeanii? ee?i?/ii? e?ea?i?, a noaeeiia
a?aeae?eaiiy Euea?anueei? iaeanii? ee?i?/ii? e?ea?i? oa o??o?a?/i?
a?aeae?eaiiy i?nueei? e?ea?i? ?1 oa ?2 i. Oa?iiiiey, Cae?ueoeueei? Oe?E
Oa?iii?euenueei? iaeano?.

Iniaenoee aianie caeiaoaa/a. Caeiaoaa/ai cae?eniaii ?ic?iaeo iniiaieo
oai?aoe/ieo ? i?aeoe/ieo iieiaeaiue ?iaioe. Naiino?eii i?iaaaeaii
oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy aaiicii? nenoaie o 162 oai?eo.
Naiino?eii i?ie?eiaaii oa i?iiia?iaaii 109 (67%) oai?eo. Aaoi?ii
i?iaaaeaii aiae?c ? ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiiy,
noi?ioeueiaaii on? iieiaeaiiy ? aeniiaee. O ioae?eaoe?yo, aeeiiaieo o
ni?aaaoi?noa?, iniiai? ?aea? oa ?ic?iaee iaeaaeaoue aaoi?ia?.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iniiai? iieiaeaiiy ?iaioe
aeeeaaeai? oa iaaiai?ai? ia i?aeia?iaei?e eiioa?aioe?? c aia?ieia??
(Iineaa,1995), ia ?aa?iiaeuei?e i?aeiaeani?e eiioa?aioe?? o??o?a?a
(??aia, 1997), ia can?aeaiiyo oiaa?enoaa o??o?a?a o Oa?iiiie?
(1998,1999), ia ni?eueiiio can?aeaii? eaoaae? oieoaeueii? o??o?a??,
oaeoeueoaonueei? o??o?a??, caaaeueii? o??o?a??, o??o?a?? OII,
iia?aoeaii? o??o?a?? c oiiia?ao?/iith aiaoii??th, aiaoii?? ethaeeie,
iie?ee?i?/ii? ni?aae, aeui? nano?einueei? ina?oe Oa?iii?euenueei?
aea?aeaaii? iaaee/ii? aeaaeai?? ?i. ?. ss. Ai?aa/aanueeiai
(Oa?iii?eue,1999).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 6 iaoeiaeo
i?aoeue. ?c ieo 4 noaoo? a oaoiaeo iaoeiaeo aeo?iaeao, ye? iiai?noth
a?aeia?aaeathoue ci?no i?iaaaeaiiai aeine?aeaeaiiy. Iaea?aeaii 1 iaoaio
ia aeiao?ae, 1 iiceoeaia ??oaiiy ia io?eiaiiy iaoaioo ia aeiao?ae,
io?eiaia 1 na?aeioeoai ia ?aoei?iiiceoe?th.

No?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 159 noi??ieao ?
neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 4 ?icae?e?a aeanieo
aeine?aeaeaiue, aiae?co ? ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiiy,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, iieaae/eea e?oa?aoo?e, yeee
aeeth/a? 222 aeaea?aea ?c ieo 77 ?iicaiieo. ?iaioa ?ethno?iaaia 30
oaaeeoeyie ? 29 ?enoieaie.

Iniiaiee ci?no ?iaioe

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. A iniiao ?iaioe iieeaaeaiee
aeina?ae ianoaaeaiiy oa e?eoaaiiy 162 oai?eo c o?ii?/iith aaiiciith
iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii. O 3 oai?eo
caoai?thaaiiy niinoa??aaeinue ia iaio ieaei?o e?ioe?aeao.

A?eueo?noue oai?eo aoee ae?iee – 120 (74,07%), /ieia?e?a aoei – 42
(25,93%). A?e iaoe?aio?a neeaaeaa a?ae 22 aei 74 ?ie?a.

O?eaae?noue o?ii?/ii? aaiicii? iaaeinoaoiino? o iaoe??io?a noaiiaeea
a?ae 6 i?nyoe?a aei 25 ?ie?a ? a?eueoa.

Aeaai?noue caoai?thaaiiy aino?ei o?iiaioeaa?oii c iiiaioo aeyaeaiiy
ia?oeo eiai iciae aei iinooieaiiy a o??o?a?/iee noaoe?iia? neeaea a?ae
iaei??? aei 24 aeiae. Iaea?eueoa e?euee?noue oai?eo iinooieea a ia??iae
c 2-? ii 5-oo aeiao, ui neeaei 105(63,6%) aeiaaee?a.

O a?eueoino? aeiaaee?a aino?ee o?iiaioeaa?o ii/eia?oueny c aii?eee –
109(66,1%) niinoa?aaeaiue.

Eiio?ieueio a?oio neeaei 53 oai?eo: 38 ae?iie oa 15 /ieia?e?a (71,7% oa
28,3% ) o a?oe? a?ae 24 aei 73 ?ie?a. Iaoe??ioe c eiio?ieueii? a?oie
iia?iaai? aei ai?iaaaeaeaiiy oeueo?acaoeiaiai aeoieaeniiai
aia?ineaioaaiiy.

Oai?ei iniiaii? a?oie i?iaiaeeee ee?i?/ia ianoaaeaiiy, oeueo?acaoeiaa
aeoieaenia aia?ineaioaaiiy oa ?io?aiia?aoe?eio ae?aaiinoeeo.

Oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy aeeiioaaeinue ia aia?aoao
Aloka 2000 (ssiii?y) oa SIM 7000 Chalenqe (?oae?y) c eieuei?iaei
eiaeoaaiiyi e?iaiieeio. Aeine?aeaeaiiy i?iaiaeeee ia?aae o?aaioiei
iia?aoeaiei ao?o/aiiyi oa i?ney iia?aoe??. Aeei?enoiaoaaany
ioeueoe/anoioiee aeao/ee, yeee i?aoeth? a ?aaeei? ?iioeueneaii?
aeiiea?ia?ao?? oa ia? /anoioo 5,0; 7,5; oa 10 IAoe, ui aeae?a?oueny a
caeaaeiino? a?ae aeeaeie ?ici?uaiiy aeine?aeaeoaaii? noaeeie.
Ianoaaeaiiy aaiicii? nenoaie i?iaiaeeee o aeaio iieiaeaiiyo oai?iai —
ai?eciioaeueiiio oa aa?oeeaeueiiio. I?ioyaii anueiai aeine?aeaeaiiy
a?coaeuei? aeai? aeiiiaithaaeenue ?acoeueoaoaie ooieoe?iiaeueieo i?ia,
aei yeeo a?aeiineoueny i?iaa Aaeuenaeueae, eiii?an?ei? i?iae oa
?i?oaoe?y ?iaioe i’ycaai-aaiicii? iiiie aii?eee.

?c aaiiaeeiai?/ieo ia?aiao??a e?iaiieeio aeine?aeaeaiiyi aecia/aeanue
e?i?eia oaeaee?noue, i?e??no e?i?eii? oaeaeeino? i?ney i?iae
Aaeuenaeueae, e?i?eia ?ao?ia?aaeia oaeaee?noue i?ney i?iae Aaeuenaeueae,
/an ?ao?ia?aaeiiai e?iaiieeio i?ney i?iae Aaeuenaeueae, ia’?iia
oaeaee?noue e?iaiieeio, ?ao?ia?aaeia oaeaee?noue e?ia? ii ia?oi?aioao
i?e i?ieneiaeuei?e eiii?an?? oa i?e ?iaio? i’ycaai-aaiicii? iiiie,
a?aenioie a?aeieeaa?ii? ii aai? e?ia? c e?ioe?aee, a?oa??i-aaiiciee
?iaeaen. Eiaeiiio oai?iio a iaia’yceiaiio ii?yaeeo i?iaiaeeee
aeine?aeaeaiiy ? eiio?eaoa?aeueii? ieaeiuei? e?ioe?aee.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy. I?e ae?aaiinoeoe?
o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii
OCAeAN aeyaeyee oa ioe?ithaaee: 1) i?io?aei?noue aeeaieeo aai, ?o
eeaiaiio aeinoaoi?noue oa ooieoe?th; 2) iaaeinoaoi?noue iiaa?oiaaeo aai,
?o eieae?caoe?th oa ooieoe?th; 3) iaaeinoaoi?noue ia?oi?aioieo aai, ?o
eieae?caoe?th oa ooieoe?th; 4) ??aaiue i?ieneiaeueii? iaae?
o?iiaioeaa?oo; 5) /e ? ia?ao?ae ia aeeaie? aaiici? iaa?no?ae?; 6) yea
aaia, noiaao? /e i?eoie, o?iiaiaai?; 7) yeee oa?aeoa? o?iiaico
(oeiooth/ee, ieethceaiee /e i?eno?ii/iee).

Aeei?enoiaoth/e aeoieaen-niiia?ao?/i? e?eoa??? o oai?eo c aino?ei
o?iiaioeaa?oii iaie ae?aaiinoiaaia aa?eeicia oai?iaa ia 116 (70,3%)
e?ioe?aeao, ?aoeeaeea aa?eeicii? oai?iae – ia 12 (7,3%) e?ioe?aeao,
i?neyo?iiaioeaa?oia oai?iaa ia 37 (22,4%) e?ioe?aeao.

Noiaao? aaeeei? aai iaei? i?aeoe??ieo aai a?aaeaany aino?ei
o?iiaioeaa?oii i?e aa?eeici?e oai?ia? o 99 (85,3%) aeiaaeeao, a i?e
i?neyo?iaioeaa?oi?e oai?ia? o?eueee o 9 (24,3%).

Ca aeaieie oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy aino?ee
o?iiaioeaa?o aei ae?ea aaeeei? aai iaei? i?aeoe??ieo aai ae?aaiinoiaaii
ia 36 (21,8%) e?ioe?aeao.

Ia?ao?ae aino?iai o?iiaico /a?ac naoaii-oaii?aeueia c’?aeiaiiy
(oeiooth/ee o?iiaic) oeueo?acaoeiaei aeoieaeniei aia?ineaioaaiiyi
ae?aaiinoiaaii ia 17 (10,3% ) e?ioe?aeao.

Iaa?aeiia?aei?noue i?ieneiaeueii? iaae? iiaa?oiaaiai o?iiaioeaa?oo a
ii??aiyii? c oeueo?acaoeiaei aeoieaeniei aia?ineaioaaiiyi a?aei?oeee ia
89 (53,9%) e?ioe?aeao, ui ni?aiaei c ?io?aiia?aoe?eieie aeaieie o 100%
aeiaaee?a.

Aaaeeeaa cia/aiiy oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy ia? i?e
ae?aaiinoeoe? caeeoaii? eoene aaeeei? i?aeoe??ii? aaie c i?eoieaie,
iniaeeai eiee a?aooaaoe, ui aeaio iaoieia?th a ?icaeoeo ?aoeeaeeao
aa?eeicii? oai?iae i?aeoe/ii ia iiaeeeai ae?aaiinooaaoe iaa?oue i?e
i?yiiio ?aioaaiieiio?anoiiio aeine?aeaeaii?. I?e oeueo?aniiia?ao?/iiio
aeine?aeaeaii? aaaeeeai a?aei?oeoe e?euee?noue, ae?aiao? oa ?ici?uaiiy
i?eae?eaaeo i?eoie?a eoene, aeiaaeeio, ae?aiao? oa ?ici?uaiiy naii?
eoene, aeeaeie caeyaaiiy ??, a oaeiae ioe?ieoe iiaeeea?noue
iia?aoe?eiiai i?aeoiaeo aei eoene a cii?, a?euei?e a?ae ?oaoeiaeo ci?i
iaaeie?oi?o oeaiei. A 3-o aeiaaeeao caeeoaii? eoene aaeeei? i?aeoe??ii?
aaie c i?eoieaie i?e ?aoeeaeea? aa?eeicii? oai?iae, i?iaaee aac
oaoi?/ieo o?oaeiiu?a aeae?eaiiy naoaii-oaii?aeueiiai c’?aeiaiiy,
ia?aa’yceo i?eoie?a oa ?acaeoe?th iaaeeeoeo eoene.

Aaaeeeaith eaieith a ae?aaiinoeoe? o?ii?/ii? aaiicii? iaaeinoaoiino? ?
aeyaeaiiy iaaeinoaoi?o ia?oi?aioieo aai. Anoaiiaeaii, ui oeueo?acaoeiaa
aeoieaenia aia?ineaioaaiiy ia? aenieo ae?aaiinoe/io ?ioi?iaoeai?noue o
aeyaeaii? iaaeinoaoi?o ia?oi?aioieo aai, ui neeaaea? 99,3%.

Iniaeeao oaaao i?eae?eyee aeyaeaiiio aino?iio o?iiaioeaa?oo ia oii?
i?neyo?iiaioeaa?oii? oai?iae. Na?aae ieo ia 16 (43,24%) e?ioe?aeao
ae?aaiinoiaaia aeia?a ?aeaiae?caoe?y, ia 6 (16,22%) – iiaaia
?aeaiae?caoe?y, ia 15 (40,54%) – ieethc?y iaa?no?ae? oi/a a a iaeiiio
naaiaio?.

Aaiiaeeiai?/i? ia?aiao?e e?iaiieeio o oai?eo c ??cieie oi?iaie o?ii?/ii?
aaiicii? iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii
i?aaenoaaeai? a oaaeeoe? 1. Aeei?enoiaoth/e oeueo?acaoeiaa aeoieaenia
aia?ineaioaaiiy, ioe?ithaaee ye eiaeiee naaiaio aaiiciiai ?onea, oae ?
aaiiaeeiai?/io ea?oeio aaiiciiai a?aeieeao c e?ioe?aee a oe?eiio, ui
aea? ae/a?iaio a?aeiia?aeue i?i iniaeeaino? o?ii?/ii? aaiicii?
iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii, ?iaeea?aeoaeueii o
eiaeiiai oai?iai.

Iia?aoeaia ao?o/aiiy i?iaiaeeee i?ney i?iaaaeaiiy oeueo?acaoeiaiai
aeoieaeniiai aia?ineaioaaiiy. Anueiai iia?iaaii 159 e?ioe?aie o 156
oai?eo.

Oaaeeoey 1.

Oeueo?aniiia?ao?/i? aaiiaeeiai?/i? ia?aiao?e o caei?iaeo ethaeae oa o
oai?eo c ??cieie oi?iaie o?ii?/ii? aaiicii? iaaeinoaoiino?, aneeaaeiaii?
aino?ei o?iiaioeaa?oii

M m (p < 0,001) Ii?ia I?neyo?iiaioeae/ia oai?iaaAeine?ae-aeoaaiee ia’?eoIieaciee(o caei?iaeo ethaeae)Aa?eeicia oai?iaaIeethc?y iaa?no?aeueii? aaieIiaaia ?aeaiae?caoe?y aaie?aeaiae?caoe?y aaieCaaaeueiaVl (ni/n)22.62.520.20.907.22.49.62.8noaaiiaa DVl (ni/n)6.30.26.00.2001.10.7aaiaVr (ni/n)011.44.803.10.85.72.2Tr (cee)00.370.1901.840.952.611.36Iiaa?o-Vl (ni/n)18.41.917.61.006.52.28.42.0iaaa DVl (ni/n)4.10.33.90.3000.90.5noaaiiaa Vr (ni/n)08.23.802.40.64.91.5aaiaTr (cee)00.290.1601.720.822.541.27Aeeaiea Vl (ni/n)16.51.816.00.906.10.28.02.1noaaiiaa DVl (ni/n)3.20.22.70.2000.70.4aaiaVr (ni/n)07.63.702.30.54.81.5Tr (cee)00.250.1401.620.392.010.57I?aeei- Vl (ni/n)12.41.510.61.203.81.85.62.2e?iiaDVl (ni/n)3.50.23.20.2000.40.2aaiaVr (ni/n)04.30.401.70.43.10.9Tr (cee)00.170.0901.810.572.110.84Caaei? -Vl (ni/n)6.41.25.91.0003.60.6aaeeeiDVl (ni/n)1.60.41.40.13001.00.5aii?eeia? Vr (ni/n)00001.50.6aaieTr (cee)00000.580.42 Vl (ni/n)6.91.66.21.422.52.116.31.810.11.6AaeeeaDVl (ni/n)1.70.41.20.32.11.53.51.75.82.3i?aeoe??iaVr (ni/n)015.69.25.31.87.12.610.23.5aaiaTr (cee)03.62.91.20.81.90.92.41.2Via (ie/oa)17.25.612.84.2116.76.272.46.854.57.4%158.283.649.533.2Iaaeeii- Vl (ni/n)0022.12.615.82.29.61.8ieeDVl (ni/n)000.50.30.90.41.20.6ia?ao?eVia (ie/oa)00110.28.365.18.545.29.1%0079.444.825.4E?ioe?aeaAA? (%)10.70.910.50.751.63.239.72.833.12.4Vl – e?i?eia oaeaee?noue; dVl – i?e??no e?i?eii? oaeaeeino? i?ney i?iae Aaeuenaeueae; Vr – e?i?eia ?ao?ia?aaeia oaeaee?noue i?ney i?iae Aaeuenaeueae; Tr– /an ?ao?ia?aaeiiai e?iaiieeio i?ney i?iae Aaeuenaeueae; Via – ia’?iia oaeaee?noue e?iaiieeio; % – a?aenioie e?ia? a?aeieeaa?ii? ii aai? c e?ioe?aee; AA? – a?oa??i-aaiiciee ?iaeaen. Ia’?i o??o?a?/ieo ao?o/aiue, aeeiiaieo o oai?eo c aa?eeiciith oai?iaith oa ?aoeaaeeaii aa?eeicii? oai?iae, oneeaaeiaieo aino?ei o?iiaioeaa?oii i?aaenoaaeai? a oaaeeoe? 2 . Aeinooi aei naoaii-oaii?aeueiiai c'?aeiaiiy canoiniaoaaee ca A?oia?ii, yeee aea? iiaeeea?noue iai?ioethaaoe ia noaeeiao iica ciiith e?ioioeyo?a oa e?ioiaoce?a, ye? i?e aino?iio o?iiaioeaa?o? /anoi aoyaioo? o caiaeueiee i?ioean, a ?o ooeiaeaeaiiy aaaea aei aeiaaio?eaaei? no?eei? e?ioi?a? oa iiaeeeaiai iaaii?iiy i?neyiia?aoe?eii? ?aie. I?e o?iiaicao aei ae?ea noiaao??a i?aeoe??ieo aai oa oeiooth/eo o?iiaicao iaiao?aeii aeinyaoe aeaeaeaiiy o?iiaioe/ieo ian c naiiai ae?ea oa iiyaith aaeaeaaoiiai e?iaiieeio ?c aeeaieeo iaa?no?aeae, ui cia/ii i?ino?oa oa iaae?ei?oa ciath/e oi/io eieae?caoe?th o?iiaioe/iiai i?ioeano. Oaaeeoey 2. Ia’?i o??o?a?/ieo ao?o/aiue o oai?eo c aa?eeiciith oai?iaith oa ?aoeeaeeaii aa?eeicii? oai?iae, oneeaaeiaieo aino?ei o?iiaioeaa?oii. Aeae OAIIa’?i iia?aoe??E-oue e?ioe?aieO?-O? + o?iiaaeoii?y c noaaiiai? aaie + aaiaeoii?y vena saphena magna et parva + ii. Eieeaoa.8O?-O? + o?iiaaeoii?y c noaaiiai? aaie + aaiaeoii?y vena saphena magna + ii. Eieeaoa + ii. E?ioiia2Aa?eeicia oai?iaaO?-O? + o?iiaaeoii?y c noaaiiai? aaie +aaiaeoii?y vena saphena magna + ii. Eieeaoa.7O?-O? + aaiaeoii?y vena saphena magna et parva + ii. Eieeaoa + ii. E?ioiia10O?-O? + aaiaeoii?y vena saphena magna et parva + ii. Eieeaoa 12O?-O? + ei??aeoe?y eeaiai?a noaaiiai? aaie + aaiaeoii?y vena saphena magna et parva + ii. Eieeaoa 32O?-O? + aaiaeoii?y vena saphena magna + ii. Eieeaoa42O?-O? + aaiaeoii?y vena saphena magna + ii. Eieeaoa1O?-O? + aeaeaeaiiy o?iiaiaaiiai i?eoieo1?aoeeaeea O?-O? + ii.Eieeaoa2aa?eeicii?Aaiaeoii?y vena saphena parva1oai?iaeEi??aeoe?y eeaiai?a noaaiiai? aaie + aaiaeoii?y vena saphena parva + ii. Eieeaoa3Ei??aeoe?y eeaiai?a noaaiiai? aaie + ii. Eieeaoa + aeaeaeaiiy eiiaeiia?ao? aai4Anueiai125 O?-O? – iia?aoe?y O?iyiiaa-O?aiaeaeaiao?aa Iniaeeao oaaao i?eae?eyee aeyaeaiei iaaeinoaoi?i ia?oi?aioiei aaiai. Ei?aeoe?th ?ao?ia?aaeiiai neeaeo e?ia? ii iei i?iaiaeeee ia iniia? aeoieaen-niiia?ao?/ieo aaiiaeeiai?/ieo ia?aiao??a e?iaiieeio (Ae?icae I.A. ? ni?aaao. Cayaea ? 98105451 a?ae 19.10.98). Ei?aeoe?th eeaiai?a aeeaieeo aai i?iaiaeeee ia iaea?eueo cia/ei?e, c aaiiaeeiai?/ii? oi/ee ci?o, ae?eyioe? – ia noaaiia?e aai?. I?e ?ici?uaii? ia?oiai eeaiaio a iiaa?oiaa?e noaaiia?e aai?, aeeae/a ye 1 ni aei a?oo?eaoe??, aeno?aaacaeueia ei?aeoe?y eeaiaio aoaeoo ia aea?, ine?eueee iaiiaeeeai aaeaeaaoii caoiieoe a ni??aeue aanue eeaiai, ui i?eaaaea aei caa?aaeaiiy ?aoetheno e?ia?. A oaeeo aeiaaeeao i?iaiaeeee ?io?aaacaeueio ei?aeoe?th eeaiaio ii E?noia?o. I?neyiia?aoe?eiee aeoieaeniee eiio?ieue i?aeoaa?aeea i?aaeeuei?noue oaeiai i?aeoiaeo – ?ao?ia?aaeiee ?aoethen e?ia? ii aeeaieeo aaiao ?c nei?aaiaaieie eeaiaiaie ia a?aei?/aee. I?e i?neyo?iiaioeaa?oi?e oai?ia?, oneeaaeiai?e aino?ei o?iiaioeaa?oii, iia?aoeaia ao?o/aiiy aoei ni?yiiaaia ia onoiaiiy aino?iai o?iiaioeaa?oo oa iie?auaiiy aaiiciiai a?aeieeao e?ia? c e?ioe?aee. I?e iaiiaeeeaino? ia aeaiee iiiaio iie?aueoe aaiiciee a?aeieea noaaeeanue iaoa ia iia??oeoe aaea ?nioth/ee eiiiainaoi?iee e?iaia?a. Ia’?i o??o?a?/ieo ao?o/aiue, aeeiiaieo o oai?eo c ??cieie oi?iaie i?neyo?iiaioeaa?oii? oai?iae, oneeaaeiaii? aino?ei o?iiaioeaa?oii, i?aaenoaaeai? a oaaeeoe? 3. Oaaeeoey 3. Ia’?i o??o?a?/ieo ao?o/aiue o oai?eo c i?neyo?iiaioeaa?oiith oai?iaith, oneeaaeiaiith aino?ei o?iiaioeaa?oii. IOOOIa’?i iia?aoe??E-oue e?ioe?aieAeia?a ?aeaiae?caoe?y O?-O? + aaiaeoii?y vena saphena magna et parva + ii. Eieaoa + ii. E?ioiia9iaa?no?ae?O?-O? + aaiaeoii?y vena saphena magna et parva + ii. Eieeaoa + ii. E?ioiia + aeenoaeueia ?acaeoe?y caaei?o a?eueoa aii?eeiaeo aai7Iiaaia ?aeaiae?caoe?y O?-O? + aaiaeoii?y vena saphena magna + ii. Eieeaoa3iaa?no?ae?Aaoiaaiicia iaaeeiiia ooiooaaiiy + eieaeueia aeaeaeaiiy o?iiaiaaieo aai + ii. E?ioiia3Ieethc?y Eieaeueia aeaeaeaiiy o?iiaiaaieo aai8iaa?no?ae?Aaoiaaiicia iaaeeiiia ooiooaaiiy + eieaeueia aeaeaeaiiy o?iiaiaaieo aai4ANUeIAI:34O?-O? – iia?aoe?y O?iyiiaa-O?aiaeaeaiao?aa I?e iiai?e oi?io?e ?aeaiae?caoe?? aeeaieeo aai i?iaiaeeee ?aaeeeaeueio aaiaeoii?th aaeeei? ? iaei? i?aeoe??ieo aai ?acii c aeaeaeaiiyi o?iiaiaaieo i?aeoe??ieo aai oa ia?aa'yceo ia?oi?aioieo aai. O aeiaaeeao, aea niinoa??aaany neeae e?ia? ii caaei?o aaeeeiaii?eeiaeo aaiao iia?aoe?th aeiiiaithaaee i?iaaaeaiiyi aeenoaeueii? ?acaeoe?? caaei?o aaeeeiaii?eeiaeo aai. I?e iaaeinoaoi?e, iiaai?e ?aeaiae?caoe?? aeeaieeo aai c o?aaeaiiyi o?eueee aii?eeiai-noaaiiaiai naaiaioo i?iaiaeeee ?aaeeeaeueio aaiaeoii?th aaeeei? i?aeoe??ii? aaie oa ia?aa'yceo ia?oi?aioieo aai. I?e iiaai?e ?aeaiae?caoe?? ua e eeoaiaiai naaiaioo - i?iaiaeeee eieaeueia aeaeaeaiiy o?iiaiaaii? ae?eyiee aaie, ia?aa'yceo ia?oi?aioieo aai Eieeaoa oa aaoiaaiicia iaaeeiiia ooiooaaiiy. Aeaeaeyoe aaeeeo i?aeoe??io aaio ia ?aeiiaiaeo?ii, ine?eueee, iaa?oue ei?aaiaaia i'ycaai-aaiicia iiiia aii?eee aoaea ia a nee? i?iionoeoe e?ia ii iiaaii ?aeaiae?ciaaiiio noaaiiaiio, a iio?i ua e ii iiaaii ?aeaiae?ciaaiiio (oiaoi c a?eueoei iii?ii) eeoaiaiio naaiaioao. Aaeeea i?aeoe??ia aaia a aeaiiio aeiaaeeo a?ae?a?a? ?ieue iaiao?aeii? eiiiainaoi?ii? eieaoa?ae?, ui iie?auo? aaiiciee a?aeieea c e?ioe?aee. I?e aino?iio o?iiaioeaa?o? ia oii? ieethc?? aii?eeiai-noaaiiaiai naaiaioo aeeiioaaee eieaeueia aeaeaeaiiy o?iiaiaaii? ae?eyiee aaie. sseui ieethc?y iaa?no?ae? a?aei?/aeany a eeoaiaiio naaiaio? - iia?aoe?th aeiiiaithaaee aeeiiaiiyi aaoiaaiiciiai iaaeeiiiiai ooiooaaiiy. Ia?oi?aioi? aaie aeae?eyee ?c ie?aieo i?eoe?eueieo ?icoei?a iaae ia?oi?aioiith aaiith, ?ici?uaiiy yei? oa iieace aei iia?aoe?? aecia/aeenue ca aeiiiiiaith oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy. Na?aae ooiooth/eo iia?aoe?e i?e i?neyo?iiaioeaa?oi?e oai?ia? i?iaiaeeee ia?ao?ania noaaiiai-noaaiiaa ooiooaaiiy. Aeey oi?ioaaiiy aianoiiico aeei?enoiaoaaee i?ieneiaeueio /anoeio aaeeei? i?aeoe??ii? aaie o?aaeaii? e?ioe?aee, ine?eueee a aeai?e ae?eyioe? ? iaea?eueoee ia'?i e?ia? c nenoaie iiaa?oiaaeo oa aeeaieeo aai /a?ac iani?iiiaei?noue ino?aeueiiai eeaiaio. Iaeeaaeaiiy ae aianoiiico c iao?aaeaiith o?iiaicii aaiith oaoi?/ii i?ino?oa oa ia iio?aao? i?iaaaeaiiy ana?aaeei? i?ina?oieo iai?ioeyoe?e. I?neyiia?aoe?ei? oneeaaeiaiiy a iniiai?e oa eiio?ieuei?e a?oiao i?aaenoaaeaii a oaaeeoe? 4. Oaaeeoey 4. I?neyiia?aoe?ei? oneeaaeiaiiy a iniiai?e oa eiio?ieuei?e a?oiao. OneeaaeiaiiyEiio?ieueia a?oiia (53 e?ioe?aee)Iniiaia a?oiia (159 e?ioe?aie)E?euee?noueA %E?euee?noueA %Aiaie?y i?eeeo a?oie eaaaiaai? a?oa???11,9––O?iiaic aeeaieeo aai23,8––E?aeiaee iae?ic oe??ii oanoe?aeueieo eineoo?a (i?ney iia?aoe?? E?ioiia) 2 3,8 – –E?a?aee iae?ic oe??e35,710,6E?ioi?ay23,8––Aaiaoiie11,9––Iaaii?iiy i?neyiia?aoe?eii? ?aie23,810,6Aaoeoa ia iia?iaai?e e?ioe?aoe?11,9–– O a?aeaeaeai? no?iee i?ney iia?aoe?? (aei 4-o ?ie?a) ianoaaeaii 148 (93%) oai?eo iniiaii? a?oie oa 47 (89%) oai?eo c eiio?ieueii? a?oie, an?i ?i i?iaiaeeeenue eiio?ieuei? oeueo?acaoeia? aeoieaeni? aia?ineaioaaiiy. A on?o oai?eo iniiaii? a?oie, ui aoee iia?iaai? ia oii? aa?eeicii? oai?iae oa ?aoeeaeeao aa?eeicii? oai?iae, aoee a?aei?/ai? aeia?? a?aeaeaeai? ?acoeueoaoe, i? a iaeiiio aeiaaeeo iaie ia niinoa??aaeinue ?aoeeaeeao aa?eeicii? oai?iae oa iiyae o?io?/ieo ii?ooaiue oe??e. Aeia?? ?acoeueoaoe aoee a?aei?/ai? ? a on?o oai?eo, ui ia?aianee iaaeeiiia aaoiaaiicia ooiooaaiiy, o?iiaico ooioa ia aoei a?aei?/aii i? a iaeiiio aeiaaeeo. ? o?eueee o aeanyoe oai?eo c i?neyo?iiaioeaa?oiith oai?iaith a?aei?/aii caaeia?euei? ?acoeueoaoe. O 4 (8,51%) oai?eo ?c eiio?ieueii? a?oie a?aei?/aiee ?aoeeaeea aa?eeicii? oai?iae, yeee aoa iia'ycaiee ?c iaei?aaiaaiith iaaeinoaoi?noth ia?oi?aioieo aai aii?eee. Oaeei /eiii, ooieoe?iiaeueii-aiaoii?/i? i?eioeeie aecia/aiiy oaeoeee oa iaoiae?a o??o?a?/iiai e?eoaaiiy o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii, caniiaai? ia oeueo?acaoeiaiio aeoieaeniiio aia?ineaioaaii?, aeicaieeee aeiaeoenue 93,2 % aeia?eo ?acoeueoao?a, nooo?ai cieceoe e?euee?noue i?neyiia?aoe?eieo oneeaaeiaiue oa nei?ioeoe oa?i?i e?eoaaiiy. Aeniiaee 1. Oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy ? iioeiaeueiei, ia?iaaceaiei iaoiaeii ianoaaeaiiy oai?eo c o?ii?/iith aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii, ae?aaiinoe/ia ?ioi?iaoeai?noue yeiai nyaa? 99,3%. 2. Aei??thaaiiy e?euee?nieo ia?aiao??a e?iaiieeio ii ia?oi?aioiei aaiai, aeicaiey? aecia/eoe iieace aei ei?aeoe??, ia?aa'ycee aai ooieoe?iiaeueiiai caeeoaiiy ia?oi?aio?a. 3. Oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy aeeiio?oueny oai?ei c o?ii?/iith aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii ia?aae i?iaaaeaiiyi o?aaioiiai iia?aoeaiiai ao?o/aiiy. 4. I?e aino?iio o?iiaioeaa?o? ia oii? aa?eeicii? oai?iae oa ?aoeeaeeao aa?eeicii? oai?iae o??o?a?/iei oeyoii onoaa?oueny naiee i?ioean aino?iai o?iiaioeaa?oo ? i?e/eie aeieeiaiiy aa?eeicii? oai?iae oa ?? ?aoeeaeeao. 5. I?e aino?iio o?iiaioeaa?o? ia oii? i?neyo?iiaioeaa?oii? oai?iae o??o?a?/ia e?eoaaiiy iai?aaeaia ia onoiaiiy aino?iai o?iiaioeaa?oo oa iie?auaiiy aaiiciiai a?aeieeao e?ia? c e?ioe?aee. I?e iaiiaeeeaino? iie?aueoe ia aeaiee iiiaio aaiiciee a?aeieea noaaeoueny iaoa e?ea?aeoaaoe aino?ee o?iiaioeaa?o, ia iia??ooth/e aaea ?nioth/ee eiiiainaoi?iee e?iaia?a. 6. Ia’?i oa iniaeeaino? o??o?a?/iiai e?eoaaiiy oai?eo c o?ii?/iith aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii, caeaaeaoue a?ae aeyaeaieo oeueo?acaoeiaei aeoieaeniei aia?ineaioaaiiyi oiiia?aoi-ooieoe?iiaeueieo ci?i aaiicii? nenoaie ieaei?o e?ioe?aie. I?aeoe/i? ?aeiiaiaeaoe??. 1. Oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy aeioe?eueii i?iaiaeeoe a aeaio iieiaeaiiyo - nii/aoeo a ai?eciioaeueiiio, iio?i a aa?oeeaeueiiio, oa aeiiiaithaaoe aeine?aeaeaiiy aeeiiaiiyi ooieoe?iiaeueieo i?ia, a naia: i?iae Aaeuenaeueae, eiii?an?eieie oa iaiaeaoi/ieie i?iaaie, ?i?oaoe??th ?iaioe i'ycaai-aaiicii? iiiie aii?eee. 2. Aeey aecia/aiiy iieac?a aei aeno?aaacaeueii? ei?aeoe?? eeaiai?a noaaiiai? aaie i?e ?o iaaeinoaoiino? i?ae /an oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy iaiao?aeii i?iaanoe iaiaeaoi/io i?iao a ae?eyioe? a?coae?ciaaiiai iaaeinoaoiueiai eeaiaio oa iiaoi?eoe i?iao Aaeuenaeueae. I?e cieeiaii? ?ao?ia?aaeii? oaee? aeaiee eeaiai i?aeeyaa? aeno?aaacaeuei?e ei?aeoe??. 3. I?e ??cieo oi?iao o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii, iioeiaeueiei aeinooiii aei naoaii-oaii?aeueiiai c'?aeiaiiy ? aeinooi ca A?oia?ii, aeiaaeeia oa aenioa i?iaaaeaiiy ?icoeio iaae iaoiaith ca'yceith yeiai aecia/a?oueny ca aeiiiiiaith oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy oa caeaaeeoue a?ae aeeaeie, aenioe oa aiaoii?/ieo iniaeeainoae aiaae?iiy aaeeei? i?aeoe??ii? aaie a noaaiiao aaio. 4. I?e aino?iio o?iiaioeaa?o? ia oii? iiaii?, aeia?i? ?aeaiae?caoe?? aeeaieeo aai i?iaiaeeoueny ?aaeeeaeueia aaiaeoii?y aaeeei? ? iaei? i?aeoe??ieo aai oa aeenoaeueia ?acaeoe?y caaei?o aaeeeiaii?eeiaeo aai. 5. I?e aino?iio o?iiaioeaa?o? ia oii? iaaeinoaoiuei?, iiaaii? ?aeaiae?caoe?? c o?aaeaiiyi aii?eeiai-noaaiiaiai naaiaioo i?iaiaeeoueny ?aaeeeaeueia aaiaeoii?y oa ia?aa'ycea ia?oi?aioieo aai. I?e iiaai?e ?aeaiae?caoe?? ua e eeoaiaiai naaiaioo - i?iaiaeeoueny eieaeueia aeaeaeaiiy o?iiaiaaii? ae?eyiee aaie, ia?aa'ycea ia?oi?aioieo aai Eieeaoa oa aaoiaaiicia iaaeeiiia ooiooaaiiy. 6. I?e aino?iio o?iiaioeaa?o? ia oii? ieethc?? aii?eeiai-noaaiiaiai naaiaioo aeeiio?oueny eieaeueia aeaeaeaiiy o?iiaiaaii? ae?eyiee aaie. sseui ieethc?y iaa?no?ae? a?aei?/a?oueny a eeoaiaiio naaiaio? - iia?aoe?y aeiiiaith?oueny aeeiiaiiyi aaoiaaiiciiai iaaeeiiiiai ooiooaaiiy. 7. Ia?aae iia?aoe??th aaoiaaiiciiai iaaeeiiiiai ooiooaaiiy oeueo?acaoeiaei aeoieaeniei aia?ineaioaaiiyi aecia/athoueny ae?aiao?e oa ooieoe?y i?aeoe??ieo aai c iaoith aeai?o iaee?auiai aa??aioo ieaiiaaiiai ooiooaaiiy. Iioeiaeueiei i?noeai aeey iaeeaaeaiiy aianoiiico i?e aeeiiaii? ia?ao?aniiai noaaiiai-noaaiiaiai ooiooaaiiy ? i?ieneiaeueia /anoeia aaeeei? i?aeoe??ii? aaie o?aaeaii? e?ioe?aee, yea aeicaiey? oieeiooe oaoi?/ieo o?oaeiiu?a i?e aeae?eaii? oa iaeeaaeaii? aianoiiico ? iaeii/anii ?icaaioaaeeoe iaeaea? aaiici? nenoaie - iiaa?oiaao oa aeeaieo. NIENIE ?IA?O, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe?? 1. Ae?icae I.A. Aea?? ia'?io iia?aoeaiiai e?eoaaiiy oai?eo ?c o?ii?/iith aaiiciith iaaeinoaoi?noth, oneeaaeiaiith aino?ei o?iiaioeaa?oii // Oieoaeueia o??o?a?y.– 1999.– ? 1.– N. 70-74. 2. Aaiaa? ?.E., Ae?icae I.A. Iiia?aaeaeaiiy ?aoeeaeeao aa?eeiciiai ?icoe?aiiy aai i?ney naoaiaeoii?e // Oieoaeueia o??o?a?y.– 1998.– ? 2.– N. 71-72. 3. Iaoiaaiac o?ioe/aneeo ?anno?ienoa i?e aa?eeiciie e iinoo?iiaioeaaeoe/aneie aieaciyo / Aiaaeaiia A.A., Cieioooei E.A., Eaaaaeaa A.N., Ae?icae I.A. // A?oaeiay e na?aea/ii-ninoaeenoay oe?o?aey.– 1993.– ?1.– N.28-32. 4. Iaeioi?ua aii?inu oeaaioe?o?aee a naaoa oaeoaeaiiuo ciaiee aiaoiiee aaiiciiai ?onea ieaeieo eiia/iinoae/ Eiinoaioeiiaa A.Ae., Aiaaeaiia A.A., Ae?icae I.A., Aeoa?ianeee A.A., Eaaaaeaa A.N., Cieioooei E.A // Oe?o?aey.- 1994.- ?3.- N.49-53. 5. Iaoaio ? 2114553 ?inneeneie Oaaea?aoeee, IEE 6 A 61 A 5/02. Niinia ii?aaeaeaiey iieacaiee e yeno?aaacaeueiie ei??aeoeee eeaiaiia aeoaieeo aai i?e o?iie/aneie aaiiciie iaaeinoaoi/iinoe / Ee?eaiei A.E., Aiaa/aa A.TH., AiaaeaiiaA.A., Coaa?aa A.?., Ae?icae I.A.- ? 94034749/14 ; Cayae. 12.09.94; Iioae. 10.07.98, Athe. ? 19. 6. Cayaea ? 98105451; IEE 6 A 61 A 17/12, 6 A 61 L 17/00. Niin?a iiia?aaeaeaiiy ?aoeeaeeao aa?eeiciiai ?icoe?aiiy aai i?ney naoaiaeoii?e / Eiaaeue/oe E.ss., Aaiaa? ?.E., Ae?icae I.A. - Cayae. 19.10.98, iiceoeaia ??oaiiy i?i aeaea/o iaoaioo a?ae 11.03.99. 7. Yienneiiiay eiiiuethoa?iay oiiia?aoey aaiiciiai ?onea ieaeieo eiia/iinoae a aeeaaiinoeea o?iie/aneie aaiiciie iaaeinoaoi/iinoe/ Ea?aeeei A. A., Aeueaeoeeee A. A., Aiaa/?a A. TH., Cieioooei E.A., Ae?icae I.A. // Oacenu aeieeaaeia iaaeaeoia?iaeiie eiioa?aioeee "Iiaua iai?aaeaiey a aiaeieiaee e ninoaeenoie oe?o?aee". – Iineaa, 1995. – N.16. 8. Neiiaa?nueeee E.A., Ae?icae I.A., Aaeae A.?. Canoinoaaiiy i?aia?aoo Aiaeioaeii i?e aino?iio o?iiaioeaa?o? i?aeoe??ieo aai ieaei?o e?ioe?aie // Ca??iee noaoae ii iaoa??aeao iaoeiai-i?aeoe/ieo eiioa?aioe?e c aeina?aeo canoinoaaiiy i?aia?ao?a o??ie ”Sanofi”.- ??aia:Aa?oaen.-1997.- N.68-70. 9. Oaeinoiaa?aiea ia ?aoeeiiaeecaoi?neia i?aaeeiaeaiea ? 228. Iiaeeoeeaoeey iia?aoeee ia?ae?anoiiai aaae?aiii-aaae?aiiiai ooioe?iaaiey n eniieueciaaieai a ea/anoaa ianoa aeey aiinoiiica naoaii-oaii?aeueiia nionouea ii?aaeaiiie eiia/iinoe / Ae?icae I.A.- I?eiyoia ENNO ei.Aaeoeaaa io 05.03.93. AIIOAOe?ss Ae?icae I.A. Aeoieaen-niiia?ao?/i? e?eoa??? o aecia/aii? iieac?a oa aeai?? iaoiae?a o??o?a?/iiai e?eoaaiiy o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.03 - o??o?a?y.- Oa?iii?euenueea aea?aeaaia iaaee/ia aeaaeai?y ?i.?.ss.Ai?aa/aanueeiai, Oa?iii?eue, 1999. Aeena?oaoe?th i?enay/aii aeai?o oaeoeee oa ia’?io iia?aoeaiiai e?eoaaiiy o?ii?/ii? aaiicii? iaaeinoaoiino?, oneeaaeiaii? aino?ei o?iiaioeaa?oii ia iniia? oeueo?acaoeiaiai aeoieaeniiai aia?ineaioaaiiy (OCAeAN). Noi?ioeueiaai? ianooii? i?eioeeie o??o?a?/iiai e?eoaaiiy aeaii? iaoieia??. I?e aino?iio o?iiaioeaa?o? ia oii? aa?eeicii? oai?iae oa ?aoeeaeeao aa?eeicii? oai?iae onoaa?oueny naiee i?ioean aino?iai o?iiaioeaa?oo oa i?e/eie aeieeiaiiy aa?eeicii? oai?iae oa ?aoeeaeeao aa?eeicii? oai?iae. I?e aino?iio o?iiaioeaa?o? ia oii? i?neyo?iiaioeaa?oii? oai?iae onoaa?oueny aino?ee o?iiaioeaa?o oa iie?auo?oueny aaiiciee a?aeieea e?ia? c e?ioe?aee; i?e iaiiaeeeaino? iie?aueoe ia aeaiee iiiaio aaiiciee a?aeieea - onoaa?oueny aino?ee o?iiaioeaa?o ia iia??ooth/e ?nioth/ee eiiiainaoi?iee e?iaia?a. Ianoaaeaiiy ? o??o?a?/ia e?eoaaiiy oai?eo i?iaiaeeeinue a o?aaioiiio ii?yaeeo. Ia'?i iia?aoeaiiai e?eoaaiiy caeaaeaa a?ae aeyaeaieo OCAeAN oiiia?aoi-ooieoe?iiaeueieo iaoieia?/ieo ci?i o aaiiciiio ?one?. Eeth/ia? neiaa: o?ii?/ia aaiicia iaaeinoaoi?noue, aino?ee o?iiaioeaa?o, oeueo?acaoeiaa aeoieaenia aia?ineaioaaiiy. SUMMARY Drozd O.V. Duplex - Sonographic Criteria in Identificating Indications and Choosing Methods of Sorgical Treatmen in Chronic Venous Insufficiency, Complicated dy Acute Thrombophlebitis. - Manuscript. The scentific work for a Master’s Degree in speciality 14.01.03 - Surgery.- I.Ya. Horbachevsky State Medical Academy, Ternopil, 1999. The scientific worc deals with the problem of Choosing methods and volume of the surgical treating venous insufficiency, complicated by acute thrombophlebitis via ultrasound - duplex angioscaning (USDAS). There were formulated the follouring principles of the surgical treating this pathology. In acute thrombophlebitis against a background of venous diseas and its relaps the process of acute thrombophlebitis itself and the causes of varicose appearance and relaps are eliminated. In acute thrombophlebitis against a background of postthrombopflebitis diseas acute thrombophlebitis is eliminated and the venous revers current from the leg is improved; if it is found impossible to improve the venous revers current - acute thrombophlebitis is eliminated without deterioration of the existing compensatory circulation. Patients medical examination and surgical treatment were carried out urgently. The volum of the surgical intervention depended upon topographic and functional pathologic changes in the venous blood determined by USDAS. Key words: chronic venous insufficiency, acute thrombophlebitis, ultrasound duplex angioscanning. AIIIOAOeEss Ae?icae I.A. Aeoieaen-niiia?aoe/aneea e?eoa?ee a ii?aaeeeaiee iieacaiee e auai?a iaoiaeia oe?o?ae/aneiai ea/aiey o?iie/aneie aaiiciie iaaeinoaoi/iinoe, ineiaeiaiiie ino?ui o?iiaioeaaeoii.- ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.03 - oe?o?aey.- Oa?iiiieueneay ainoaea?noaaiiay iaaeeoeeineay aeaaeaiey ei.E.ss.Ai?aa/aaneiai, Oa?iiiieue, 1999. Aeenna?oaoeey iinayuaia ii?aaeaeaieth oaeoeee e iaueaia iia?aoeaiiai ea/aiey o?iie/aneie aaiiciie iaaeinoaoi/iinoe, ineiaeiaiiie ino?ui o?iiaioeaaeoii ia iniiaaiee oaeiai iaoiaea ianeaaeiaaiey eae oeueo?acaoeiaia aeoieaeniia aiaeineaie?iaaiea (OCAeAN). A ?acoeueoaoa enneaaeiaaiey onoaiiaeaii, /oi ana aieueiua n o?iie/aneie aaiiciie iaaeinoaoi/iinoueth, ineiaeiaiiie ino?ui o?iiaioeaaeoii iiaeeaaeao iaiaaeeaiiie ainieoaeecaoeee ia caaeneii io eieaeecaoeee o?iiaioe/aneiai i?ioeana. Iioeiaeueiui iaoiaeii ianeaaeiaaiey aeaiiuo aieueiuo anoue oeueo?acaoeiaia aeoieaeniia aiaeineaie?iaaiea, eioi?ia eiaao aunieoth aeeaaiinoe/aneoth eioi?iaoeaiinoue a ioeaiea eae o?iie/aneie aaiiciie iaaeinoaoi/iinoe, oae e ino?iai o?iiaioeaaeoa. Aeaiiia enneaaeiaaiea iaiaoiaeeii i?iaiaeeoue a aeaoo iieiaeaieyo aieueiiai - nia/aea a ai?eciioaeueiii, iioii a aa?oeeaeueiii, e aeiiieiyoue aai i?iaaaeaieai ooieoeeiiaeueiuo i?ia. Iaie ooi/iaiu e nei??aae?iaaiu aeoieaen-niiia?aoe/aneea e?eoa?ee i?e enneaaeiaaiee aeoaieeo, iiaa?oiinoiuo e ia?oi?aioiuo aai o aieueiuo o?iie/aneie aaiiciie iaaeinoaoi/iinoueth, ineiaeiaiiie ino?ui o?iiaioeaaeoii. Ianeaaeiaaiea e oe?o?ae/aneia ea/aiea aieueiuo inouanoaeyeinue a o?aaioiii ii?yaeea. Onoaiiaeaii, /oi ino?ue o?iiaioeaaeo iiaa?oiinoiuo aai aicieeaao eae o aieueiuo n aa?eeiciie aieaciueth, oae e o aieueiuo n iinoo?iiaioeaaeoe/aneie aieaciueth. I?e ino?ii o?iiaioeaaeoa ia oiia aa?eeiciie aieacie e ?aoeeaeeaa aa?eeiciie aieacie iia?aoeaiui ea/aieai ono?aiyeny ino?ue o?iiaioeaaeo e i?e/eiu aicieeiiaaiey aa?eeiciie aieacie e ?aoeeaeeaa aa?eeiciie aieacie. I?e ino?ii o?iiaioeaaeoa ia oiia iinoo?iiaioeaaeoe/aneie aieacie iaeiia?aiaiii iia?aoeaiui iooai ono?aiyeny ino?ue o?iiaioeaaeo e oeo/oaeny aaiiciue iooie e?iae ec eiia/iinoe. I?e iaaiciiaeiinoe ia aeaiue iiiaio oeo/oeoue aaiiciue iooie ec eiia/iinoe, ono?aiyeny ino?ue o?iiaioeaaeo, ia oooaeoay eiiiainaoi?iia e?iaiia?auaiea. Iaueai oe?o?ae/aneiai ea/aiey caaenee io auyaeaiiuo i?e oeueo?acaoeiaii aeoieaeniii aiaeineaie?iaaiee oiiia?aoi-ooieoeeiiaeueiuo iaoieiae/aneeo eciaiaiee a aaiiciie nenoaia ii?aaeaiiie ieaeiae eiia/iinoe. ?ac?aaioai niinia ii?aaeaeaiey iieacaiee e ei??aeoeee eeaiaiiie iaaeinoaoi/iinoe aeoaieeo aai n eniieueciaaieai iaiaeaoi/iie i?iau i?e auiieiaiee oeueo?acaoeiaiai aeoieaeniiai aiaeineaie?iaaiey. I?aaeeiaeai e iainiiaai iiaeoiae e ei??aeoeee, ia?aaycea eee ooieoeeiiaeueiiai inoaaeaiey ia?oi?aioiuo aai ia iniiaaiee eiee/anoaaiiuo aeaiuo ia?aiao?ia e?iaioiea ii iei, ii?aaeaeyaiuo oeueo?acaoeiaui aeoieaeniui aiaeineaie?iaaieai. Eeth/aaua neiaa: o?iie/aneay aaiiciay iaaeinoaoi/iinoue, ino?ue o?iiaioeaaeo, oeueo?acaoeiaia aeoieaeniia aiaeineaie?iaaiea. A?aeiia?aeaeueiee ca aeaeaiiy I. I. E?o Aaoi?aoa?ao I?aeienaii aei ae?oeo 14. 10. 99 ?. Oi?iao 60o84 1/16 Iai?? ae?oea?nueeee. Ae?oe ionaoiee. Aa?i?oo?a Journal. Oiiai. ae?oe. a?e. 1,0 Oe?aae 100. Cai. ? 0514. Aeaeaaieoeoai Oa?iii?euenueei? aea?aeaaii? iaaee/ii? aeaaeai?? "Oe?iaaeeieaa", i. Oa?iii?eue.

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