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

EE?ANUeEA IAAeE*IA AEAAeAI?ss I?NEssAeEIEIIII? INA?OE

?i. I. E. Ooieea

IIIAI? Oaoo?e C?yae

OAeE 616.366–003.7:616.367–089.85

IAOIAeE OIEAAeIOIE?OIOII?? OA NIINIAE ?? CAAA?OAIIss O OAI?EO IA
OIEAAeIOIE?O?AC

14.01.03 – o??o?a?y

Aaoi?aoa?ao aeena?oaoe??

ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia o Ee?anuee?e iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe
?i. I. E. Ooieea IIC Oe?a?ie

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe Ie/eoaeei Ieoaeei THoeiiae/
aeioeaio eaoaae?e oi?aeiaaaeii?iaeueii? oa noaeeiii? o??o?a?? Ee?anueei?
iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe i?ioani? ?aaec?oianueeee
Aiaoie?e Iaaeiae/, caa?aeoaa/ eaoaae?e o??o?a?? oa ii?eiai? oai?iae
Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea;

aeieoi? iaaee/ieo iaoe i?ioani? Caoa?ao Ieoaeei Iao?iae/ ia/aeueiee
iaaee/iiai oi?aae?iiy Neoaeae aaciaee Oe?a?ie.

I?ia?aeia onoaiiaa: Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I. I.
Aiaiiieueoey IIC Oe?a?ie (eaoaae?a oaeoeueoaonueei? o??o?a?? ? 2).

Caoeno a?aeaoaeaoueny “_30__” a?oaeiy 1998 ?. i_11__ aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.613.02 i?e Ee?anuee?e
iaaee/i?e aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea IIC Oe?a?ie,
254112, i. Ee?a, aoe. Aei?iaiaeeoeueea, 9.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea (i. Ee?a, aoe.
Aei?iaiaeeoeueea, 9).

Aaoi?aoa?ao ?ic?neaii “_30__”_eenoiiaaea_ 1998 ?.

A/aiee nae?aoa?niaoe?ae?ciaaii? a/aii? ?aaeeeaiae. iaae. iaoe aeioeaio
Aaicaeye I. I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie.

Ca inoaii? ?iee ca?a?no?iaaii cia/ia ca?eueoaiiy /enea oai?eo ia
aeia/iieai`yio oai?iao (AEEA). Oieaaeioie?o?ac, yeee a?aei?/athoue o
14–12% iaoe??io?a c AEEA, iaea?eueo /anoi ? i?e/eiith iai?io?aeiino?
aeia/ieo i?ioie iaiooeeiiiai iioiaeaeaiiy. *anoea oieaaeioie?o?aco c
on?o aeae?a iai?io?aeiino? aeinyaa? 55–68% (A. N. Aaeaeueei, 1996; I. A.
Caaiaea, 1997; A. N. A?uneei oa ni?aaao., 1998; I. N. A?uneei oa
ni?aaao., 1998; A. A. Oaeeiia oa ni?aaao., 1993, 1998; G. Berci oa
ni?aaao., 1994; D. B. Jones, 1995). Ii??aiyii aaeeea /anoioa
caoai?thaaiiy, c?icoi?ei, iicia/a?oueny ? ia ca?eueoaii? eaoaeueiino?
aiane?aeie oneeaaeiaiue, aaciina?aaeiuei iia`ycaieo c iayai?noth a
aeia/ieo i?ioieao eaiai?a (iaoai?/ia aeiaoyieoey, ai?eiee oieaia?o,
ciai?oiy aeia/ia ii?eoey). Iia?aoe?eia nia?oi?noue i?e oieaaeioie?o?ac?
nueiaiaei? noaiiaeoue 1,3% ? ia ia? /?oei? oaiaeaioe?? aei cieaeaiiy (A.
A. Aiae?aaa oa ni?aaao., 1997; A. A. Oaeeiia oa ni?aaao., 1998).

Oiio aei– oa i?neyiia?aoe?eia aeyaeaiiy eaiai?a a caaaeuei?e aeia/i?e
i?ioioe? (CAEI) ? i?iaeaia iiooeo aoaeoeaieo niinia?a ?o aeaeaeaiiy
aeeeeea? cia/iee ?ioa?an.

C ai?iaaaeaeaiiyi o ee?i?/io i?aeoeeo aiaeineii?/ii? ?ao?ia?aaeii?
iaie?aaoioieaia?ia?ao?? (A?IOA) ci?ieeanue oaeoeea e?eoaaiiy oai?eo ia
oieaaeioie?o?ac. Caaaeyee aoaeoeaiino? ? iae?e o?aaiaoe/iino? oeae
iaoiae aeineoue oaeaeei ai?iaaaeeany o ee?i?/io i?aeoeeo (E. A. Coaa?aa
oa ni?aaao., 1994; I. Ae. Naiei, 1981, 1989, 1994; I. A. Iai?iaeiee,
1997).

Ca aeaieie ??cieo aaoi??a aiaeineii?/ia e?oioii?y aoaeoeaia o 92–98%
oai?eo ia oieaaeioie?o?ac (I. A. Iai?iaeiee, 1998). I?ioa i?ia?anoaaiiy
oieaia?oo ? iaie?aaoeoo o oai?eo ia oieaaeioie?o?ac i?ney iaaaeaeiai
ao?o/aiiy, oiaoi i?e iaiiaeeeaino? aeaeaeaiiy eiie?aiaio?a o ?ac?
canoinoaaiiy iai?eioiiiiai aeinooio, ? iniiaiith i?e/eiith aeieeiaiiy
oneeaaeiaiue ? ca?eueoaiiy eaoaeueiino? i?e oeueiio caoai?thaaii? (A. N.
A?uneei oa ni?aaao., 1998; I. A. Ie/eoaeei, 1996; G. M. Larson oa
ni?aaao.,1992).

E??i oiai, iieacaiiy aei canoinoaaiiy A?IOA o aeiiia?aoe?eiee ia??iae ia
oi?o?eiaai?, /a?ac ui ?ieiee oieaaeioie?o?ac aia?oa ae?aaiinoothoue eeoa
i?ae /an aeeiiaiiy ao?o/aiiy. Aei oeueiai /ano ia ae?iaeai? no?iee ?
iieacaiiy aei ??cieo aeae?a iia?aoe?e o oai?eo ia oieaaeioie?o?ac i?ney
iaaaeaei? aiaeineii?/ii? e?oioii??, aai i?e iayaiino? i?ioeiieacaiue aei
?? aeeiiaiiy. ??cia, aaaaoi a /iio noia?a/eeaa ioe?iea aeayeeie
o??o?aaie aeai?o iioeiaeueiiai niiniao caaa?oaiiy oieaaeioioii?? (A. A.
Oaeeiia oa ni?aaao., 1993, 1998). Ia i?ioeaaao iaoiaeai
o?ainaeoiaeaiaeueii? iai?eino?ieoa?ioii?? oa ??ciei aeaeai
oieaaeioiaeoiaeaiinoii?? a inoaii?e /an a?aeaeathoue ia?aaaao iaoiaeo
oieaaeioie?oioii?? c iaeeaaeaiiyi aeooiai oaa ia CAEI aai c
canoinoaaiiyi ciai?oiueiai ?? ae?aioaaiiy a?aee?eoei /e eaia?ineii?/iei
niiniaii. Ioe?iea iaoiaeo eaia?ineii?/ii? oieaaeioie?oioii?? a
e?oa?aoo?ieo aeaea?aeao inoaiiueiai /ano iaiaeiicia/ia. Ie?ai? aaoi?e
(N. ?. ?iaeueyiia ? ni?aaao., 1998; A. A. Oaiiaaeueyioe, 1998)
i?iiaaothoue oeae iaoiae, ?io? (A. N. A?uneei ? ni?aaao., 1998)
noaaeyoueny aei iueiai no?eiaii. Aei oeueiai /ano a e?oa?aoo??
iaaeinoaoiuei aena?oeaia aoaeoeai?noue ??cieo iaoiae?a e?eoaaiiy
oieaia?oo o oai?eo ia oieaaeioie?o?ac. A?aenooi? e?eoa??? ioe?iee
nooiaiy oyaeeino? oieaia?oo, iaaeinoaoiuei ?ic?iaeai? iieacaiiy oa
iaoiae ?aa?iia?iiai aieeao i?e ai?eiiio oieaia?o? ??ciiai nooiaiy
oyaeeino?. Aeooaeuei? ieoaiiy ?ic?iaee nenoaie i?io?eaeoeee
i?neyiia?aoe?eieo oneeaaeiaiue o oai?eo ia oieaaeioie?o?ac oa ?o
?aaa?e?oaoe?? ? aeeniaina?iiai niinoa?aaeaiiy i?ney aeeiiaiiy ao?o/aiue
eaia?ineii?/iei /e o?aaeeoe?eiei niiniaii. Iaiao?aei? a?eueo aeeaiea
aea/aiiy ? ?ic?iaea iaoiae?a i?aeaioiaee aei iia?aoe?? oa
i?neyiia?aoe?eiiai aaaeaiiy oai?eo, noai?aiiy eeaneo?eaoe?? oieaia?oo,
aoaeoeaieo niinia?a aioeaaeoa??aeueii? oa?ai?? oa i?io?eaeoeee ai?eieo
oneeaaeiaiue o oai?eo ia oieaaeioie?o?ac, iia?iaaieo c aeei?enoaiiyi
o?aaeeoe?eieo oa iaei?iaaceaieo iaoiaeee.

Ca`ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y ?
o?aaiaioii eiiieaenii? IAe? ?inoeoooo ee?i?/ii? oa aenia?eiaioaeueii?
o??o?a?? AII Oe?a?ie (ee?i?/ia aaca eaoaae?e oi?aeiaaaeii?iaeueii? oa
noaeeiii? o??o?a?? Ee?anueei? iaaee/ii? aeaaeai?? i?neyaeeieiiii? ina?oe
?i. I. E. Ooieea) a 1996–1998 ??. (? aea?aeaaii? ?a?no?aoe?? 0196
I0110228).

Iaoa aeine?aeaeaiiy.

Iaoith aeine?aeaeaiiy ? iie?ioaiiy ?acoeueoao?a o??o?a?/iiai e?eoaaiiy
oai?eo ia oieaaeioie?o?ac oeyoii iioei?caoe?? iieacaiue aei ??cieo
niinia?a aeeiiaiiy oa caaa?oaiiy oieaaeioie?oioii??.

Caaaeaiiy aeine?aeaeaiiy.

1. Aea/eoe i?e/eie iaaaeaeiai canoinoaaiiy aiaeineii?/ii? e?oioii?? o
oai?eo ia oieaaeioie?o?ac.

2. ?ic?iaeoe ?aoe?iiaeueio o??o?a?/io oaeoeeo e?eoaaiiy oai?eo ia
oieaaeioie?o?ac i?ney iaaaeaei? aiaeineii?/ii? e?oioii??.

3. ?ic?iaeoe aeaiaoaiio oaeoeeo e?eoaaiiy ??cieo oi?i eaeueeoeueiciiai
oieaoeenoeoo, oneeaaeiaiiai oieaaeioie?o?acii, ? aeaoe ioe?ieo
aoaeoeaiino? ?? canoinoaaiiy.

4. ?ic?iaeoe iaoiaee e?eoaaiiy oieaia?oo o oai?eo ia oieaaeioie?o?ac.

5. Ioe?ieoe aoaeoeai?noue ?ic?iaeaii? o??o?a?/ii? oaeoeee e?eoaaiiy
oai?eo ia oieaaeioie?o?ac.

Iaoeiaa iiaecia.

Ia i?aenoaa? iaea?aeaieo aeaieo ?ic?iaeaii ?aoe?iiaeueio oaeoeeo
o??o?a?/iiai e?eoaaiiy oai?eo ia oieaaeioie?o?ac i?ney iaaaeaeiai
aeeiiaiiy aiaeineii?/ii? e?oioii?? oa aeiaaaeaii aeioe?euei?noue ?
aoaeoeai?noue aeaiaoaiii? oaeoeee e?eoaaiiy oai?eo c aino?ei /e
o?ii?/iei eaeueeoeueiciei oieaoeenoeoii, oneeaaeiaiei oieaaeioie?o?acii.
Oaeineiiaeai? iaoiaee oieaaeioie?oioii?? oa niiniae ciai?oiueiai ?
aioo??oiueiai ae?aioaaiiy i?ney oieaaeioie?oioii??. ?ic?iaeai? iieacaiiy
aei canoinoaaiiy oieani?aoe??, iaoiaee aeeiiaiiy ?? ?aa?iia?ii?
?ioiiei?aeoe?? o oai?eo ia oieaaeioie?o?ac, oneeaaeiaiee oieaia?oii.

I?aeoe/ia oe?ii?noue ?iaioe.

Ia iniia? iaea?aeaieo aeaieo ?ic?iaeaii iioeiaeuei? no?iee aeeiiaiiy ?
ianya iia?aoeaiiai ao?o/aiiy o iaoe??io?a c aino?ei ? o?ii?/iei
eaeueeoeueiciei oieaoeenoeoii, oneeaaeiaiei oieaaeioie?o?acii, oaeoeeo
e?eoaaiiy oai?eo c caeeoeiaei oa ?aoeeaeeaiei oieaaeioie?o?acii, a
oaeiae c oieaaeioie?o?acii i?ney iaaaeaeiai cae?eniaiiy aiaeineii?/ii?
e?oioii??.

?ic?iaeai? iaoiaee aioeaaeoa??aeueii? i?io?eaeoeee oa ?aa?iia?ii?
oa?ai?? i?e oieaaeioie?o?ac?, oneeaaeiaiiio ai?eiei oieaia?oii.
Ai?iaaaeaeaiiy ?o a ee?i?/io i?aeoeeo aeicaieeei ciaioeoe /anoioo
aeieeiaiiy ai?eieo i?neyiia?aoe?eieo oneeaaeiaiue ? eaoaeuei?noue.
Iaea?aeai? ?acoeueoaoe aeathoue i?aenoaae ?aeiiaiaeoaaoe cai?iiiiiaaio
iaoiaeeeo aei a?eueo oe?ieiai ee?i?/iiai canoinoaaiiy a e?eoaaii? oai?eo
ia oieaaeioie?o?ac.

Iniaenoee aianie caeiaoaa/a.

Caeiaoaa/ai ?ic?iaeai? iniiai? oai?aoe/i? ? i?aeoe/i? iieiaeaiiy ?iaioe,
aecia/aii iaoo ? caaea/? aeine?aeaeaiiy, i?iaaaeaii aiae?c ? noaoenoe/io
ia?iaeo iaea?aeaieo ?acoeueoao?a. Iniaenoi caeiaoaa/ai aai c eiai
aaciina?aaeiueith o/anoth aeeiiaii 80% iia?aoeaieo ao?o/aiue o oai?eo,
aeeth/aieo aei aiae?co.

?acoeueoaoe aeine?aeaeaiue aeeeaaeai? aeena?oaioii a noaooyo, iaoa??aeao
iaoeiaeo eiioa?aioe?e oa aeiiia?aeyo.

Ai?iaaoe?y ?iaioe.

Iniiai? iaoa??aee ? iieiaeaiiy aeena?oaoe?? aeieeaaeai? ? iaaiai?ai? ia
VI ieaioi? o??o?a?a Oe?a?ie (i. Iaeana, 1996), VI i?aeia?iaei?e
eiioa?aioe?? o??o?a?a–aaiaoieia?a “Aeooaeuei? i?iaeaie o??o?a?/ii?
aaiaoieia??” (Ee?a, 4–6 eenoiiaaea 1998 ?.), can?aeaii? eaoaae?e
oi?aeiaaaeii?iaeueii? oa noaeeiii? o??o?a?? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea (aeiaoaiue 1998 ?.).

Ioae?eaoe??.

Ca oaiith aeena?oaoe?? iioae?eiaaii 3 iaoeia? ?iaioe a iaaee/ieo
aeo?iaeao, io?eiaii iiceoeaia ??oaiiy i?i aeaea/o iaoaioo Oe?a?ie ia
aeiao?ae.

No?oeoo?a aeena?oaoe??.

Aeena?oaoe?y aeeeaaeaia ia 122 noi??ieao iaoeiiieno. Neeaaea?oueny c?
anooio, iaeyaeo e?oa?aoo?e, o?ueio ?icae?e?a aeanieo aeine?aeaeaiue,
i?aenoie?a, aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e ? nieneo aeei?enoaii?
e?oa?aoo?e, ui i?noeoue 280 aeaea?ae. ?iaioa ?ethno?iaaia 11 oaaeeoeyie
oa 9 iaethieaie.

INIIAIEE CI?NO ?IAIOE.

Iaoa??aee oa iaoiaee aeine?aeaeaiiy. Aeine?aeaeaiiy iiai?noth
a?oioo?oueny ia aiae?c? ?acoeueoao?a e?eoaaiiy 128 oai?eo ia
oieaaeioie?o?ac, iia?iaaieo o a?aeae?eaii? o??o?a?? aeia/iieai`yii?
oai?iae oa eaia?ineii?/ii? o??o?a?? ?inoeoooo ee?i?/ii? oa
aenia?eiaioaeueii? o??o?a?? AII Oe?a?ie (ee?i?/ia aaca eaoaae?e
oi?aeiaaaeii?iaeueii? oa noaeeiii? o??o?a?? Ee?anueei? iaaee/ii?
aeaaeai?? i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea) c 1993 ii 1997 ?.

A?e oai?eo a?ae 19 aei 79 ?ie?a. A?eueo?noue oai?eo (80,3%) aoee
i?aoeacaeaoiiai a?eo (a?ae 19 aei 60 ?ie?a). Ca oe??? ianoaaeie i?iaeaia
i?neyiia?aoe?eii? iaaee/ii? ? o?oaeiai? ?aaa?e?oaoe?? iaaoaa? aaaeeeaiai
nioe?aeueii–aeiiii?/iiai cia/aiiy.

Iaoiaee aeine?aeaeaiiy. I?ae /an ianoaaeaiiy iaoe??io?a c iaoith
anoaiiaeaiiy ae?aaiico ? iieacaiue ca i?eioeeiii a?ae i?inoiai aei
neeaaeiiai, aa?o/e aei oaaae ?ioi?iaoeai?noue iiia?aaei?o aeaieo,
canoiniaoaaee ee?i?/i?, eaai?aoi?i?, a?io?i?/i? ? niaoe?aeuei?
?ino?oiaioaeuei? iaoiaee aeine?aeaeaiiy. I?iaiaeeee caaaeueiee aiae?c
e?ia? ? na/?, aecia/aee aeoeai?noue ai?eace o ne?iaaooe? e?ia? ? na/? ca
iaoiaeii Ni?oa – ?iy a iiaeeo?eaoe?? Oaie?aa. Aeine?aeaeoaaee ai?no
a?eea a ne?iaaooe? e?ia? (?ao?aeoiiao?e/iei iaoiaeii), caaaeueiiai
a?e??oa?io (ca Aeaeaeniiii), eiai o?aeoe?e (ca Aaa?eaeiii), caeeoeiaiai
acioo ? na/iaeie – c aeei?enoaiiyi iaai?o EAOAI (*aoineiaa//eia). O
oai?eo c i?aeaeuaiith oiea?aioi?noth aei aetheice noai aoaeaaiaeiiai
iai?io aea/aee ca aeiiiiiaith aia?aoa ooo/ii? i?aeoeoieiai? caeice o??ie
“Aeinoaoi?” (Miles), NOA–O?A, ui aeaaaei iiaeeea?noue ?a?no?oaaoe ai?no
aetheice a e?ia? oai?iai uioaeeeie.

Aoia?ao?/ia aeine?aeaeaiiy i?aai?a aaiaoiiaie?aaoiaeoiaeaiaeueii? ciie
aeeiioaaee c aeei?enoaiiyi oeueo?acaoeiaeo ae?aaiinoe/ieo aia?ao?a o??ie
“Aloka” (ssiii?y) c ??ciiiai?oieie aeao/eeaie /anoioith 3–3,5 iAoe. O 96
iaoe??io?a ca aeaieie aoia?ao?/iiai aeine?aeaeaiiy anoaiiaeee ae?aaiic
eaeueeoeueiciiai oieaoeenoeoo. sse ae?aaiinoe/i? e?eoa??? aeyaeaiiy
eaiai?a o aeia/ieo i?ioieao aeei?enoiaoaaee oae? aoia?ao?/i? iciaee, ye
neaiaee o aeaeyae? yne?aaeo na?/aiue ia ae?ai?, aeaeaeo? a?ae eaiaiy,
aai a?eeo ieyi, ye? /anoeiai aai iiai?noth iiaeooue ia?ae?eoe
cia?aaeaiiy i?ina?oo i?ioiee. ?icoe?aiiy caaaeueii? aeia/ii? i?ioiee
(CAEI) ? ii??aiyii ?aiiueith aoia?ao?/iith iciaeith ?? iaoo?aoe??. Ca
aeaieie oeueo?acaoeiaiai aeine?aeaeaiiy oieaaeioie?o?ac anoaiiaeaii o
112 (86%) oai?eo.

?aioaai?anueeo eiii`thoa?io oiiia?ao?th cae?enieee 31 oai?iio.
Aeei?enoiaoaaee aia?ao “Somaton CR” o??ie “Siemens” (O?A). Ia oiiia?aiao
aeia/iee i?oo? yaey? niaith, ye i?aaeei, ae?eyieo iaaeniei? u?eueiino?
ae?ini?aeii? /e ie?oaei? oi?ie.

AEia/i? i?ioiee a ii?i? ia a?coae?cothoueny, aea i?e cia/iiio ?icoe?aii?
iiaeooue aecia/aoeny o aeaeyae? a?eeynoi? n?oee c ie?oaeeie ae?eyieaie
cieaeaii? u?eueiino?. Eaiai? aeia/ieo i?ioie i?ae /an aeeiiaiiy
eiii`thoa?ii? oiiia?ao?? aeyaeoe, ye i?aaeei, ia aaeaaaeinue.

?iooc?eio oieaia?ia?ao?th ia ia?oiio aoai? aeine?aeaeaiiy canoiniaoaaee
i?ney iia?eueiiai (i?ioyaii 5 oa) aaaaeaiiy 50% ?ic/eio a?e?aiinoo c
?ic?aooieo 1 ie/ea iane o?ea oai?iai. Ci?iee ?iaeee /a?ac 15, 30, 45 oa
oa 1 aiae. Ca aeaieie na??? ?aioaaiia?ai, io?eiaieo i?ae /an aeeiiaiiy
?iooc?eii? oieaia?ia?ao??, aecia/aee oe?eio CAEI, iayai?noue a ??
i?ina?o? aeaoaeo?a iaiiaiaiiy, aeaoi?iaoe?? i?ioiee, ??aeoa – ci?ie o
oa?i?iaeueiiio a?aeae?e? aeia/ii? i?ioiee, a oaeiae oaii aaaeoaoe??
eiio?anoii? ?a/iaeie o aeaaiaaeoeyoeiaeo eeoeo.

Iciaeaie aeia/ii? a?ia?oaic?? ? ?icoe?aiiy i?ioiee iiiaae 10 ii ?
o?eaaea cao?eiea eiio?anoii? ?a/iaeie a i?e. Caeeoeiaee oieaaeioie?o?ac
ca aeiiiiiaith oeueiai aeine?aeaeaiiy ae?aaiinoiaaii o 22 (30,7%)
iaoe??io?a c 31, yeei i?iaiaeeee oea ianoaaeaiiy.

Aeey ?io?aiia?aoe?eii? ae?aaiinoeee oieaaeioie?o?aco i?e iayaiino? a
aiaiiac? na?ae/aiue i?i ai?ciaee aeiaoyieoe? e oieaia?oo, aeyaeaiiy
ae??aieo eiie?aiaio?a aeia/iiai i?oo?a, oe?iei? i?oo?iai? i?ioiee ?
ae?eaoiaaii? iiiaae 0,8 ni CAEI aeeiioaaee ?io?aiia?aoe?eio
oieaia?ia?ao?th /a?ac eaoaoa? ioce?ii? i?ioiee.

Aeey eiio?ieth i?io?aeiino? CAEI 90 oai?ei ia 6–8–o aeiao i?ney
oieaaeioie?oioii?? ? ciai?oiueiai ae?aioaaiiy CAEI aeeiioaaee
/a?acae?aiaaeio o?nooeioieaia?ia?ao?th c ?aioaaiioaeaa?c?eiei eiio?ieai.
Aeeiai?eo ci?i CAEI i?ney aeaeaeaiiy eiie?aiaio?a oa caaa?oaiiy
oieaaeioie?oioii?? c iaeeaaeaiiyi aeooiai oaa /e cae?eniaiiyi
ciai?oiueiai ae?aioaaiiy CAEI eiio?iethaaee /a?ac 1 ? 1,5 i?nyoey i?ney
iia?aoe?? oeyoii aeeiiaiiy oeueo?acaoeiai? oiiia?ao?? ia/?iee, aeia/ieo
i?ioie oa i?aeoeoieiai? caeice ? iaoiae?a i?yiiai eiio?anooaaiiy
aeia/iaea?aeieo oeyo?a.

Iniiaiei iaoiaeii ae?aaiinoeee oieaaeioie?o?aco ? ?AIOA. Aeine?aeaeaiiy
aeeiiothoue a ?aioaaieaa?iao? ca aeiiiiiaith o?a?iaeoiaeaiineiia oeio
JF–A2 o??ie “Olympus”. I?ney aecia/aiiy i?noeaiieiaeaiiy aaeeeiai
nini/ea aeaaiaaeoeyoeiaei? eeoee (ANAeE) ? eiai ianoaaeaiiy
cae?eniththoue eaoaoa?ecaoe?th oaoeiiiaei ciiaeii i?ioieiai? nenoaie,
i?aeoeoieiai? caeice, aeia/iaea?aeieo oeyo?a c aeei?enoaiiyi
aiaei?ic/eiieo eiaeai?nieo i?aia?ao?a (o?ia?ao?io, aa?ia?ao?io,
o?io?anoo oa ?i.).

Iniiai? ?acoeueoaoe aeine?aeaeaiiy

Iniiaiei iaoiaeii e?eoaaiiy oieaaeioie?o?aco i?ioyaii anueiai ia??iaeo
aeine?aeaeaiiy aoea aiaeineii?/ia oieaia?ioii?y, yeo ca iieacaiiyie
aeiiiaithaaee iaoai?/iith o?aeoe??th eiie?aiaio?a, iaoai?/iith
e?oio?ein??th, iacia?e?a?iei ae?aioaaiiyi CAEI, aeenoaioe?eiith
oaea?iioaeeueiaith e?oio?ein??th, oieani?aoe??th, ?aa?iia?iith
?ioiiei?aeoe??th.

Ine?eueee o??o?a?/ia oaeoeea, niiniae aeeiiaiiy ? caaa?oaiiy
oieaaeioie?oioii?? a?ae??ciyeenue o iaoe??io?a c ??cieie oi?iaie
aino?iai ? o?ii?/iiai eaeueeoeueiciiai oieaoeenoeoo, oneeaaeiaiiai
oieaaeioie?o?acii, a?ae oaeeo o oai?eo c caeeoeiaei /e ?aoeeaeeaiei
oieaaeioie?o?acii, ye? o ieioeiio ia?aianee oieaoeenoaeoii?th, oai??
aoee ?iciiae?eai? ia o?e a?oie (oaae. 1).

Oaaeeoey 1. ?iciiae?e oai?eo ia a?oie caeaaeii a?ae aeaeo
oieaaeioie?o?aco

Iaoieia?y*enei oai?eoO?ii?/iee eaeueeoeueiciee oieaoeenoeo,
oieaaeioie?o?ac43Aino?ee eaeueeoeueiciee oieaoeenoeo,
oieaaeioie?o?ac30Caeeoeiaee oieaaeioie?o?ac55Anueiai128

Aei a?oie c caeeoeiaei oieaaeioie?o?acii aeeth/ai? 55 oai?eo, o yeeo
aeeiiaiiy aiaeineii?/ii? oieaaeioie?oioii?? aeyaeeinue iaaaeaeei. Oai?ei
ia o?ii?/iee (43) ? aino?ee (30) eaeueeoeueiciee oieaoeenoeo a
a?eueoino? aeiaaee?a (49) aeeiiaia aiaeineii?/ia iai?eioii?y, ye ia?oee
aoai e?eoaaiiy, aea /a?ac ??ci? ianoaaeie aiaeineii?/ia e?oano?aeoe?y
eiie?aiaioa aoea iaaaeaeith ? a iiaeaeueoiio aeieeea iaiao?aei?noue
aeeiiaiiy oa?i?iiai? o?aaeeoe?eii? /e eaia?ineii?/ii?
oieaaeioie?oioii??.

O 24 iaoe??io?a oe??? a?oie oieaaeioie?o?ac ae?aaiinoiaaii ca aeaieie
?io?aiia?aoe?eii? ?aa?c??, aai ?io?aiia?aoe?eii? oieaia?ia?ao??. Oaeoeea
e?eoaaiiy oai?eo an?o 3 a?oi aoea ??ciith.

Iacaaeia?euei? ?acoeueoaoe aeeiiaiiy aiaeineii?/ii? e?oioii?? o oai?eo
1–? a?oie aoee coiiaeai? o a?eueoino? aeiaaee?a iaa?aeiia?aei?noth
ae?aiao?a ?io?aiaie?aaoe/ii? /anoeie CAEI ?ici??ai eiie?aiaioa. O oeeo
aeiaaeeao o?aeoe?y eiie?aiaioa c canoinoaaiiyi eioeea Aei?i?a
iaaacia/ia, ine?eueee ?nio? ?ecee a?ae?eao /e o?enaoe?? eioeea ?acii c
eiie?aiaioii o a?eueo caoaeai?e ?ao?i–, noi?aaeoiaeaiaeuei?e
?io?aiaie?aaoe/i?e ae?eyieao.

Iayai?noue aeia/iiai i?oo?a, aei yeiai, ye i?aaeei, iio?aiey? eiio?anoia
?a/iaeia i?ae /an aeeiiaiiy ?ao?ia?aaeii? aiaeineii?/ii? oieaia?ia?ao??,
a oaeiae aeniea eiia??i?noue aeieeiaiiy ? i?ia?anoaaiiy ai?eiiai
oieaia?oo i?e iaiiaeeeaino? cae?eniaiiy aaeaeaaoiiai iacia?e?a?iiai
ae?aioaaiiy aaaaeaee iieacaiiyie aei canoinoaaiiy iaa?aeeeaaeiiai
ao?o/aiiy, ni?yiiaaiiai ia onoiaiiy oieanoaco. Aeey ioe?iee oaeoi?o /ano
? ?ic?iaee iioeiaeueieo no?ie?a aeeiiaiiy iia?aoeaieo ao?o/aiue aeey
aeae?eaiiy eiie?aiaioa ? onoiaiiy iai?io?aeiino? iaie aoee ni?anoaaeai?
?acoeueoaoe ? no?iee aeeiiaiiy iia?aoe?e. I?e oeueiio e?au? ?acoeueoaoe
a?aei?/ai? i?ney ao?o/aiue, cae?eniaieo i?ioyaii 24 aiae i?ney
aiaeineii?/ii? iai?eioii?? ? iaaaeaei? e?oioii??. Iniiaiith iia?aoe??th
o oai?eo oe??? a?oie ? oieaaeioie?oioii?y a ii?aeiaii? c ciai?oi?i
ae?aioaaiiyi CAEI, cae?eniaieo a a?eueoino? niinoa?aaeaiue oaeiae /a?ac
eoeno i?oo?iai? i?ioiee (oaae. 2).

Oaaeeoey 2. Iia?aoeai? ao?o/aiiy, aeeiiai? o oai?eo 1–? a?oie

Iia?aoe?y*enei iaoe??io?aIiia?eeOieaoeenoaeoii?y + oieaaeioie?oioii?y +
ciai?oi? ae?aioaaiiy CAEI

41

1Eaia?ineii?/ia oieaoeenoaeoii?y + eaia?ineii?/ia oieaaeioie?oioii?y +
ciai?oi? ae?aioaaiiy CAEI

4

Eaia?ineii?/ia oieaoeenoaeoii?y + eaia?ineii?/ia oieaaeioie?oioii?y

2

Oieaoeenoaeoii?y + oieaaeioie?oioii?y + oieaaeioiaeoiaeaiiaianoiiic

2

1Anueiai492

Iayai?noue ae?aiaaeo CAEI aeicaiey? i?ney iia?aoe?? i?e iayaiino?
iieacaiue cae?enithaaoe oieani?aoe?th oa ?aa?iia?io ?ioiiei?aeoe?th o
aeiaaeeao ae?aaeaiiai ai?eiiai oieaia?oo, eiio?iethaaoe ??aaiue
?ioiieia?/ieo ? aaeoa??ieia?/ieo iieaciee?a, ei?eaoaaoe i?e
iaiao?aeiino? oaeoeeo e?eoaaiiy, canoiniaoaaoe oieaia?ia?ao?th,
eiio?iethth/e oei naiei iiaiioo aeaeaeaiiy eaiai?a ?c i?ioiee.
Ia?niaeoeaiei ? canoinoaaiiy eaia?ineii?/ii? oieaaeioie?oioii?? o oai?eo
c oe??th iaoieia??th. *a?ac iaaaeeea /enei niinoa?aaeaiue aeinoia??ii
ioe?ieoe aoaeoeai?noue oeueiai aeaeo. Oieaaeioie?oioii?? iieacaiiy aei
ae?aioth/eo iia?aoe?e iaiaaeai? eeoa iayai?noth o?eaaeiai ooaoey?iiai
noaiico CAEI iaiiaeeeai.

I?e/eiith nia?o? 2 oai?eo oe??? a?oie aoei i?ia?anoaaiiy oieaia?oo eiai
o?ainoi?iaoe?y o a?e?a?iee nainen oa a?e?a?iee aanoeane ia/?iee, oiaoi
aeaeiiiainaoe?? ooieoe?? ia/?iee ye iane?aeie ai?eii? ?ioaeoe?? Aeaee
iia?aoeaieo ao?o/aiue o oai?eo aeicaieeei oni?oii o?aaiaiooaaoe ?
aeaeaeeoe eiie?aiaio CAEI.

Oieaaeioie?oioii?y a ii?aeiaii? c ciai?oi?i ae?aioaaiiyi CAEI – iniiaiee
iaoiae e?eoaaiiy iaoe??io?a 2–? a?oie. Aiia aeeiiaia o 33 oai?eo c 55.
E??i oiai, ua o 2 oai?eo oe??? a?oie canoinoaaee eaia?ineii?/iee aa??aio
oieaaeioie?oioii?? (oaae. 3).

?icoe?eoe iieacaiiy aei aeeiiaiiy oe??? iia?aoe?? iiaeia caaaeyee
aeei?enoaiith iaoai?/iiai e?oio?eioi?a. Canoinoaaiiy iaoai?/ii?
eeoio?ein?? o oai?eo aeicaieeei oni?oii o?aaiaiooaaoe ? aeaeaeeoe
eiie?aiaio CAEI. Aeiaaeee o?eniaaieo eiie?aiaio?a ANAeE, ye? aeaeaeeoe
aiaeineii?/iei niiniaii iaiiaeeeai, ? iieacaiiyi aei
o?ainaeoiaeaiaeueii? no?ieoa?iieanoeee (3). O 6 oai?eo ia
oieaaeioie?o?ac a ii?aeiaii? c ooaoey?iei noaiicii CAEI oe??? a?oie
aeeiiaee oieaaeioiaeoiaeaiinoii?th. A inoaii? ?iee o?ainaeoiaeaiaeuei?
ao?o/aiiy ia ANAeE (cie?aia, oieaaeioiaeoiaeaiinoii?th) canoiniaothoue
??aeei.

Oaaeeoey 3. Iia?aoeai? ao?o/aiiy, aeeiiai? o oai?eo 2–? a?oie.

Iia?aoe?y*eneiOieaaeioie?oioii?y + ciai?oi? ae?aioaaiiy
CAEI33Oieaaeioie?oioii?y + iaoai?/ia e?oio?ein?y + ciai?oi? ae?aioaaiiy
CAEI

11Eaia?ineii?/ia oieaaeioie?oioii?y + ciai?oi? ae?aioaaiiy CAEI

2Oieaaeioie?oioii?y + oieaaeioiaeoiaeaiiaianoiiic6O?ainaeoiaeaiaeueia
no?ieoa?ioii?y3Anueiai55

Nai?/anii anoaiiaeai? iieacaiiy aei iia?aoe??, aeeiiaiiy aaeaeaaoiiai
ao?o/aiiy aeicaieeee oieeiooe eaoaeueieo aeiaaee?a.

O oai?eo 3–? a?oie iae/ano?oa aeeiioaaee oieaoeenoaeoii?th,
oieaaeioie?oioii?th c ciai?oi?i ae?aioaaiiyi CAEI.

O 18 oai?eo i?e iayaiino? caeeoeaoeony i?ney oieaaeioie?oioii??
o?aaiaio?a eiie?aiaio?a, a oaeiae c? noaiicoth/ei iai?e?oii,
ae?aaiinoiaaieo ca aeiiiiiaith oieaia?ia?ao??, ia 7–io aeiao aeeiioaaee
aiaeineii?/io iai?eino?ieoa?ioii?th. O 6 iaoe??io?a i?ney aeaeaeaiiy ?c
CAEI iiiaeeiieeo e?oiieo eiie?aiaio?a ? caa?aaeaiiy ooieoe?? ANAeE
iaiao?aeiino? o canoinoaaii? iai?eioii?? ia aoei.

Oneeaaeiaiiy, ye? aeieeee i?ney ??cieo aeae?a iia?aoeaieo ao?o/aiue,
iiaeai? a oaaeeoeyo 4 oa 5.

I?ney ia?oi? iia?aoe?? o?ainaeoiaeaiaeueii? no?ieoa?iieanoeee ?
oieaaeioiaeoiaeaiinoii?? oneeaaeiaiiy niinoa??aaee o 5 (4,5%) oai?eo.
Iiia? 1 (9%) oai?ee.

sse aeaeii c oaaeeoe? 4, iniiaieie oneeaaeiaiiyie i?ney
oieaaeioie?oioii?? ? ciai?oiueiai ae?aioaaiiy CAEI aoee i?ia?anoth/ee
ai?eiee oieaia?o oa aino?ee iaie?aaoeo.

Oaaeeoey 4. I?neyiia?aoe?ei? oneeaaeiaiiy ? eaoaeuei?noue

OneeaaeiaiiyOieaaeioiaeoiaea-

iiaianoiiicO?ainaeoiaea-

iaeueia no?ieoa-?iieanoeea

Iiia?eeIani?iiiaei?noue oa?a aianoiiico

2

1Aino?ee iaie?aaoeo1Aeoiaeaiaeueia ii?eoey1E?iaioa/a1Anueiai411

Oneeaaeiaiiy ? eaoaeuei?noue i?ney aeeiiaiiy oieaaeioie?oioii?? c
ciai?oi?i ae?aioaaiiyi CAEI

OneeaaeiaiiyOieaaeioie?oioi-i?y, iaoai?/ia e?oio?ein?y, cia-i?oi?
ae?aioaai-iy CAEIOieaaeioie?oi-oii?y, ciai?oi? ae?aioaaiiy CAEI

Iiia?eeAino?ee iaie?aaoeo5Ai?eiee oieaia?o291No?aniaa ae?acea oeoiea ?
e?iaioa/a

1Ciai?oiy aeia/ia ii?eoey1Anueiai3151

Aeey e?ea?aeaoe?? ai?eiiai oieaia?oo o 18 iaoe??io?a canoiniaoaaee
iaoiaee ?aa?iia?ii? oieani?aoe?? i?aia?aoii Iie?ni?a oa ?aa?iia?ii?
?ioiiei?eaoth/i? oa?ai?? i?aia?aoii Eaoa?ii, ye? aaiaeeee o i?ina?o CAEI
/a?ac ae?aiaae, iiia?aaeiuei iae?oa?oaaaoe aeenoaeueiee a?aeae?e CAEI
oeyoii ?icaeoaaiiy aaeiia, ?icoaoiaaiiai ia e?ioe? ae?aiaaeo. Cacia/ai?
caoiaee aeicaieeee onoiooe oieaia?o o 10 oai?eo c 11.

Aeeoa?aioe?eiaaiee i?aeo?ae aei aeai?o iaoiaeo oieaaeioie?oioii?? ?
niiniao ?? caaa?oaiiy ni?ey? ciaioaiith /anoioe aeieeiaiiy
i?neyiia?aoe?eieo oneeaaeiaiue aei 18,8%, eaoaeueiino? – aei 5,8%.

AENIIAEE

1. Aiaeineii?/ia iai?eino?ieoa?ioii?y a ii?aeiaii? c aeno?aeoe??th
eiie?aiaio?a, ?o e?oio?ein??th ? iniiaiei iaoiaeii e?eoaaiiy
oieaaeioie?o?aco. Aoaeoeai?noue canoinoaaiiy aiaeineii?/ii? e?oioii??
94%.

2. ?acoeueoaoe e?eoaaiiy oai?eo ia oieaaeioie?o?ac caeaaeaoue a?ae
no?ie?a aeeiiaiiy iia?aoe??, ?? ?aoe?iiaeueiiai ianyao ? niiniao
caaa?oaiiy, aaeaeaaoii? aei– oa i?neyiia?aoe?eii? ?ioaineaii? oa?ai??.

3. No?iee aeeiiaiiy o??o?a?/iiai ao?o/aiiy o ?ac? iaaoaeoeaii?
aiaeineii?/ii? e?oioii?? aecia/athoue ?iaeea?aeoaeueii: i?e aeeeiaii?
eiie?aiaioa a ANAeE ? iai?oanoaoe?? iciae oieaia?oo oa iaie?aaoeoo –
i?ioyaii 6 aiae i?ney iaaaeaei? aiaeineii?/ii? e?oioii??; ca ?ioeo oiia
– iioeiaeueiei ? no?ie ia i?ci?oa i?ae /a?ac 48 aiae i?ney
aiaeineii?/ii? iai?eioii??.

4. Oieaaeioie?oioii?y c ciai?oi?i ae?aioaaiiyi CAEI – iioeiaeueiee
niin?a caaa?oaiiy oieaaeioioii??. Eeoa i?e aeyaeaii? o?eniaaieo
eiie?aiaio?a aeenoaeueiiai a?aeae?eo CAEI ? ANAeE iieacaia
o?ainaeoiaeaiaeueia iai?eino?ieoa?ioii?y, a i?e iayaiino?
oieaaeioie?o?aco ? noiooiueiai eiio ooaoey?iiai noaiico aeenoaeueiiai
a?aeae?eo – noi?aaeoiaeaiaeueia oieaaeioiaeoiaeaiinoii?y.

5. Iaoiaee ?aa?iia?ii? oieani?aoe?? oa ?ioiiei?aeoe?? canoiniaoaaee o
oai?eo ia oieaaeioie?o?ac i?ney aeaeaeaiiy eiie?aiaio?a ?c CAEI ?
e?ea?aeaoe?? iano?oeoe??, ui aeicaieyei onoiooe oieaia?o o 96% c ieo.

6. Aeei?enoaiiy ?ic?iaeaii? o??o?a?/ii? oaeoeee e?eoaaiiy oai?eo ia
oieaaeioie?o?ac, a?aeaeath/e ia?aaaao iaei?iaaceaiei iaoiaeai, ni?eyei
cieaeaiith i?neyiia?aoe?eii? eaoaeueiino? i?e oe?e iaoieia?? aei 1,6%.

NIENIE IOAE?EAOe?E CA OAIITH AeENA?OAOe??

1. Ie/eoaeei I. A., Aeaienaiei A. E., Iiiaie Oaooee Ceyae, Ai?i Aoiaae
Aaaeaeue Auiieiaiea ?aiiae ?aeaia?ioiiee iinea iia?aoeee ia ia/aie e
aeae/iuo i?ioieao // Ee?i. o??o?a?y. – 1996. – ? 2–3. – N. 41–42.

2. Ie/eoaeei I. A., Eeoaeiaiei A. I., Aey/aiei A. A., Iai?iaeiee I. A.,
Eiiae?aothe A. I., Neoin A. A., Ua?aeia N. E., Iiiaie Oaooee Ceyae.
Eaia?ineiie/aneay oieaoeenoyeoiiey: 5–eaoiee iiuo // Aiiaeu oe?o?a.
aaiaoieiaee. – 1998. – O. 3, ? 3. – N. 16–19.

3. Ie/eoaeei I. A., Iai?iaeiee I. A., Naiei I. Ae., Iiiaie Oaooee
Ceyae, Ai?i Aoiao Aaaeaeue Aeeaaiinoe/aneay yooaeoeaiinoue
yiaeineiie/aneie ?ao?ia?aaeiie iaie?aaoeeioieaiaeia?aoee i?e
iaoaie/aneie aeaeoooa // Oe?a?inueeee aeo?iae iaei?iaaceaii? oa
aiaeineii?/ii? o??o?a??. – 1998. – O. 2, ? 3. – N. 51–55.

4. Iiceoeaia ??oaiiy i?i aeaea/o iaoaioo Oe?a?ie ia aeiao?ae ca
cayaeith ? 98052400 IIE 6A 61A 17/00 a?ae 11.05.1998. Niin?a oi?ioaaiiy
oieaaeioiaeoiaeaiiaianoiiico / Ie/eoaeei I.TH., Iai?iaeiee I.A., Iiiai?
C?yae Oaoo?e (Oe?a?ia).

AIIOAOe?ss

Iiiai? Oaoo?e C?yae. Iaoiaee oieaaeioie?oioii?? oa niiniae ??
caaa?oaiiy o oai?eo ia oieaaeioie?o?ac. – ?oeiien.

Aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.03 – o??o?a?y. – Ee?anueea iaaee/ia aeaaeai?y
i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea IIC Oe?a?ie, Ee?a, 1998.

Aeena?oaoe?y i?enay/aia ieoaiiyi iie?ioaiiy ?acoeueoao?a o??o?a?/iiai
e?eoaaiiy oieaaeioie?o?aco. A aeena?oaoe?? ?ic?iaeai? iieacaiiy aei
canoinoaaiiy ??cieo iaoiaeee aei– oa i?neyiia?aoe?eii? ae?aaiinoeee
oieaaeioie?o?aco, oaeineiiaeai? niiniae aiaeineii?/ii? ?
caaaeueiii?eeiyo? niiniae aeeiiaiiy oieaaeioie?oioii?? c i?eaiaeo
oieaaeioie?o?aco, a oaeiae iaoiaee e?eoaaiiy ? i?io?eaeoeee ai?eieo
oneeaaeiaiue. Anoaiiaeaii, ui aiaeineii?/ia iai?eino?ieoa?ioii?y a
ii?aeiaii? c aeno?aeoe??th eiie?aiaio?a – iniiaiee iaoiae e?eoaaiiy
oieaaeioie?o?aco.

O iaoe??io?a c aino?ei ? o?ii?/iei oieaoeenoeoii, oneeaaeiaiei
oieaaeioie?o?acii, aiaeineii?/ia e?oioii?y ? ia?oei aoaiii e?eoaaiiy.

Aeiaaaeai? iiaeeea?noue ? aenieo aoaeoeai?noue canoinoaaiiy
eaia?ineii?/ii? oieaaeioie?oioii?? i?e oieaaeioie?o?ac?, a oaeiae
iaoiae?a oieani?aoe?? ? ?aa?iia?ii? ?ioiiei?aeoe?? i?e iayaiino?
noiooiueiai ai?eiiai oieaia?oo. ?ic?iaeai? niiniae i?io?eaeoeee ai?eieo
oneeaaeiaiue. Iaea?eueo aaaii? ?ic?iaee e oaeineiiaeaiiy ai?iaaaeaeai? o
i?aeoeeo.

Eeth/ia? neiaa: oieaaeioie?o?ac, oieaaeioie?oioii?y, aiaeineii?/ia
iai?eino?ieoa?ioii?y, ai?eiee oieaia?o.

AIIIOAOeEss

Iiiaie Oaooee Ceyae. Iaoiaeu oieaaeioieeoioiiee e niiniau aa caaa?oaiey
o aieueiuo oieaaeioieeoeacii. – ?oeiienue.

Aeenna?oaoeee ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.03 – oe?o?aey. – Eeaaneay iaaeeoeeineay
aeaaeaiey iineaaeeieiiiiai ia?aciaaiey ei. I. E. Ooieea IC Oe?aeiu,
Eeaa, 1998.

Aeenna?oaoeey iinayuaia aii?inai oeo/oaiey ?acoeueoaoia oe?o?ae/aneiai
ea/aiey oieaaeioieeoeaca. A aeenna?oaoeee ?ac?aaioaiu iieacaiey e
?acee/iui iaoiaeai aei– e eio?aiia?aoeeiiiie aeeaaiinoeee
oieaaeioieeoeaca, oniaa?oainoaiaaiu niiniau yiaeineiie/aneie e
o?aaeeoeeiiiie oieaaeioieeoioiiee i?e oieaaeioieeoeaca, a oaeaea iaoiaeu
ea/aiey e i?ioeeaeoeee aiieiuo ineiaeiaiee. Onoaiiaeaii, /oi
yiaeineiie/aneay iaieeeinoeieoa?ioiiey a ni/aoaiee n yeno?aeoeeae
eiie?aiaioia e eo eeoio?eineae yaeyaony iniiaiui iaoiaeii ea/aiey
oieaaeioieeoeaca. I?e ino?ii e o?iie/aneii oieaoeenoeoa, ineiaeiaiiii
oieaaeioieeoeacii, yiaeineiie/aneay eeoioiiey yaeyaony ia?aui yoaiii
ea/aiey. Aeieacaiu aiciiaeiinoue e aunieay yooaeoeaiinoue i?eiaiaiey
eaia?ineiie/aneie oieaaeioieeoioiiee, a oaeaea iaoiaeia oieani?aoeee e
?aaeiia?iie eiioiiei??aeoeee o iaoeeaioia n oieaaeioieeoeacii e
niioonoaothuei aiieiui oieaiaeoii. Iieo/eee ?acaeoea niiniau
i?ioeeaeoeee aiieiuo ineiaeiaiee. Iniiaiua ?acoeueoaou ?aaiou iaoee
i?aeoe/aneia i?eiaiaiea.

Eeth/aaua neiaa: oieaaeioieeoeac, oieaaeioieeoioiiey, yiaeineiie/aneay
iaieeeinoeieoa?ioiiey, aiieiue oieaiaeo.

SUMMARY

Momani Tawfiq Ziad. Methods of choledocholithotomy and modes of its
completion in patients with choledocholithiasis. – Manuscript.

The thesis for a Degree of a Candidate of Medical Sciences on specialty
14.01.03 – surgery. Kiev Medical academy of Post – graduate Education of
Ministry of Health of Ukraine, Kiev, 1998.

The thesis is devoted to questions of the results improvement of the
choledocholithiasis surgical treatment. In the thesis the indications
for various methods of pre– and intraoperative diagnosis of
choledocholithiasis are elaborated, procedures of endoscopical and
traditional choledocholithotomy for choledocholithiasis are improved, as
well as the methods of treatment and prophylaxis of purulent
complications. It was established that endoscopical
papillosphincterotomy in combination with the calculi extraction and
their lithotripsy is a principal method for treatment of
choledocholithiasis. Endoscopical lithotomy constitutes the first stage
of treatment in an acute and chronical cholecystitis, complicated by
choledocholithiasis. The possibility of application and high efficacy of
the laparoscopic choledocholithotomy method was proved, as well as of
the procedures of cholesorption and regional immunocorrection in
patients with choledocholithiasis and concurrent purulent cholangitis.
The prophylactic methods for purulent complications were evolved.
Principal results of the work gained practical application.

Key words: choledocholithiasis, choledocholithotomy, endoscopical
papillosphincterotomy, purulent cholangitis.

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