16

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

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO IIEIEIA?? ?

?AAe?IEIA??

AeOAAI

??EIA AIEIAeEIE??AIA

OAeE 616.61-006.04-073.48-079.4

EIIIEAENI? OEUeO?ACAOEIA? AeINE?AeAEAIIss A Ae?AAIINOEOe? ?
AeEOA?AIOe?AEUeI?E Ae?AAIINOEOe? CEIssE?NIEO IOOEEI IE?IE

14.01. 23 — i?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

EE?A — 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Aieiaiiio a?eneiaiio ee?i?/iiio oieoae? II Oe?a?ie,
Oe?a?inueeiio IAe? iieieia?? oa ?aae?ieia?? IIC Oe?a?ie

Iaoeiaee ea??aiee:

Aeieoi? iaaee/ieo iaoe Aeeeai ?. I., Oe?a?inueeee IAe? iieieia?? ?
?aae?ieia?? IIC Oe?a?ie, caa?aeoth/a a?aeae?eii

Io?oe?ei? iiiiaioe:

Aeieoi? iaaee/ieo iaoe, i?ioani?, /eai — ei?aniiiaeaio AII Oe?a?ie,
Yiooaei ?. A., Oe?a?inueeee IAe? aiaeie?eiieia?? ? iai?io ?a/iaei
AII Oe?a?ie, caa?aeoth/ee ?aae?ieia?/iith eaai?aoi???th

Aeieoi? iaaee/ieo iaoe Aic?aiia N. I., ?inoeooo o?ieia?? ? iao?ieia??
AII Oe?a?ie, caa?aeoth/ee a?aeae?eii aiaeio?ieia??

I?ia?aeia onoaiiaa:

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea,
eaoaae?a iaaee/ii? ?aae?ieia??

Caoeno a?aeaoaeaoueny “16”a?oaeiy 1999 ?. i 12 ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.619. 01 i?e Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? iieieia?? ? ?aae?ieia?? IIC Oe?a?ie ca
aae?anith: 252022, i. Ee?a, aoe. Eiiiiiniaa, 33/43

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo iieieia?? ? ?aae?ieia?? IIC Oe?a?ie, i.
Ee?a, aoe. Eiiiiiniaa 33/43

Aaoi?aoa?ao ?ic?neaiee “15”eenoiiaaea 1999 ?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe Aeeeai ?. I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Ieoiia aaaa iooeei ie?ie a no?oeoo?? iieieia?/ii?
iaoieia?? neeaaea? 2-3%. 85% c ieo ? ceiye?nieie, iniiaia c yeeo —
ie?eiai-ee?oeiiee ?ae (IE?). A inoaii? aeanyoe??//y caoai?thaai?noue
ia ceiye?ni? iooeeie ie?ie a Oe?a?i? eeoa?oueny ia aenieiio ??ai?.
Ca?aeii c aeaieie Iaoe?iiaeueiiai eaioea?-?a?no?o a 1997 ?ioe? aiia
neeaea 9,1 ia 100 oeny/ ianaeaiiy o /ieia?e?a ? 5,1 ia 100 oeny/ — o
ae?iie.

Iacaaaeath/e ia ?noioi? oni?oe, ui aeinyaioo? a aaeoc?
?ino?oiaioaeueii? ae?aaiinoeee caoai?thaaiue ie?ie, a/ania ? oi/ia
ae?aaiinoeea oa aeeoa?aioe?aeueia ae?aaiinoeea ?o ceiye?nieo iooeei
i?iaeiaaeo? caeeoaoeny iaei??th c iaea?eueo neeaaeieo i?iaeai o
no/ani?e iieio?ieia?? [A. O. Aic?aiia oa ?i., 1996].

Yoia?ao?y a ?aaeei? “n??i? oeaee“ ia nueiaiaei? — iaeei c i?ia?aeieo
iaoiae?a ae?aaiinoeee caoai?thaaiue na/iaeae?eueii? nenoaie. Aeniea
?ioi?iaoeai?noue oeueo?acaoeiaeo aeine?aeaeaiue o aeyaeaii? ie?eiaeo
ia’?iieo ooai?aiue a?aeiia, iaeiae o aaaaoueio aeiaaeeao cae?enieoe
aeeoa?aioe?aeueio ae?aaiinoeeo ca aeaieie o?aaeeoe?eiiai
oeueo?acaoeiaiai aeine?aeaeaiiy iaiiaeeeai, ine?eueee aaaaoi c ieo
iathoue iaeiaeia? cia?aaeaiiy [Bosniak M. A., 1994, Curry N. S., 1995,
?aiaoei I. N. oa ?i., 1996].

Cia/ii i?aeaeueeanue ?ioi?iaoeai?noue oeueo?acaoeiaiai iaoiaea ?c
aeei?enoaiiyi aeiiiea??anueeeo iaoiaeee aeine?aeaeaiiy e?iaioieo o
aaeeeeo ? ae??aieo noaeeiao. Aiie aeicaieythoue a?yaeoe iaa?oue
iacia/i? ii?ooaiiy aaiiaeeiai?ee ia aioo??oiueii?aaiiiio ??ai?,
aecia/eoe ciie iaoieia?/ii? aaneoey?ecaoe?? ceiye?nieo iiaiooai?aiue
[Noaiaiia A. I. oa ?i., 1995, Erden I. et al, 1993, Yamada R. et al,
1997].

?acii c oei, a oeueo?acaoeia?e aeiiiea??anuee?e ae?aaiinoeoe? ?
aeeoa?aioe?aeuei?e ae?aaiinoeoe? ceiye?nieo iooeei ie?ie ?nio? aaaaoi
iaae??oaieo ieoaiue. Aei oaia??oiueiai /ano iaaeinoaoiuei aea/aia
ii?iaeueia aia?ia?o?oaeoii?ea oa aaiiaeeiai?ea ie?ie ca aeaieie
eieuei?iaiai aeiiiea??anueeiai ea?ooaaiiy (EAeE), aia?aaoe/iiai
aeiiiea??anueeiai ea?ooaaiiy (AAeE) oa ?ioeuenii? aeiiiea?ia?ao?? (?Ae)
o aei?ineeo ??cieo a?eiaeo a?oi. A?aenooi? nenoaiaoeciaai? aeai?
uiaei aeiiiea??anueei? yoinai?ioeee ceiye?nieo iooeei ie?ie, iaia?
aeaoaeueii? ?ic?iaee iniaeeainoae aia?ia?o?oaeoii?ee ? aaiiaeeiai?ee
aeia?iye?nieo ia’?iieo ooai?aiue oa aiiiae?e ?icaeoeo ie?ie ca aeaieie
EAeE, AAeE ? ?Ae. Iia?aeiieaiiy c ieoaiue iiaeeeainoae aeei?enoaiiy ?o
a aeeoa?aioe?aeuei?e ae?aaiinoeoe? ceiye?nieo ? aeia?iye?nieo
ooai?aiue ie?ie iathoue noia?a/eeaee oa?aeoa?,
aeeoa?aioe?aeueii-ae?aaiinoe/i? e?eoa??? ia ?ic?iaeai? ? ia
nenoaiaoeciaai?.

Iaoa aeine?aeaeaiiy — i?aeaeuaiiy aoaeoeaiino? ae?aaiinoeee ceiye?nieo
iooeei ie?ie oeyoii canoinoaaiiy eiiieaeniiai oeueo?acaoeiaiai
aeine?aeaeaiiy c aeei?enoaiiyi EAeE, AAeE ? ?Ae.

Caaaeaiiy aeine?aeaeaiiy.

1. Aecia/eoe iniaeeaino? aoino?oeoo?e, aaneoey?ecaoe?? ? aaiiaeeiai?ee
o caei?iaeo ie?eao aei?ineeo ??cieo a?eiaeo a?oi ?c canoinoaaiiyi
eiiieaenii? oeueo?acaoeiai? ae?aaiinoeee.

2. ?ic?iaeoe aoinai?ioeeo IE? i?e eiiieaenieo oeueo?acaoeiaeo
aeine?aeaeaiiyo.

3. ?ic?iaeoe aoinai?ioeeo aeia?iye?nieo ooai?aiue oa aiiiae?e ?icaeoeo
ie?ie i?e eiiieaenieo oeueo?acaoeiaeo aeine?aeaeaiiyo.

4. ?ic?iaeoe ? nenoaiaoecoaaoe aeonoe/i?
aeeoa?aioe?aeueii-ae?aaiinoe/i? iciaee ie?eiaeo ooai?aiue ??ciiai
aaiaco.

5. Ioe?ieoe aoaeoeai?noue eiiieaenieo oeueo?acaoeiaeo aeine?aeaeaiue o
aeeoa?aioe?aeuei?e ae?aaiinoeoe? ia’?iieo ooai?aiue ie?ie.

Iaoeiaa iiaecia aeine?aeaeaiiy

1. Aia?oa nenoaiaoeciaai? ii?iaeuei? iieacieee noaeeiii? a?o?oaeoii?ee
? aaiiaeeiai?ee ie?ie o aei?ineeo ??cieo a?eiaeo a?oi.

2. Anoaiiaeai? ? nenoaiaoeciaai? aeonoe/i? iciaee IE? i?e aeei?enoaii?
eiiieaeno oeueo?acaoeiaeo aeine?aeaeaiue, ui aeeth/a? o?aaeeoe?eio
aoia?ao?th, EAeE, AAeE ? ?Ae.

3. ?ic?iaeai? aeonoe/i? iciaee ? iniaeeaino? aaneoey?ecaoe?? i?inoeo oa
aeia?iye?nieo iooeeiiiiae?aieo e?no i?e aeei?enoaii? ?aaeei?a
EAeE, AAeE ? ?Ae.

4. Aecia/ai? iniaeeaino? aaneoey?ecaoe?? ? aaiiaeeiai?ee ca aeaieie
EAeE, AAeE ? ?Ae i?e aiiiae?yo ?icaeoeo ? aa??aioao aiaoii?/ii?
aoaeiae ie?ie.

5. Aecia/ai? ? nenoaiaoeciaai? aeai? uiaei iniaeeainoae aaneoey?ecaoe??
oa aaiiaeeiai?ee ca aeaieie EAeE, AAeE ? ?Ae i?e ea?aoieoeao oa
aaiaoiiao ie?ee.

6. ?ic?iaeaia eiiieaenia aoinai?ioeea aeia?iye?nieo iooeei ie?ie.

7. Iaoeiai iaa?oioiaaia aeioe?euei?noue ? aoaeoeai?noue canoinoaaiiy
eiiieaeno oeueo?acaoeiaeo aeine?aeaeaiue ?c aeei?enoaiiyi EAeE, AAeE ?
?Ae i?e aeeoa?aioe?aeuei?e ae?aaiinoeoe? ia’?iieo ooai?aiue ie?ie.

I?aeoe/ia cia/aiiy ?iaioe. Aia?oa ?ic?iaeaia ? ai?iaaaeaeaia iaoiaeeea
OCAe c eiii?an??th aeey iie?auaiiy a?coae?caoe?? ? iioei?caoe??
?acoeueoao?a aeine?aeaeaiiy iaa?no?aeueieo ie?eiaeo a?oa??e o
?aaeeiao EAeE, AAeE ? ?Ae.

?ic?iaeai? ? ai?iaaaeaeai? a i?aeoeeo aoia?ao?/i? e?eoa??? ioe?iee
ii?iaeueii? no?oeoo?e, aaneoey?ecaoe?? ? aaiiaeeiai?ee ie?ee a ??cieo
a?eiaeo a?oiao.

?ic?iaeaii iaoiae aecia/aiiy ?iaac?? ceiye?nieo iooeei ie?ee o
noi?aei? i?aaie ? oeaieie oeyoii ioe?iee aeeoaeueieo aeneo?n?e ie?ee.
Nenoaiaoeciaaii aoieiiieaen iciae ?iaac?? ceiye?nieo iooeei ie?ee o
non?aei? aaie.

?ic?iaeaia ? ai?iaaaeaeaia o ae?aaiinoe/io i?aeoeeo aoinai?ioeea IE?
? ??ciiiai?oieo aeia?iye?nieo ooai?aiue, aiiiae?e oa aa??aio?a
?icaeoeo ie?ie.

Cai?iiiiiaaia aeania eeaneo?eaoe?y e?noicieo ooai?aiue ie?ie, ui aea?
ciiao ca iciaeaie no?oeoo?e ? aaneoey?ecaoe?? iiae?eeoe ?o ia
aeia?iye?ni? oa ceiye?ni?.

?ic?iaeaii ? ai?iaaaeaeaii a i?aeoeeo eiiieaen aoia?ao?/ieo
aeeoa?aioe?aeueii-ae?aaiinoe/ieo iciae ooai?aiue ie?ie. Caaaeyee ?o
aeei?enoaiith aaeaeiny i?aeaeueoe oi/i?noue ae?aaiinoeee ia 7,1%.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiue o i?aeoeeo. ?acoeueoaoe
i?iaaaeaieo aeine?aeaeaiue ai?iaaaeaeai? a i?aeoeeo ?iaioe
a?aeae?eaiue oeueo?acaoeiai? ae?aaiinoeee Aieiaiiai a?enueeiaiai
ee?i?/iiai oieoaeth I?i?noa?noaa iai?iie Oe?a?ie, Iaeanueeiai ie?oaeiiai
a?enueeiaiai oieoaeth I?i?noa?noaa iai?iie Oe?a?ie, A?iieoeueeiai
Oeaio?o ?aaa?e?oaoe?? ? o?c?ioa?ai?? A?enueeiai-Iia?o?yieo Nee
I?i?noa?noaa iai?iie Oe?a?ie, iaaenai/anoeie Ee?ai?nueeaoaeo.

Iniaenoee aianie aaoi?a. Aaoi?ii iniaenoi aeeiiai? an? oeueo?acaoeia?
aeine?aeaeaiiy, ?o ?acoeueoaoe ii??aithaaeenue ?c ?acoeueoaoaie
ee?i?/ieo, ii?oieia?/ieo ? ?ino?oiaioaeueieo aeine?aeaeaiue. I?iaaaeaia
iaoaiaoe/ia ia?iaea ia?aeiieo aeaieo. I?aeaioiaeaii aei ae?oeo 14 ?ia?o.

Ai?iaaoe?y ?iaioe. Iaoa??aee aeena?oaoe?eii? ?iaioe aeiiia?aeaeenue ia:

— iaa/aeueii — iaoiaee/iiio nai?ia?? IIC Oe?a?ie “No/anii iaoiaee
oeueo?acaoeiai? aeiaaiinoeee” (Ee?a, ethoee 1996 ?.);

— iaoeiai — i?aeoe/i?e eiioa?aioe?? “No/ani? caniae oeueo?acaoeiai?
ae?aaiinoeee” (Oa?e?a, ea?oaiue 1996 ?.);

— iaa/aeueii — iaoiaee/iiio nai?ia?? IIC Oe?a?ie “No/anii iaoiaee
oeueo?acaoeiai? aeiaaiinoeee” (Ee?a, o?aaaiue 1997 ?.);

— I onoaiia/iio c’?cae? Anioe?aoe?? e?ea??a oeueo?acaoeiai? ae?aaiinoeee
Oe?a?ie (Ee?a, /a?aaiue, 1998 ?.);

— ia?oiio Oe?a?inueeiio eiia?an? oao?aoe?a c oeueo?acaoeiai?
ae?aaiinoeee (Ee?a, /a?aaiue 1999 ?.);

— VI i?aeia?iaei?e eiioa?aioe?? ’’Aiaeiaeii — 99’’ (Naieo-Iaoa?ao?a,
/a?aaiue 1999a.).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 14 ?ia?o, c ieo
7 noaoae.

Co?oeoo?a oa ianya ?iaioe. Aeena?oaoe?y neeaaea?oueny ?c anooio,
iaeyaeo iaoeiai? e?oa?aoo?e, /ioe?ueio ?icae?e?a aeanieo aeine?aeaeaiue,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, ia?ae?eo aeei?enoaii?
e?oa?aoo?e, (182 iaeiaioaaiue). ?iaioa aeeeaaeaia ia 164 noi?i?ieao
iaoeiiieno, aeeth/a? 25 oaaeeoeue, 1 eethno?aoe?y, 47 ?enoie?a.

CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy. I?iaaaeaiee ?ao?iniaeoeaiee aiae?c
aeaieo oeueo?acaoeiaeo aeine?aeaeaiue 467 iaoe??io?a ?c ooai?aiiyie ?
aiiiae?yie ?icaeoeo ie?ie, ui ianoaaeoaaeenue ? e?eoaaeenue a AAEO II
Oe?a?ie. Aeai? i?i ?iciiae?e ianoaaeaieo ca iicieia?/ieie oi?iaie
caoai?thaaiiy iaaaaeai? o oaaeeoe? 1.

Oaaeeoey 1

?iciiae?e ianoaaeaieo ca iicieia?/ieie oi?iaie caoai?thaaiue ie?ie

Iicieia?/ia oi?ia E?euee?noue
ianoaaeaieo Ceiye?ni? iooeeie ie?ie (n=133), a oiio /ene?:- ie?eiai —
ee?oeiiee ?ae128- yi?oae?aeueiee ?ae ienee 5 Aeia?iye?ni?
ooai?aiiy ? aiiiae?? ?icaeoeo ie?ie (n=314), a oiio /ene?:- e?noa
114- iie?e?noic ie?ee 15- ca?eueoaia eieiia Aa?o?ia 50- aeiaeaoeiaa
ie?eiaa aoaa 30- i?aeeiaiiiae?aia ie?ea 23- L-iiae?aia ie?ea 3-
aaeaoiiiae?aia ie?ea 3- iaiiaia iiaeai?iiy ie?ee 48- ea?aoieoe ie?ee
19- iinoo?aaiaoe/ia aaiaoiia 6- a?oa??i-aaiicia iaeueoi?iaoe?y 3
Aeia?iye?ni? iooeeie ie?ie (n=20), a
oiio /ene?:- ie?eiaa aaeaiiia 5- aia?ii?ie?iiia 13- ioeueo?eieoey?ia
e?noicia iao?iia 2
Anueiai:467

O 153 oai?eo ae?aaiic aa?eo?eiaaiee ca ?acoeueoaoaie ii?oieia?/iiai
aeine?aeaeaiiy iia?aoe?eiiai iaoa??aeo, o 6 — ia aooiin??, o 308 oai?eo
— ia iniia? ee?i?ei-?ino?oiaioaeueiiai ianoaaeaiiy ? aeeiai?/iiai
niinoa?aaeaiiy i?ioyaii 5 ?ie?a.

A?e iaoe??io?a eieeaaany a?ae 18 aei 80 ?ie?a, ia?aaaaeaee /ieia?ee —
87,3% (408 oai?eo). Ee?i?/io noaae?th caoai?thaaiiy aecia/aee ca?aeii
c eeaneo?eaoe??th TNM/pTN I?aeia?iaeii? i?ioe?aeiai? ni?eee (1998?.), a
i?e iayai?no? iaoanoac?a — eeaneo?eaoe??th TNM- 4 (1997 p.).

Aeey a?aei?aoethaaiiy ii?iaeueieo iieaciee?a ie?eiai? noaeeiii?
a?o?oaeoii?ee ? aaiiaeeiai?ee o ethaeae ??ciiai a?eo a?aeiia?aeii aei
aeaieo o?aaeeoe?eii? aoia?ao?? iaie ianoaaeaii 220 aeia?iaieueoe?a ?
iaoe??io?a aac caoai?thaaiue ie?ie, ui e?eoaaeenue o AAEO. Aeey
iie?auaiiy a?coae?caoe?? noaeeiiiai ?onea ie?ie iaie cai?iiiiiaaii
aeine?aeaeaiiy a oiiaao i?aeneeaii? eiii?an?? (ca?eueoaiee oene aeao/eea
ia ai?aano?aeueio ae?eyieo i?ae /an neaioaaiiy).

Aeine?aeaeaiiy i?iaaaeai? ie?aii aeey ae?iie ? /ieia?e?a o /ioe?ueio
a?eiaeo a?oiao. O a?oio iieiaeiai a?eo (aei 25 ?ie?a) aeae?eai? 30
/ieia?e?a ? 30 ae?iie. O ca’yceo c iiae?ai?noth aaiiaeeiai?/ieo
iieaciee?a aeae?eueea a?oi ii aeanyoe??//yo aoee ia’?aeiai? a iaeio
— in?a c??eiai a?eo. Aei ia? oa?eoee 30 /ieia?e?a ? 30 ae?iie a?eii
a?ae 26 aei 55 ?ie?a. Aei a?oie in?a e?oiueiai a?eo aeeth/ai? 30
/ieia?e?a ? 30 ae?iie a?eii 56 — 70 ?ie?a. Aei a?oie in?a iioeeiai
a?eo a?eoee 20 /ieia?e?a ? 20 ae?iie (iiiaae 71??e).

O?aaeeoe?ei? oeueo?acaoeia? aeine?aeaeaiiy i?iaiaeeeeny ia iaeaaeiaii?
o??ie Aloka (ssiii?y), iiaeaeue SSD — 630 ? o??ie Siemens (O?I)
iiaeaeue SL — 1 c aeei?enoaiiyi eiiaaeniiai ? e?i?eiiai aeao/ee?a
/anoioith 3,5 IIz ca a?aeiiith iaoiaeeeith c ?iaeea?aeoaeueiei
aecia/aiiyi oieono, aeeiai?/iiai ae?aiaciio ? i?aeneeaiiy.
Aeiiiea??anuee? aeine?aeaeaiiy aeeiiai? ia iaeaaeiaii? o??ie GE (NOA)
iiaeaeue Logiq — 500 ? o??ie Aloka, iiaeaeue SSD-2000, c aeei?enoaiiyi
eiiaaeniiai aeao/eea 3,5 MIz.

Ca aeiiiiiaith EAeE ? AAeE ioe?ithaaee no?oeoo?o noaeeiii? ia?aae?,
aeine?aeaeoaaee ie?eia?, naaiaioa?i?, eiaa?i?, aeoaia? ? i?aeeiaoey?i?
a?oa??? ? a?aeiia?aei? ?i aaie. O ?aaeei? AAeE aeei?enoai? cae/aei? ?
inaaaeiaieia?ao?/i? ea?oe caaa?aeaiiy. E?euee?nia ioe?iea io?eiaieo ca
aeiiiiiaith ?Ae e?eaeo aeiiiea??anueeiai c?ooaiiy /anoio i?iaiaeeeany
ye a aaoiiaoe/iiio, oae ? a ?o/iiio ?aaeei?. sse iaea?eueo
aeaiiino?aoeai? i?e ioe?ioe? ie?eiaeo ooai?aiue ?c on?o iieaciee?a iaie
ia?ai?: iaeneiaeueia nenoie?/ia oaeaee?noue e?iaioieo (INOE),
iaeneiaeueia ae?anoie?/ia oaeaee?noue e?iaioieo (IAeOE), ?iaeaen
?acenoaioiino? (RI), ui ? iio?aeiei a?ae a?aeiioaiiy ??cieoe? aaee/ei
INOE ? IAeOE ia INOE, ? oa?aeoa?eco? ia?eoa??eiee ii?? noaeeiiiai
?onea.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy

Aiae?c ?acoeueoao?a ii?oiiao?e/ieo aeine?aeaeaiue iieacaa, ui
oa?aeoa?enoeee ?ici???a ? aiaoii?/ieo iniaeeainoae aoaeiae ie?ie
caeaaeaoue a?ae a?eo, (oaaeeoey 2).

O oaaeeoe? 2 iaaaaeai? ?acoeueoaoe aei??thaaiue ?ici???a ia?aio?ie ?
i??ai?ae o in?a ??ciiai a?eo, ye? na?ae/aoue, ui c a?eii ciaioothoueny
?ici??e i??ai?ae, i?inoaaeo?oueny oaiaeaioe?y aei ciaioaiiy oiaueie
ia?aio?ie.

Ia iniia? aeeiiaieo aeine?aeaeaiue aeiaaaeaii, ui a e?oiueiio a?oe?
noaeeiia a?o?oaeoii?ea a ie?eao ci?ith?oueny, a iniiaiiio, ca ?aooiie
ciaioaiiy a ia?aio?i? e?eueeino? i?aeeiaoey?ieo a?oa??e, ?o oei?i/aiiy
? caeaeoino?. O iioeeiio a?oe? i?e cia?aaeaii? ie?eiaeo, naaiaioa?ieo,
eiaa?ieo ? aeoaiaeo a?oa??e, a ?aaeei? EAeE aoee a?coae?ciaai?
iiiaeeiie? i?aeeiaoey?i? a?oa???, a ?aaeei? AAeE a?aenooi? aeeoocia
caaa?aeaiiy ia?aio?ie, a inaaaeiaieia?ao?/iiio ?aaeei? a?coae?ciaai?
iiiaeeiie? i?aeeiaoey?i? noaeeie.

Oaaeeoey 2

?ici??e ia?aio?ie ie?ie o caei?iaeo in?a ??cieo a?eiaeo a?oi

Ia?aiao?e A?e ianoaaeaieo 18
— 25 ?ie?a 26 — 55 ?ie?a56 — 70 ?ie?a71?ie?a ? a?eueoa Oiaueia
ia?aio?ie,

ii 20,0 +1,5

19,1 +2,1

16,0 +1,4

13,6 +1,8

(? < 0.05) Oe?eia i??ai?ae, ii 9,0+0,5 8,5+0,5 8,0+0,5 5,5+0,2 (? < 0.01) I?e aea/aii? e?euee?nieo ia?aiao??a aaiiaeeiai?ee a ie?eao ca aeaieie ?Ae aeyaeaii caeiiii??ia ciaioaiiy oaeaeeino? e?iaioieo ? aeiiiea??anueeeo ?iaeaen?a a?ae iaa?no?aeueieo a?oa??e aei ia?eoa??eieo (oaaeeoey 3). Oaaeeoey 3 Iieacieee ie?eiai? aaiiaeeiai?ee ca aeaieie ?Ae o aei?ineeo ??cieo a?eiaeo a?oi. Aiae?c ?iciiae?eo INOE a a?oa??yo ie?ie Iacaa a?oa??? Iaeneiaeuei? nenoie?/i? oaeaeeino? e?iaioieo (ni/n) a a?oa??yo ie?ie o in?a a?eii: Aei 25 ?ie?a 26 - 55 ?ie?a 56 - 70 ?ie?a71 ??e ? a?eueoa Ie?eiaa 92,7+15,5106,7+19,8107,9+20,2 97,4 +22,0Naaiaioa?ia 55,1+10,1 (p < 0,05) 53,9+11,5 (p < 0,05) 58,8+3,8 (p < 0,05) 47,8 +16,0 (p > 0,05)Eiaa?ia

33,8+3,2

(p < 0,05) 35,0+4,6 (? < 0,05) 34,1+5,5 (p < 0,01) 29,7+8,2 (p>0, 05) A?eoaoia

23,4+4,2

(p < 0,05) 19,3+4,5 (p < 0,05) 16,6+5,3 (p < 0,05) 19,4+3,2 (p> 0,05)

Iacaeaaeii a?ae a?eo INOE o ie?eiaeo a?oa??yo neeaaeaa 75-128 ni/n, a
naaiaioa?ieo — 32-65ni/n, a eiaa?ieo — 22-40 ni/n ? a a?eoaoieo —
a?ae 11 — 28 ni/n.

O oaaeeoe? 4 iaaaaeaia oa?aeoa?enoeea ?iaeaen?a ?acenoaioiino? a
noaeeiao ie?ie. A on?o a?eiaeo a?oiao niinoa??aa?oueny oaiaeaioe?y aei
cieaeaiiy iieaciee?a ?iaeaen?a ?acenoaioiino? a?ae iaa?no?aeueieo noaeei
aei ia?eoa??eieo, a?ae ie?eiaeo a?oa??e aei a?eoaoieo. O eiaei?e c
a?oa??e c a?eii ?iaeaen ?acenoaioiino? i?aeaeuo?oueny.

Oaaeeoey 4

Iieacieee ie?eiai? aaiiaeeiai?ee ca aeaieie ?Ae o aei?ineeo ??cieo
a?eiaeo a?oi. Aiae?c ?iciiae?eo RI a a?oa??yo ie?ie

Iacaa a?oa??? RI a a?oa??yo ie?ie o
in?a a?eii Aei 25 ?ie?a 26 — 55 ?ie?a 56 — 70 ?ie?a71 ??e ?
a?eueoaIe?eiaa

0,60+0,01 0,66+0,02

(? < 0,01)* 0,67+0,02 (?> 0,05) 0,77+0,01

(? <0,01)Naaiaioa?iay 0,54+0,01 0,58+0,02 (? < 0,05) 0,68+0,04 (? <0, 05) 0,75+0,02 (p >0,05)Eiaa?ia

0,52+0,01 0,56+0,02

(p < 0,05) 0.63+0,03 (p >0, 05) 0,74+0,01

(p <0,01)A?eoaoia 0,50+0,01 0,54+0,02 (p < 0,01) 0,63 +0,04 (? < 0,01) 0,71+0,02 (p<0,05) [p < 0,01] ** [p < 0,01] [p > 0,05] [p < 0,.05]* - a??ia?aei?noue a?aei?iiino? ca a?eiaeie e?eoa??yie; ** - a??ia?aei?noue a?aei?iiinoae i?ae iaa?no?aeueieie ? ia?eoa??eieie noaeeiaie. I?e aiae?c? eiiieaenii? aoinai?ioeee IE? aeyaeaii, ui o 91,4% oai?eo ia IE? iooeeia iaea e?oaeo aai iie?oeeee?/io oi?io, o 86,7% - /?oe? iaae? c i?eeaaeeie oeaieiaie ie?ee. O 87,5% in?a ia?aaaaeaa iicai?aaiiee iai?yiie iioe?aiiy. Aeey oai?eo ?c aa?aoaiiee?oeiiei, na?eiiiiiae?aiei aa??aioii IE? aoa oa?aeoa?iee ?io?eueo?aoeaiue oa?aeoa? ?inoo. Oi?ia iooeeie aoea “aiaiiiae?aiith”. Aiia iaea ia/?oe? iaae?, o 81,8% niinoa?aaeaiue aioo??oiy no?oeoo?a aoea a?iiaoiaaiiith. Aeyaeai? oa?aeoa?i? a?aei?iiino? aoia?ai o IE? ?ici??ii iaioa i?ae 3 ni. On? iiaiooai?aiiy iaee iaeii??aeio aoaeiao, ia?aaaaeia /enei c ieo, 76,5%, aoee a?ia?aoiaaiieie, aai - ?ciaoiaaiieie (23,5%). Iaaeiei aocea o 47,1% oai?eo aeyaeaiee a?iiaoiaaiiee ia?ae. Aeey ioe?iee i?noeaaiai ?iciianthaeaeaiiy iooeeie iaie cai?iiiiiaaii aeei?enoiaoaaoe aecia/aiiy nooiaiy iaiaaeaiiy aeeoaeueieo aeneo?n?e ie?ee. ?ic?iaeai? iai?yi? iciaee ?iaac?? iooeeie: - yeui i?e aeeoaii? o?aaeaia iooeeiith ie?ea ?ooa?oueny ?acii ?c ia/?ieith, iiaeia i?eionoeoe i?i?inoaiiy iooeeie a ia/?ieo; - yeui ?ooii?noue ie?ee i?e aeeoaii? iaiaaeaia, a cii? aa?oiueiai iiethno iaioa 35 ii, a a iaeano? ieaeiueiai iiethno iaioa 40 ii, - iiaeia i?eionoeoe i?i?inoaiiy a eieiie?eiao aee?iao ee?oeiaeio; - yeui ?ooii?noue ie?ee iiai?noth a?aenooiy, ?iia??ia i?i?inoaiiy eieiie?eiai? ee?oeiaeie ? oanoe?? Aa?ioa, iiia?aeiaiai i'yco aai ae?ao?aaie ( caeaaeii a?ae eieae?caoe?? ? iai?yieo iioe?aiiy iooeeie). Aeei?enoaiiy oeeo iciae aeicaieeei a on?o aeiaaeeao aeyaeoe i?i?inoaiiy iooeeie a non?aei? i?aaie, ie??i iaaeie?eiai? caeice. Ae?aaiic i?i?inoaiiy a eieiie?eiao ee?oeiaeio aeyaeany iaio oi/iei. O 32,5% i?ae /an iia?aoe?? a?i ia i?aeoaa?aeeany. ?ic?iaeaia oaeiae aoinai?ioeea iioe?aiiy IE? o aaiicia ?onei. O an?o 7 iaoe??io?a c ?iaac??th a ie?eiao aaio aeyaeaia ca?eueoaiiy ae?aiao?o noaeeie, iayai?noue a i?ina?o? aoiaaiieo ian. I?e ?iaac?? a ieaeith ii?iaeienoo aaio o an?o 11 oai?eo niinoa??aaee ca?eueoaiiy ?o ae?aiao?o, i?eno?ieia? aai ieeethcoth/? aoiaaii? iane a i?ina?o?, a?aenooi?noue aeeoaeueieo ?oo?a no?iie. Aeei?enoaiiy EAeE ? AAeE aeicaieeei aeyaeoe, ui o 97,4% oai?eo IE? ia? ae?aaeaio aioo??oiueiiooeeiio noaeeiio ia?aaeo (oaaeeoey 5).O an?o iaoe??io?a niinoa??aa?oueny ?icnoiaiiy ? ia?ea aeanieo noaeei. I?e AAeE aeyaeaiee aeaoaeo caaa?aeaiiy ia?aio?ie ? ia eiai oe? iiiaeeii? eieuei?ia? neaiaee e?iaioieo (ENE) aai cia?aaeaiiy iiai? noaeeiii? ia?aae? . Oaaeeoey 5 Oa?aeoa?enoeea noaeeiii? a?o?oaeoii?ee IE? ca aeaieie EAeE ? AAeE Oa?aeoa? e?iaioieo ana?aaeei? iooeeie Iooeeie ?ici??ii iaioa 3 ni (n=17) Iooeeie ?ici??ii 3 ni ? a?eueoa (n=100) Anueiai (n=117) E?euee?noue % E?euee?noue % E?euee?noue % Ca ae a i e i e EAeE A?aenooi?noue ENE 2 11,8 8 8,0 10 8,5Iiiaeeii? ENE 3 17,6 12 12,0 1512,8?icaaeoaeaia noaeeiia ia?aaea 12 70,6 80 80,0 9278,6 Ca ae a i e i e AAeE Aeaoaeo aeeoociiai caaa?aeaiiy ia?aio?ie 17 100 100 100 117100A?aenooi?noue ENE 1 5,9 2 2,0 3 2,6Iiiaeeii? ENE 1 5,9 6 6,0 7 6,0?icaaeoaeaia noaeeiia ia?aaea 15 88,2 92 92,0 107 91,4 Iooeeie ?ici??ii iaioa 3 ni, ye i?aaeei (94,1%), aoee aeia?a aaneoey?eciaai?. O an?o oai?eo c ?io?eueo?aoeaieie IE? ana?aaeei? iooeeie ENE ia aecia/aeeny. I?e AAeE niinoa??aaany aeaoaeo caaa?aeaiiy ia?aio?ie. Noaeeie ie?ee aoee ?icnoioo?, ci?uai?. O 81,8% aeiaaeeao aeyaeaiee ia?ea noaeei. O 72,7% oai?eo aei iooeeie eoea “aeeaey/a” noaeeia ?c aenieith oaeaee?noth e?iaioieo. I?e ?Ae ianoaaeaii? oai?eo c ia?io?eueo?aoeaiei IE? a 72,8% niinoa?aaeaiue aei iooeeie eoee “aeeaey/?” a?oa??? c aenieith INOE. ?? ??aaiue a 1,5 - 3 ?ace ia?aaeuoaaa INOE o cae/aei?e naaiaioa?i?e a?oa???. Aeey an?o IE? aoea oa?aeoa?ia ??ciiiai?oi?noue oaeaeeinoae e?iaioieo a ia?eoa??eieo aioo??oiueiiooeeiieo noaeeiao. Ana?aaeei? iaei??? iooeeie a 35,1% niinoa?aaeaiue cono??/aeenue INOE, ye? iiaeia ii??aiyoe c INOE a eiaa?ieo a?oa??yo, a 32,3% - c INOE a a?eoaoieo a?oa??yo O 32,6% oai?eo cono??/aeeny oaeaeeino? e?iaioieo, ye? iiaeia ii??aiyoe c INOE a naaiaioa?ieo a?oa??yo. O aioo??oiueiiooeeiieo noaeeiao o an?o oai?eo ao?a/aany a?aae??io ciaioaiiy RI a?ae a?eueoeo aei ae??ai?oeo noaeei (a ii?i? a?ae naaiaioa?ieo aei a?eoaoieo). Ana?aaeei? iaei??? iooeeie RI aoee ??ciiiai?oi?, c eieeaaiiyi a?eueoa 20%. 31,5% oai?eo c IE? iaee ana?aaeei? iooeeie aeniei?acenoaioi? noaeeie c RI a?eueoa 0,7. O 40,4% oai?eo ia ie?aieo aioo??oiueiiooeeiieo noaeeiao aoee aeyaeai? RI iaioa 0,4, ui ? iciaeith a?oa??i-aaiiciiai ooiooaaiiy. Aea/aiiy aoinai?ioeee aeia?iye?nieo ooai?aiue ie?ie i?e eiiieaenieo oeueo?acaoeiaeo aeine?aeaeaiiyo oaeiae aeicaieeei iai aeyaeoe ?yae iiaeo ae?aaiinoe/ieo iciae. O oai?eo c aeia?iye?nieie i?inoeie e?noaie i?e EAeE ? AAeE aaneoey?ecaoe?y ana?aaeei? e?noe aoea a?aenooiy, ii?iaeuei? ie?eia? noaeeie aoee ?icnoioo? ? ci?uai?. Iooeeiiiiae?ai? iciaee iaee e?noe o 103 oai?eo (oaaeeoey 6). Oaaeeoey 6 Yoinai?ioeea e?noicieo ooai?aiue ie?ie Iacaa iciaee E?euee?noue oai?eo I?ioeaioAoieiiieaen iciae i?inoi? e?noe 26 20,11 - 2 oiie? ia?aoeiee ana?aaeei? e?noe 32 24,8Iiiaeeii? ia?aoeiee a e?noe 22 17,0Ia?aoeiee oiaueiith 2 - 3 ii 11 8,5Iioiauai? no?iee a?eueoa 2 ii 12 9,3Nie?aei? ae?eyiee ana?aaeei? e?noe 2 1,5Ae?eyiee eaeueoe?iaoe?? a no?ioe? e?noe 18 13,9Eaeueoeeiaoe?y no?iee e?noe ia anueiio i?ioyc? 5 3,9I?aeaeuaia aeonoe/ia u?euei?noue ??aeeie a ii?iaeiei? e?noe 17 13,2 O aeia?iye?nieo iooeeiiiiae?aieo e?noao, ui iathoue ia?aoeiee, /anoeiai iioiauai? no?iee, iaaaeeeee nie?aeiee eiiiiiaio aai ??aeeio i?aeaeuaii? aeonoe/ii? u?eueiino? o 89,1% aeiaaee?a aaneoey?ecaoe?y ia aeyaeyeany. Aeey c?o/iino? aeeoa?aioe?aoe?? ia aeia?iye?ni? ? ceiye?ni? iaie ?ic?iaeaia eeaneo?eaoe?y e?noicieo ooai?aiue. A ? a?oio i?inoeo aeia?iye?nieo e?no a?aeianai? an? i?ino? e?noici? ooai?aiiy, ye? ia iathoue naiino?eii? aaneoey?ecaoe??. Aei ?? a?oie aeia?iye?nieo iooeeiiiiae?aieo a?aeianai? e?noici? ooai?aiiy, ye? ana?aaeei? ia?aoeiie ? no?iie (89,1% aeiaaee?a) ia iathoue ENE ? o? ooai?aiiy , ye? iathoue eaeueoe?iiaai? no?iee ? ?o aaneoey?ecaoe?y ia iiaea aooe ioe?iaia. Aei ??? a?oie ceiye?nieo e?noiciiiiae?aieo iooeei, a?aeianai? IE? e?noicii? no?oeoo?e, ye? ia o?aaeeoe?eieo aoia?aiao iiaeooue aooe aeoaea noiae? ia e?noe ?c ia?aoeieaie oa nie?aeiei eiiiiiaioii, aea a?ae??ciythoueny i?aeaeuaiith aaneoey?ecaoe??th. A ?acoeueoao? aea/aiiy aoino?oeoo?e ? noaeeiii? a?o?oaeoii?ee a ie?eao c aa??aioaie ii?iaeueii? no?oeoo?e ie aeyaeee, ui eieiie Aa?o?ia o an?o 50 ianoaaeaieo iaee ?ici??e ia a?eueoa 30-35 ii, iaeii??aeio aioo??oith no?oeoo?o, ia ci?ithaaee iieiaeaiiy i?eeaaeeo i??ai?ae. I?e EAeE ? AAeE ana?aaeei? i?ioiaeeee eiaa?i? a?oa??? ? aaie, ia aoei iiaiooai?aieo noaeei. Ana?aaeei? aeiaeaoeiai? ie?eiai? aoae o an?o 30 iaoe??io?a aoea caa?aaeaia ia?aio?ia cae/aeii? no?oeoo?e c aeeoa?aioe?aoe??th ia ei?o ? i??ai?aee. I?e AAeE aiia aeeoocii caaa?aethaaeanue. I?e EAeE a i?e a?coae?ciaaie ii?iaeuei? a?eoaoi? a?oa??? ? i?aeeiaoey?i?, ye? a?aeoiaeeee a?ae ieo ?aae?aeueii. I?e aiiiae?yo ?icaeoeo, oaeeo ye i?aeeiaiiiae?ai? ie?ee, L-iiae?ai? ie?ee, iiaeai?i? ie?ee, aaeaoiiiae?ai? ie?ee o an?o 77 ianoaaeaieo aoea caa?aaeaia ia?aio?ia cae/aeii? no?oeoo?e. A ?aaeei? AAeE aiia aeeoocii caaa?aethaaeanue, a ?aaeei? OeAeE ana?aaeei? a?coae?coaaeenue a?eoaoi? a?oa??? ? i?aeeiaoey?i?, ye? a?aeoiaeeee a?ae ieo ?aae?aeueii. Aeey an?o 19 oai?eo ?c ea?aoieoeaie ie?ee oa?aeoa?iith aoea iayai?noue ooai?aiiy, ui i?noeoue ??aeeio i?aeaeuaii? aeonoe/ii? u?eueiino?, ?c noniaic??th ae??aieo /anoie ia oe? caiaeueieo ci?i a ie?oe?. I?e EAeE ? AAeE aoea a?aenooiy aaneoey?ecaoe?y ana?aaeei? ooai?aiiy, a?oa??aeuei? oa aaiici? noaeeie, i?aeoiaey/e aei ooai?aiiy, ia?eaaeeny. I?e ie?eiaeo aaiaoiiao o an?o 6 oai?eo aoino?oeoo?a iaoieia?/iiai aiaieua aoea ??ciiiai?oiith, aea i?e EAeE ? AAeE a ieo aoee a?aenooi? ENE. O 13 oai?eo c aia?ii?ie?iiiaie aoee aeyaeai? ooai?aiiy c a?ia?aoiaaiiith iaeii??aeiith aioo??oiueith no?oeoo?ith, /?oeeie iaaeaie. Ana?aaeei? ooai?aiiy o 69,2% iaoe??ioea aaneoey?ecaoe?y aoea a?aenooiy, o 30,8% - aeyaeai? iiiaeeiie? ENE aaiiciiai oa?aeoa?o c? oaeaeeinoyie a?ae 4 aei 6 ni/n. I?e ie?eiaeo aaeaiiiao o 5 oai?eo aoia?ao?/ia ? aeiiiea??anueea nai?ioeea aoea oaea, ye ? i?e IE?. O 2 oai?eo c ioeueo?eieoey?ieie e?noicieie iao?iiaie ana?aaeei? ooai?aiiy e?noicii? no?oeoo?e c nie?aeieie ae?eyieaie ciaeaeai? iiiaeeiie? ENE aaiiciiai oa?aeoa?o. Aeei?enoaiiy eiiieaeno iciae, ui aoee io?eiai? i?e oeueo?acaoeiaeo aeine?aeaeaiiyo, aeicaieeei i?iaanoe oni?oio aeeoa?aioe?aeueio ae?aaiinoeeo ?c a?eueo?noth ie?eiaeo ooai?aiue (oaaeeoey 7 ? 8). Oaaeeoey 7 Aeeoa?aioe?aeueia ae?aaiinoeea ooai?aiue ie?ie ca aeaieie o?aaeeoe?eii? aoia?ao?? Aeonoe/ia iciaeaIE?Iooeeii- iiae?ai? eenoe AanoeaneAaiaoi- - ieAiiia - e?? ?ic- aeoeo Aia?ii?i - e?iiieIoeueo?- eieoey?i? eenoici? iao?iieAaeaii- ieAeno?ai?aaiia ?iciianthaeaeaiiy+++ ++ +++ ++___++++++ +++++Ie?oaea oi?ia +++ ++ +++ +++++__++++++ +++++ ++*?oe? iaae? +++ + +++ ++___+++ +++++ +++++ ++Iaiaeii??aeia aoaeiaa c ??ciiiai?oiith aoi- aaii?noth, e?noiciei eiiiiiaioii+++ +++++ +++++ +++++ ++__+++ ++_A?ia?aoiaaiia no?oeoo- ?a i?e ?ici??ao iaioa i?ae 3ni+++ + ____+++ ++_+++ ++Aoaeo i?aeneeaiiy caoea c e?aeiaui iineaaeai- iyi+++ ++ _+++ +++++ ++__+++ +++++ ++I?ei?oea: + - /anoioa iciaee aei 20%; ++ - /anoioa iciaee a?ae 21 aei 40%; +++ - /anoioa iciaee a?ae 41 aei 60%; ++++ - /anoioa iciaee a?ae 61 aei 80%; +++++ - /anoioa iciaee a?ae 81 aei 100%. C oaaeeoe? 7 aeaeii, ui ca aeaieie eiiaaioe?eii? aoia?ao?? a?eueo?noue ooai?aiue ie?ie ia? aaaaoi ?en, iiae?aieo aei IE?. Oaaeeoey 8 iieaco?, ui iiaiooai?aia noaeeiia ia?aaea c a?aenooi?noth iiaeeo?eaoe?? oaeaeeinoae e?iaioieo oa ?iaeaen?a ?acenoaioiino? a?ae aaeeeeo noaeei aei ae??ai?oeo aoea oa?aeoa?ia o?eueee aeey IE?. Aiiiae?? ?icaeoeo ? aa??aioe ii?ie a?ae??ciyeeny caa?aaeaiiyi aeeoociiai caaa?aeaiiy ia?aio?ie i?e AAeE, cae/aeiith aaneoey?ecaoe??th ia?aio?ie. Aia?ii?ie?iiie ? ioeueo?eieoey?i? eenoici? iao?iie i?noeee iiiaeeiie? ENE aaiiciiai oa?aeoa?o. Aaeaiiie ie?ie ia iaee a?aei?iiinoae a?ae IE?. Oaaeeoey 8 Aeeoa?aioe?aeueia ae?aaiinoeea ooai?aiue ie?ie ca aeaieie EAeE, AAeE ? ?Ae Aeonoe/ia iciaea IE?Iooeeii- iiae?ai? e?noe AanoeaneAaiaoi - ieAiiiae?? ?icaeoeoAia?i- i?ie?ii- ieIoeueo?- eieoey?i? e?noici? iao?iieAaeaiiieA?aeoeniaiiy ? ia?ea ii?iaeueieo noaeei ie?ee+++ +++++ +++++ +++++ ++_+++ +++++ +++++ ++Aeaoaeo caaa?aeaiiy i?e AAeE+++ +++++ +++++ +++++ ++_+++ +++++ +++++ ++A?aenooi?noue ENE+ +++ +++++ +++++ ++_+++ +_+Iiiaeeiie? ENE, aaiiciee e?iaioie_____++ +++ ++_Iiaiooai?aia noaeeiia ia?aaea +++ ++___ -___+++ ++Aeniea INOE ia “aeeaey/?e” a?oa???+++ +______+++ +??ciiiai?oi?noue INOE ? RI ia aioo??oiueiiooeeiieo noaeeiao+++ ++______+++ ++I?ei?oea:+ - /anoioa iciaee aei 20%; ++ - /anoioa iciaee a?ae 21 aei 40%; +++ - /anoioa iciaee a?ae 41 aei 60%; ++++ - /anoioa iciaee a?ae 61 aei 80%; +++++ - /anoioa iciaee a?ae 81 aei 100%. ?acoeueoaoe ?ic?aooie?a ae?aaiinoe/ii? aoaeoeaiino? iaaaaeai? a oaaeeoe? 9. Oaaeeoey 9 Ae?aaiinoe/ia aoaeoeai?noue oeueo?acaoeiai? ae?aaiinoeee IE? Iaoiae aeine?aeaeaiiy I? II II OI O (%) * (%) N (%) Eiiaaioe?eia aoia?ao?y133321229090,591,790,7Eiiieaenia oeueo?a - caoeiaa aeine?aeaeaiiy1338332397,697,797,5 Oaeei /eiii, canoinoaaiiy eiiieaeniiai oeueo?acaoeiaiai aeine?aeaeaiiy c aeei?enoaiiyi OeAeE, AAeE ? ?Ae aeicaieeei i?aeaeu?oe caaaeueio oi/i?noue oeueo?acaoeiai? ae?aaiinoeee IE? ia 7,1%, i?e/iio eiai /ooeea?noue c?inea ia 6%, a niaoeeo?/iinoue ia 7,5%. AENIIAEE 1. Aeei?enoaiiy a eiiieaen? c o?aaeeoe?eiith aoia?ao??th EAeE, AAeE ? ?Ae i?e aeeoa?aioe?aeuei?e ae?aaiinoeoe? ie?eiaeo ooai?aiue i?ecaaei aei i?aeaeuaiiy ae?aaiinoe/ii? aoaeoeaiino? oeueo?acaoeiaeo aeine?aeaeaiue: /ooeea?noue iaoiaea c?inea ia 6%, niaoeeo?/i?noue ia 7,5%, a caaaeueia oi/i?noue ia 7,1% ? noaiiaeyoue a?aeiia?aeii 97,7%, 97,5% ? 97,6%. 2. Ia iniia? eiiieaeniiai oeueo?acaoeiaiai aeine?aeaeaiiy anoaiiaeaii, ui a ii?i? c a?eii a?aecia/a?oueny i?ia?anoth/a ciaioaiiy, oiaueie ia?aio?ie ? ?ici???a ie?eiaeo i??ai?ae, e?eueeinoe i?aeeiaoey?ieo a?oa??e i?e caa?aaeaii? caaaeueieo ?ici???a i?aaia. Iacaeaaeii a?ae a?eo INOE a ie?eiaeo a?oa??yo neeaaea? 75-128 ni/n, a naaiaioa?ieo - 32-65ni/n, a eiaa?ieo - 22-40 ni/n ? a a?eoaoieo - a?ae 11-28 ni/n. Aaee/eia ?iaeaeno ?acenoaioiino? ciaioo?oueny ii i??? ia?aoiaeo a?ae iaa?no?aeueieo noaeei aei ia?eoa??eieo. Iieacieee ?iaeaeno ?acenoaioiino? aeey eiaeii? c a?oa??e a??ia?aeii ca?eueoothoueny c a?eii. 3. Iaoiaiiiii?/ieie aoia?ao?/ieie iciaeaie IE? ? ie?oaea oi?ia (91,4%), /?oe? eiioo?e (86,7%) ? aeno?ai?aaiiee oa?aeoa? ?inoo (87.5%). Aioo??oiy no?oeoo?a iooeei ?ici??ii aei 3 ni a 76,5% iinoa?aaeaiue a?ia?aoiaaiia; o 23,5% - ?ciaoiaaiia; o 47,1% oai?eo niinoa??aa?oueny a?iiaoiaaiiee ciai?oi?e iaa?ae. Aoino?oeoo?a a?eueoeo iooeei ia ia? aecia/ieo oa?aeoa?ieo iciae. Na?eiiiiiae?aiee ?io?eueo?aoeaiee a?noieia?/iee aa??aio iooeeie a?ae??ciy?oueny ia/?oeeie iaaeaie, ?io?ai?aaiiei oa?aeoa?ii ?inoo, a?iiaoiaaiiith aeonoe/iith no?oeoo?ith. 4 IE? ca aeaieie EAeE ? AAeE o 97,4% aeiaaee?a ia? aioo??oiueiiooeeiio noaeeiio ia?aaeo, ae?aaeai?noue yei? ia caeaaeeoue a?ae ?ici???a iooeeie. A a?eueoino? niinoa?aaeaiue (72,8%) a?coae?cothoueny a?oa??? c aenieith INOE, ui i?aeoiaeyoue aei iooeeie. O aioo??oiueiiooeeiieo noaeeiao iieacieee INOE a?ae??ciythoueny ??ciiiai?oi?noth, cieea? a?aae??io RI i?ae aaeeeeie ? ae??ai?oeie noaeeiaie. 5. Aeia?iye?ni? iooeeiiiiae?ai? e?noe oa?aeoa?ecothoueny iayai?noth iioiauaieo no?iie, ia?aoeiie ? nie?aeieo eiiiiiaio?a, a yeeo a 89,1% aeiaaee?a a?aenooiy aaneoey?ecaoe?y. Aeey aiiiae?e ?icaeoeo (L-iiae?aia, i?aeeiaiiiae?aia, aaeaoiiiae?aia, iiaeai?ia ie?ea) ? aa??aio?a ii?iaeueii? no?oeoo?e (ca?eueoaia eieiia Aa?o?ia ? aeiaeaoeiaa ie?eiaa aoaa) oa?aeoa?ii caa?aaeaiiy cae/aeii? noaeeiii? a?o?oaeoii?ee eiaa?ieo, a?eoaoieo ? i?aeeiaoey?ieo a?oa??e. 6. Ana?aaeei? ea?aoieoe?a ie?ie ? aioo??oiueiie?eiaeo aaiaoii aaneoey?ecaoe?y a?aenooiy. Na?aae aeia?iye?nieo iooeei ie?ie a aia?ii?ie?iiiao o 69,2% niinoa?aaeaiue a?aenooi? ENE, o 30,8% niinoa?aaeaiue aeyaeythoueny iiiaeeiie? ENE aaiiciiai oa?aeoa?o. A ioeueo?eieoey?ieo e?noicieo iao?iiao o an?o iaoe??io?a aecia/athoueny iiiaeeiie? ENE aaiiciiai oa?aeoa?o. Aaeaiiie ie?ie oa IE? ia a?ae??ciythoueny ca no?oeoo?ith oa aaneoey?ecaoe??th. Ia?ae?e ioae?eaoe?e ca oaiith aeena?oaoe?? 1. Aia?ee E.E., Aeoaai E.A. Aiaoiiey ii/ae /aeiaaea i?e oeueo?acaoeiaii enneaaeiaaiee // A?a/aaiia aeaei. - 1991. - ? 5. - N. 73 - 76. 2. Aeoaai E.A. Oeaaoiay aeiiiea?ia?aoey a aeeaaiinoeea ii/a/ii-eeaoi/iiai ?aea // Oe?a?inueeee aeo?iae iaeiiiaaceaiii oa aiaeineii?/ii? oi?o?aii. - 1997. - V. 1, N. 4. - N. 38 - 42. 3. Aeoaai E.A. Aeiiiea?ianeea iaoiaeu a oeueo?acaoeiaie aeeaaiinoeea aa?eaioia no?iaiey e aiiiaeee ?acaeoey ii/ae // I?iiaiaaa aeiaaiinoeea, i?iiaiaaa oa?ai?y. Cai?ea iaoeiaeo ?iaio Anioeiaoeii ?aaeiieiaia Oe?aiie. - 1999. - aei. 4. - N. 76 - 80. 4. Aeoaai E.A., Iaaeaaaeaa A.A. Aiciiaeiinoe oeueo?acaoeiauo enneaaeiaaiee a auyaeaiee eiioaeoiiai i?i?anoaiey ii/a/ii - eeaoi/iiai ?aea // I?iiaiaaa aeiaaiinoeea, i?iiaiaaa oa?ai?y. Cai?ea iaoeiauo ?iaio Anioeiaoeii ?aaeiieiaia Oe?aiie. - 1999. - aei. 5. - N.42 - 45. 5. E?aa/oe A.A., Aeoaai E.A., Iaae/aiei I.ss. Oeueo?acaoeiaay eiiiuethoa?iay oiiia?aoey a aeeaaiinoeea ceiea/anoaaiiuo iiaiia?aciaaiee ii/ae // O?ieiaey. ?anioaeeeaineee iaaeaaaeiinoaaiiue nai?iee. Eeaa, 1989. - Aui. 23. - N.17 - 21. 6. Aeoaai E.A. I niioiioaiee oeueo?acaoeiauo e ?aioaaiieiae/aneeo iaoiaeia enneaaeiaaiey // Iaaeeoeeia Oe?aeiu. - 1995. - ? 2. - N. 27 - 28. 7. Aeoaai E.A., Aaeeoeeay I.A., Eiaooi C.I. Ii?iaeueiay ii/a/iay aaiiaeeiaieea ii aeaiiui eiioeueniie aeiiiea?ia?aoee// Nia?aiaiiua aniaeou aiaiiie iaaeeoeeiu. Aui. 4 - Eeaa, 1999 a. - N. 236-239. 8. Aeoaai E.A., Iaaeaaaeaa A.A., Aeueai E.I. Oeueo?acaoeiaua enneaaeiaaiey a auyaeaiee ii/a/ii-eeaoi/iiai ?aea //Oacenu VI Iaaeaeoia?iaeiie eiioa?aioeee “Nia?aiaiiia ninoiyiea iaoiaeia iaeiaaceaiie aeeaaiinoeee a iaaeeoeeia” Naieo-Iaoa?ao?a, 1999a.- N. - 129. 9. Aeoaai E.A. Eiiieaeniua oeueo?acaoeiaua enneaaeiaaiey a aeeooa?aioeeaeueiie aeeaaiinoeea iaoieiae/aneeo ia?aciaaiee ii/ae // Oacenu Ia?aiai Oe?aeineiai Eiia?anna niaoeeaeenoia oeueo?acaoeiaie aeeaaiinoeee, Eeaa, 1999 a. - N.139 - 140. 10. Aeoaai E.A. Oeaaoiay aeiiiea?ia?aoey a aeeaaiinoeea ii/a/ii-eeaoi/iiai ?aea // Aaiioio?i?aaeiieiaiy. Iaoa?iaee eiioa?aioeii, Eueaia, 1996 ?. - N. - 58 - 59. 11. Aeoaai E.A. Oeueo?acaoeiaay eiiiuethoa?iay oiiia?aoey a aeeooa?aioeeaeueiie aeeaaiinoeea iauaiiuo ia?aciaaiee ii/ae e caa?thoeiiiai i?ino?ainoaa// Oacenu iao/ii-i?aeoe/aneie eiioa?aioeee a?a/ae E?aniiciaiaiiiai Eeaaneiai aiaiiiai ie?oaa, Eeaa, 1988 a. - N.14 - 15. 12. Aeoaai E.A., E?aa/oe A.A. Nia?aiaiiua aiciiaeiinoe aeeaaiinoeee aaiiie eiaacee iiooieae ii/ae // Oacenu iao/ii - i?aeoe/aneie eiioa?aioeee a?a/ae E?aniiciaiaiiiai Eeaaneiai aiaiiiai ie?oaa, Eeaa, 1988 a. - N. 15. 13. Iieaaeaaa A.A., Aeoaai E.A. Aeeaaiinoe/aneea aiciiaeiinoe oeueo?acaoeiaie eiiiuethoa?iie oiiia?aoee // Oacenu iao/ii - i?aeoe/aneie eiioa?aioeee a?a/ae E?aniiciaiaiiiai Eeaaneiai aiaiiiai ie?oaa, Eeaa, 1988 a. - N.17. 14. E?aa/oe A.A. Aeoaai E.A. Oeueo?acaoeiaay eiiiuethoa?iay oiiia?aoey a aeeaaiinoeea aaiiie eiaacee ceiea/anoaaiiuo iiaiia?aciaaiee ii/ae // Oacenu 5-e Aeiai?iiao?ianeie iaeanoiie iao/ii-i?aeoe/aneie eiioa?aioeee, Aeiai?iiao?iane, 1989 a. - /. 2. - N. 50 - 51. Aiiioaoeey Aeoaai E.A. Eiiieaeniua oeueo?acaoeiaua enneaaeiaaiey a aeeaaiinoeea e aeeoa?aioeeaeueiie aeeaaiinoeea ceiea/anoaaiiuo iiooieae ii/ae. - ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.23 - eo/aaay aeeaaiinoeea, eo/aaay oa?aiey. - Oe?aeineee iao/ii-enneaaeiaaoaeueneee einoeooo iieieiaee e ?aaeeieiaee IC Oe?aeiu, Eeaa, 1999 a. ?aaioa iinayuaia iiauoaieth yooaeoeaiinoe aeeaaiinoeee ceiea/anoaaiiuo iiooieae ii/ae iooai i?eiaiaiey eiiieaeniiai oeueo?acaoeiaiai enneaaeiaaiey, eioi?ia aeeth/aao o?aaeeoeeiiioth yoia?aoeth, oeaaoiia aeiiiea?ianeia ea?oe?iaaiea (OeAeE), yia?aaoe/aneia aeiiiea?ianeia ea?oe?iaaiea (YAeE) e eiioeuenioth aeiiiea?ia?aoeth ( EAe ). A iniiao ?aaiou iieiaeaiu ?acoeueoaou enneaaeiaaiey 467 aieueiuo n iiooieyie e ia?aciaaieyie ii/ae , n?aaee ieo 133 aieueiuo ceiea/anoaaiiuie iiooieyie ii/ae, 129 - n eenoaie, 157 n aiiiaeeyie e aa?eaioaie ?acaeoey ii/ae, 19 - n ea?aoieoeaie ii/ae, 6 - n iinoo?aaiaoe/aneeie aaiaoiiaie, 3 - n a?oa?ei-aaiiciuie iaeueoi?iaoeeyie, 20 - n aeia?iea/anoaaiiuie iiooieyie ii/ae. 220 caei?iaui ioae/eiai e aeaiueiai ?aciuo aic?anoiuo a?oii i?iaaaeaiu eiiieaeniua oeueo?acaoeiaua enneaaeiaaiey aeey eco/aiey aic?anoiuo iniaaiiinoae eciaiaiee ii/a/iie aiaeia?oeoaeoiieee e aaiiaeeiaieee. Onoaiiaeaii, /oi a ii?ia n aic?anoii ioia/aaony i?ia?anne?othuaa oiaiueoaiea oieueiu ia?aioeiu e ?acia?ia ii/a/iuo ie?aieae; eiee/anoaa iaaeaeieueeiauo a?oa?ee i?e nio?aiaiee iaueo ?acia?ia i?aaia. A ii?ia INNE a ii/a/iuo a?oa?eyo ninoaaeyao 75-128 ni/n, naaiaioa?iuo - 32 - 65 ni/n, aeieaauo - 22 - 40 ni/n e a aeoaiauo - io 11 - 28 ni/n. Aaee/eia eiaeaena ?acenoaioiinoe oiaiueoaaony ii ia?a ia?aoiaea io iaaeno?aeueiuo ninoaeia e ia?eoa?e/aneei. Iieacaoaee eiaeaena ?acenoaioiinoe aeey eaaeaeie ec a?oa?ee aeinoiaa?ii oaaee/eaathony n aic?anoii. Ianeaaeiaaiea 128 aieueiuo IE? iieacaei, /oi o 91,4% iaoeeaioia iiooieue eiaea ie?oaeoth oi?io, o 86,7% - /aoeea a?aieoeu e o 87,5% - i?aeiouanoaaiii aiai?aaiiue ?ino. I?e oeaaoiii aeiiiea?ianeii ea?oe?iaaiee e yia?aaoe/aneii aeiiiea?ianeii ea?oe?iaaiee o 97,4% aieueiuo aioo?e iiooiee auea auyaeaia aiiaue ia?aciaaiiay ninoaeenoay naoue eee iiiaeanoaaiiua oeaaoiaua neaiaeu e?iaioieia (OeNE), ia oiia aeaoaeoa aeeooociiai ie?aoeaaiey ia?aioeiu i?e YAeE. Ec 129 aieueiuo n aeia?iea/anoaaiiuie eenoaie o 103 iie eiaee ioaeaeueiua iiooieaiiaeiaiua i?eciaee, - ia?aai?iaeee, ooieuaiiua noaiee, nieeaeiue eiiiiiaio. Aioo?e ieo a 89,4% neo/aaa ionoonoaiaaee OeNE. O 4,8% ia oaeaeinue ioeaieoue aaneoey?ecaoeeth ec-ca eaeueoeeiaoeee noaiie. A ?acoeueoaoa ianeaaeiaaiey 157 aieueiuo n aa?eaioaie e aiiiaeeyie ?acaeoey ii/ae, oaeeie eae eieiiia Aa?oeia, aeiaaai/iay ii/a/iay aoaa, iiaeeiaiia?aciay ii/ea, L-ia?aciay ii/ea, oaeaiaiiay ii/ea iaie iaia?oaeaii, /oi OeAeE e YAeE iicaieeei auyaeoue o anao ii?iaeueiue oiae aeieaauo, a?eoaoiuo e iaaeaeieueeiauo ninoaeia aioo?e ia?aioeiu. O 19 aieueiuo n ea?aoieoeaie e 6 aieueiuo n aioo?eii/a/iuie aaiaoiiaie OeNE a ieo ionoonoaiaaee. I?e aeia?iea/anoaaiiuo iiooieyo ii/ae o 30,8% aieueiuo n aiaeiieieeiiiaie aioo?e auyaeaiu aaeeie/iua OeNE aaiiciiai oa?aeoa?a, oaeay aea aaneoey?ecaoeey auea o aieueiuo n ioeueoeeieoey?iuie eenoiciuie iao?iiaie. I?e ii/a/iuo aaeaiiiao no?oeoo?a e aaneoey?ecaoeey ia ioee/aeanue io oaeiaie i?e IE? iaeuo ?acia?ia. Eniieueciaaiea ni/aoaiee i?eciaeia, iieo/aiiuo i?e eiiieaeniuo oeueo?acaoeiauo enneaaeiaaieyo, iicaieeei i?iaanoe oniaoioth aeeooa?aioeeaeueioth aeeaaiinoeeo n aieueoeinoaii iaeaieaa /anoi ano?a/athueony ii/a/iuo ia?aciaaiee. Oi/iinoue o?aaeeoeeiiiie OCAe auea 90,5%, aieueoeinoai ioeai/iuo aeeaaiicia auee eiaeiiiieiaeeoaeueiuie. *oanoaeoaeueiinoue e niaoeeoe/iinoue ninoaaeee niioaaonoaaiii 91,7% e 90,0%. *oanoaeoaeueiinoue eiiieaeniie oeueo?acaoeiaie aeeaaiinoeee a auyaeaiee IE? ninoaaeea 97,7%, niaoeeoe/iinoue - 97,5% e oi/iinoue - 97,6%. Io IE? ia iiaoo auoue ioaeeooa?aioee?iaaiu oieueei ii/a/iua aaeaiiiu. Oaeei ia?acii, eniieueciaaiea a eiiieaena n o?aaeeoeeiiiie yoia?aoeae OeAeE, YAeE e EAe i?e aeeooa?aioeeaeueiie aeeaaiinoeea ii/a/iuo iaoieiae/aneeo ia?aciaaiee iaania/eaaao iiauoaiea aeeaaiinoe/aneie yooaeoeaiinoe oeueo?acaoeiauo enneaaeiaaiee: /oanoaeoaeueiinoue iaoiaea aic?inea ia 6%, niaoeeoe/iinoue - ia 7,5%, a iauay oi/iinoue - ia 7,1%. Eeth/aaua neiaa: ii/a/ii-eeaoi/iue ?ae, oeueo?acaoeiaua enneaaeiaaiey, oeaaoiia aeiiiea?ianeia ea?oe?iaaiea, yia?aaoe/aneia aeiiiea?ianeia ea?oe?iaaiea, eiioeueniay aeiiiea?ia?aoey. Aiioaoe?y Aeoaai I.A. Eiiieaeni? oeueo?acaoeiai aeineiaeaeaiiy a aeiaaiinoeoei oa aeeoa?aioeiaeuei?e aeiaaiinoeoei ceiyeinieo iooeei ie?ie. - ?oeiien. Aeena?oaoeiy ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoeiaeueiinoth 14.01.23 - i?iiaiaaa aeiaaiinoeea, i?iiaiaaa oa?aiiy. - Oe?aiinueeee iaoeiai-aeineiaeiee iinoeooo iieieiaii ? ?aaeiieiaii IIC Oe?a?ie, Eeia,1999 a. ?iaioa i?enay/aia i?aeaeuaiith aoaeoeaiino? ae?aaiinoeee ceiye?nieo iooeei ie?ie oeyoii canoinoaaiiy eiiieaeniiai oeueo?acaoeiaiai aeine?aeaeaiiy, ui ii?aeith? o?aaeeoe?eio aoia?ao?th, eieuei?iaa aeiiiea??anueea ea?ooaaiiy (EAeE), aia?aaoe/ia aeiiiea??anueea ea?ooaaiiy (AAeE) oa ?iioeuenio aeiiiea?ia?ao?th (?Ae). A iniiao ?iaioe iieeaaeai? ?acoeueoaoe aeine?aeaeaiue 467 oai?eo c iooeeiaie ? aeia?iye?nieie ooai?aiiyie ie?ie ? 220 caei?iaeo in?a ??cieo a?eiaeo a?oi. Aeyaeai? a?eia? iniaeeaino? ie?eiai? aia?ia?o?oaeoiieee oa aaiiaeeiai?ee ca aeaieie EAeE, AAeE oa ?Ae, ?ic?iaeaia eiiieaenia aoinai?ioeea ie?eiai-ee?oeiiiai ?aeo (IE?) oa aeia?iye?nieo ooai?aiue. Aeiaaaeaia aeniea aoaeoeai?noue eiiieaenieo oeueo?acaoeiaeo aeine?aeaeaiue a ae?aaiinoeoe? oa aeeoa?aioe?aeuei?e ae?aaiinoeoe? IE? c a?eueo?noth ie?eiaeo ooai?aiue. *ooeea?noue iaoiaeo neeaaea? 97,7%, niaoeeo?/i?noue - 97,5%, oi/i?noue - 97,6%. Oaeei /eiii, anoaiiaeaii, ui i?e ianoaaeaii? oai?eo c i?aeic?ith ia IE? aei neeaaeo oeueo?acaoeiaeo aeine?aeaeaiue iathoue aooe aeeth/ai? EAeE, AAeE oa ?Ae. Eeth/ia? neiaa: ie?eiai-ee?oeiiee ?ae, oeueo?acaoeia? aeine?aeaeaiiy, eieuei?iaa oa aia?aaoe/ia aeiiiea??anueea ea?ooaaiiy. SUMMARY Dugan I.V. Complex ultrasonic investigations in diagnosis and differential diagnosis of renal malignant tumors. - Manuscript. Thesis for the Candidate’s Degree in Medical Sciences by speciality 14.01.23 - radiodiagnostics, radiotherapy. - Ukrainian Scientific-and-Research Institute of Oncology and Radiology, Public Health Ministry of Ukraine, Kyiv, 1999. The dissertation is devoted to the problem of more effective diagnosis of renal malignant neoplasms using the complex of ultrasonic examinations which includes traditional echography, color Doppler mapping (CDM), power Doppler mapping (PDM), and impulse dopplerography (ID). The scientific work is based on the results of examinations conducted out on 467 patients with renal malignant and benign lesions as well as one 220 healthy individuals belonging to various age groups. Revealed were age-related features of the renal architectonics and hemodynamics as ludged by the data of CDM, EDM and ID; worked out was complex echosemiotics for both renal cell cancer (RCC) and bening neoplasms. The signs revealed with a use of the complex ultrasonic examination were proved to be of high efficacy in diagnosis and differential diagnosis of renal malignant neoplasms versus a majority of other renal neoplasms. Sensitivity of the method equals to 97,7%, specificity - 97,5%, accuracy - 97,6%.Therefore, the examination of patients with suspicion for RCC has to include CDM, EDM and ID. Key words: renal cell cancer, ultrasonic examination, color and energy Doppler mapping.

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