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

OE?A?INUeEEE IAOEIAI — AeINE?AeIEE ?INOEOOO

IIEIEIA?? OA ?AAe?IEIA??

EICA?AIEI OAOssIA IA?AO?AIA

OAeE 618.14-006.6-073.432.19-085-07.

IIAEEEAINO? OEUeO?ACAOEIAIAI AeINE?AeAEAIIss A Ae?AAIINOEOe? OA
III?OI?EIAO II?AeIAII — I?IIAIAAI? OA?AI?? ?AEO AIAeIIAO??TH

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 – 1998

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Oe?a?inueeiio iaoeiai — aeine?aeiiio ?inoeooo?
iieieia?? oa ?aae?ieia?? IIC Oe?a?ie.

Iaoeia? ea??aieee:

aeieoi? iaaee/ieo iaoe, i?ioani? A.?. Iaaeaaae?a — cano. aee?aeoi?a ii
iaoeia?e ?iaio? OIAe?I?

aeieoi? iaaee/ieo iaoe E.?. Ai?iaeiaa — caa. a?aeae?eii iieia?iaeieia??
OIAe?I?

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? ss.N.Aaa?e — caa. a?aeae?eii i?iiaiaai?
ae?aaiinoeee Ee?anueeiai eiinoeueoaoeaii-ae?aaiinoe/iiai oeaio?o.

aeieoi? iaaee/ieo iaoe, i?ioani? ?.A.Eioaiaae/ — caa. eaoaae?ith
aeooa?noaa oa a?iaeieia?? ?3 Ee?anueei? iaaee/ii? aeaaeai?? i?ney-
aeeieiiii? ina?oe ?i. I.E. Ooieea.

I?ia?aeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i. I.I.Aiaiiieueoey, IIC Oe?a?ie,
eaoaae?a iaaee/ii? ?aae?ieia??, i.Ee?a.

Caoeno a?aeaoaeaoueny “_5__”_eenoiiaaea____1998 ?. i__13.30__aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.619.01 i?e Oe?a?inueeiio
iaoeiai — aeine?aeiiio ?inoeooo? iieieia?? oa ?aae?ieia?? IIC Oe?a?ie
(252022, Ee?a, aoe. Eiiiiiniaa, 33\43).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Oe?a?inueeiai IAe?
iieieia?? oa ?aae?ieia??.

Aaoi?aoa?ao ?ic?neaiee “_2__”__aeiaoiy__1998 ?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe ?.I. Aeeeai

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue i?iaeaie. O no?oeoo?? caaaeueii? iieieia?/ii?
caoai?thaaiino? ae?ii/i? iiioeyoe?? Oe?a?ie ceiye?ni? iiaiooai?aiiy
noaoaaeo i?aai?a noaiiaeyoue 19.3% [Iaoe?iiaeueiee Eaioea? — ?a?no?
Oe?a?ie, 1996 ?.]. Na?aae ieo ?ae aiaeiiao??th iin?aea? ia?oa i?noea ?c
aeineoue nooo?aeie oaiiaie c?inoaiiy /anoioe aia?oa ca?a?no?iaaieo
aeiaaee?a. Oaea oaiaeaioe?y i?inoaaeo?oueny ? a on?o ?icaeiooeo e?a?iao
na?oo i?ioyaii inoaii?o 20 ?ie?a [Hervy E., Stern A., 1993, Karlsson B.,
Granberg S., 1995].

Niaeo? iaoiae?a, ye? aeei?enoiaothoueny aeey ae?aaiinoeee ?aeo
aiaeiiao??th, cia/iee. Ii?yae c o?aaeeoe?eieie iaoiaeaie ana oe?oa noaee
aeei?enoiaoaaoeny no/ani? iaoiaee i?iiaiaai? ae?aaiinoeee I?O, EO ? a
oiio /ene? oeueo?acaoeiaa aeine?aeaeaiiy. Oeueiio ni?eya ?yae oaeoi??a:
aeinoia??i?noue io?eiaieo ?acoeueoao?a, ia?iaaceai?noue iaoiaeo, oe?iea
aeinooii?noue, iiaeeea?noue iaiaeii?aciaiai iiaoi?aiiy aac caaaeaiiy
oeiaee iaoe??ioai [Aeaieaeia A.I., Cueei A.E., 1990, No?eaeaeia A.I.,
Aeaauaeia A.?.1994, Niaieue I.TH., 1995, Oa?/aiei I.A., 1996, Osmers R.,
Kuhn W., 1994]

Iacaaaeath/e ia aeineoue aaeeeee aeina?ae canoinoaaiiy niiia?ao?? a
a?iaeieia??, aei oeueiai /ano eeoathoueny iaae??oaieie ?yae aaaeeeaeo
ieoaiue aeey ae?aaiinoeee a?ia?ieanoe/ieo i?ioean?a oa ?aeo
aiaeiiao??th. Iaaeinoaoiuei ii?aoeueiaai? iniaeeaino? niiia?ao?/ii?
ea?oeie aiaeiiao??th oa ii?iaeieie iaoee i?e ??cieo ?? iieiaeaiiyo ?
??ci?e i??? ae?aaeaiino? caaei?a (anteflexio, retroflexio). Ia ae?iaeai?
/?oe? e?eoa??? ?ioi?iaoeaiino? o?ainaaaeii?iaeueii? niiia?ao?? (OAN) ?
o?ainaaa?iaeueii? niiia?ao?? (OAN) o ae?aaiinoeoe? a?ia?ieac?? oa ?aeo
aiaeiiao??th.

Iaaeinoaoiuei ioe?iai? iiaeeeaino? niiia?ao?? o aeyaeaii? i?noeaaiai
iioe?aiiy iooeeiiiai i?ioeano (aeeaeie ?iaac??), ui cia/iith i??ith
iiaea aieeiooe ia aea?? iaoiaeo e?eoaaiiy.

Iio?aaothoue ?ic?iaee iaoiaee/i? i?aeoiaee i?e canoinoaaii?
oeueo?acaoeiaeo iaoiaeee c iaoith iii?oi?eiao ii?aeiaii — i?iiaiaai?
oa?ai?? ceiye?nieo iooeeiieo i?ioean?a aiaeiiao??th.

Ane aeeeaaeaia aeua aecia/a? aeooaeuei?noue oa iaoeiai-i?aeoe/io
cia/ei?noue ia?aiiai iai?yieo aeine?aeaeaiue.

Iaoa aeine?aeaeaiiy

I?aeaeuaiiy aoaeoeaiino? ae?aaiinoeee, aeeoa?aioe?eii? ae?aaiinoeee oa
iii?oi?eiao ii?aeiaii — i?iiaiaaiai e?eoaaiiy ?aeo aiaeiiao??th /a?ac
canoinoaaiiy eiiieaeniiai oeueo?acaoeiaiai aeine?aeaeaiiy.

Aeey aeinyaiaiiy iinoaaeaii? iaoe aecia/ai? oae? caaaeaiiy:

1. Aea/eoe oa nenoaiaoecoaaoe ii?iaeueio aeonoe/io ea?oeio aiaeiiao??th
o ae?iie ?ai?iaeoeoeaiiai ? iinoiaiiiaocaeueiiai ia??iae?a i?e ??cieo
aiaoiii-oiiia?ao?/ieo aa??aioao iaoee.

2. Ooi/ieoe e?eoa??? ?ioi?iaoeaiino? o?ainaaaeii?iaeueii? ?
o?ainaaa?iaeueii? niiia?ao?? a ae?aaiinoeoe? a?ia?ieanoe/ieo i?ioean?a
oa ?aeo aiaeiiao??th.

3. Ioe?ieoe iiaeeeaino? niiia?ao?? o aecia/aii? noaae?? ?aeo
aiaeiiao??th, aeoiaey/e c i?noeaaiai ?iciianthaeaeaiiy iooeeie oa
aeeaeie ?? ?iaac?? a i?iiao??e.

4. Iaa?oiooaaoe aeioe?euei?noue aeei?enoaiiy eiiieaeniiai
oeueo?acaoeiaiai aeine?aeaeaiiy c iaoith iii?oi?eiao ii?aeiaii —
i?iiaiaaiai e?eoaaiiy ?aeo aiaeiiao??th.

Iaoeiaa iiaecia

Nenoaiaoeciaaii oa ooi/iaii niiia?ao?/i? iciaee ie?aieo eiiiiiaio?a I —
aoi eiiieaeno o ae?iie ?ai?iaeoeoeaiiai ? iaiiiaocaeueiiai a?eo a ii?i?.
Aia?oa iienaii o?e ??ciiaeaeiino? ii?iaeueiiai niiia?ao?/iiai
cia?aaeaiiy ii?iaeieie iaoee a caeaaeiino? a?ae ?? iieiaeaiiy oa nooiaiy
caaeio.

Aecia/aii aeeoa?aioe?aeueii — ae?aaiinoe/i? e?eoa??? a?ia?ieac?? oa ?aeo
aiaeiiao??th i?e canoinoaaii? o?ainaaa?iaeueii? niiia?ao?? (OAN). Aia?oa
cai?iiiiiaaii iaoiaeeeo aeai?aciaiai o?ainaaa?iaeueiiai aeine?aeaeaiiy
aiaeiiao??th a ??ci? oace iaa??aeueii — iaino?oaeueiiai oeeeeo, ui aeaei
ciiao i?aeaeueoe oi/i?noue ae?aaiinoeee a?ia?ieac?? aiaeiiao??th ia 9%.

Aecia/aii niiia?ao?/i? iciaee eiaeii? noaae?? i?noeaaiai
?iciianthaeaeaiiy ?aeo aiaeiiao??th (O1-4) oa aeeaeie eiai ?iaac?? a
i?iiao??e (I1-3).

?ic?iaeaii aeai?eoi canoinoaaiiy oeueo?acaoeiaeo iaoiae?a aeine?aeaeaiiy
aeey ae?aaiinoeee ?aeo aiaeiiao??th.

Iaa?oioiaaii aeioe?euei?noue aeei?enoaiiy eiiieaeniiai oeueo?acaoeiaiai
aeine?aeaeaiiy (OAN, OAN, o?ainaaa?iaeueii? eiio?anoii? niiia?ao??
-OAEAN) aeey iii?oi?eiao ii?aeiaii — i?iiaiaai? oa?ai?? ?aeo
aiaeiiao??th. Iaoiae OAEAN c oe??th iaoith canoiniaaii aia?oa.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a

?ic?iaeaii oa ai?iaaaeaeaii a i?aeoeeo niiia?ao?/i? e?eoa??? aa??aio?a
“ii?ie” ? ??cieo iaoieia?/ieo i?ioean?a aiaeiiao??th o iaoe??ioie a
?ai?iaeoeoeaiiio ? iinoiaiiiaocaeueiiio ia??iaeao i?e ??cieo
aiaoiii-oiiia?ao?/ieo aa??aioao iaoee.

?ic?iaeaii aeai?eoi niiia?ao?/iiai ianoaaeaiiy ae?iie ?c i?aeic?ith ia
iayai?noue a?ia?ieac?? oa ?aeo aiaeiiao??th. Aecia/aii eiai i?noea o
caaaeueiiio eiiieaen? ee?i?ei — ?ino?oiaioaeueieo aeine?aeaeaiue.

Anoaiiaeaii niiia?ao?/i? ae?aaiinoe/i? e?eoa??? ?aeo aiaeiiao??th a
??cieo noaae?yo ca i?noeaaei iioe?aiiyi oa aeeaeiith ?iaac??.

Cai?iiiiiaaii iioeiaeueiee ia’?i oeueo?acaoeiaeo aeine?aeaeaiue o
eiiieaen? ae?aaiinoe/iiai iii?oi?eiao ii?aeiaii — i?iiaiaaiai e?eoaaiiy
?aeo aiaeiiao??th.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy a i?aeoeeo

?acoeueoaoe i?iaaaeaieo aeine?aeaeaiue ai?iaaaeaeai? a i?aeoeeo ?iaioe
a?aeae?eaiiy oeueo?acaoeiai? ae?aaiinoeee Oe?a?inueeiai iaoeiai —
aeine?aeiiai ?inoeoooo iieieia?? oa ?aae?ieia?? (OIAe?I?), a
oeaio?aeueiiio a?enueeiaiio aini?oae? i?eei?aeiiieo a?enuee Oe?a?ie ?
aeei?enoiaothoueny e?ea?yie e?eoaaeueii – i?io?eaeoe/ieo caeeaae?a
Oe?a?ie, ye? i?ieoee niaoe?ae?caoe?th ia ?iai/eo i?noeyo o a?aeae?eaiiyo
oeueo?acaoeiai? ae?aaiinoeee oa iieia?iaeieia?? OIAe?I?.

Iniaenoee aianie caeiaoaa/a

Aaoi?ii iniaenoi aeeiiai? an? oeueo?acaoeia? aeine?aeaeaiiy oa
ni?anoaaeai? c ?acoeueoaoaie ee?i?/ieo, ii?oieia?/ieo oa
?ino?oiaioaeueieo aeine?aeaeaiue.

Aaoi?ii aia?oa cai?iiiiiaaia OAEAN o iii?oi?eiao ii?aeiaii — i?iiaiaaiai
e?eoaaiiy ?aeo aiaeiiao??th.

Aaoi?ii iniaenoi ?ic?iaeai? ? i?aeaioiaeai? aei ae?oeo a oaoiaeo
iaoeiaeo aeaeaiiyo iaoa??aee aeine?aeaeaiue.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??

Iniiai? iieiaeaiiy aeena?oaoe?? aeeeaaeai? oa iaaiai?ai? ia
?anioae?eainueeeo iaoeiai-i?aeoe/ieo eiioa?aioe?yo: “Aai?oio?ieia?y” (i.
Euea?a, o?aaaiue, 1996 ?.); “No/aniee i?aeo?ae aei ae?aaiinoeee ?
e?eoaaiiy aai?oaeueiiai ?aeo o ae?iie” (i. Ieeiea?a, /a?aaiue,
1997?.);ia can?aeaii? iaoeiaiai oiaa?enoaa ?aae?ieia?a Ee?anueei?
iaeano? (ethoee, 1997 ?.); ia XVII iaoeia?e eiioa?aioe?? iieiaeeo a/aieo
oa niaoe?ae?no?a OIAe?I? (i. Ee?a, ea?oaiue, 1997 ?.); ia
iaoeiai-iaoiaee/iiio nai?ia?? “Aeooaeuei? ieoaiiy i?iiaiaai?
ae?aaiinoeee a ee?i?/i?e i?aeoeoe?” (i. Ee?a, eenoiiaae, 1997?.); ia
XVIII iaoeia?e eiioa?aioe?? iieiaeeo a/aieo oa niaoe?ae?no?a OIAe?I? (i.
Ee?a, o?aaaiue, 1998 ?.)

Ioae?eaoe?? ii oai? aeena?oaoe??

Ia i?aenoaa? aeeeaaeaieo o aeena?oaoe?? ?acoeueoao?a iioae?eiaaii 8
i?aoeue, o oiio /ene? 5 noaoae, 3 oace aeiiia?aeae.

No?oeoo?a oa ia’?i aeena?oaoe??

Aeena?oaoe?y aeeeaaeaia ia 173 noi??ieao iaoeiiieniiai oaenoo,
neeaaea?oueny c anooio, iaeyaeo e?oa?aoo?e, i’yoe ?icae?e?a aeanieo
aeine?aeaeaiue, iaaiai?aiiy ?acoeueoao?a, aeniiae?a; ?ethno?iaaia 68
?enoieaie oa 36 oaaeeoeyie. A?ae?ia?ao?/iee nienie e?oa?aoo?e aeeth/a?
235 aeaea?ae, c ieo 107 a?o/eciyieo oa 128 ?iicaiieo aaoi??a.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy

O i?ioean? aeeiiaiiy aeaii? ?iaioe a?oio niinoa?aaeaiiy noaiiaeee 285
ae?iie a?eii a?ae 15 aei 81 ?ieo, ui i?ioiaeeee ianoaaeaiiy oa e?eoaaiiy
a OIAe?I?. ?o ?iciiae?e ca iicieia?/iith oi?iith caoai?thaaiiy oa a?eii
iaaaaeaii o oaaeeoe? 1.

Oaaeeoey 1

?iciiae?e ianoaaeaieo oai?eo ca a?eii oa iicieia?/iith oi?iith

A?e (o ?ieao) Caaaeueia e-noue

Ae?aaiic Aei 50 51-60 61-70 71-80 Iiiaae 80 ianoaaeaieo (%)

Eiio?ieueia a?oia (ii?ia) 94 23 21 6 1 145 (51,7%)

?ae aiaeiiao??th 3 26 38 8 1 76 (26,6%)

A?ia?ieac?y aiaeiiao??th (ia oii? eaeii?iie iaoee *)

14

4

18* (6,3%)

Iie?ie aiaeiiao??th 5 2 — — — 7 (2,4%)

Eaeii?iia iaoee 14 12 1 — — 27*(9,5%)

Aaeaiii?ic iaoee 2 4 — — — 6 (2,1%)

Na?eiia iaoee 3 1 — — — 4 (1,4%)

?ae y?/ieea — 1 1 — — 2 (0,7%)

Anueiai 135 73 61 14 2 285 (100%)

* — caaaeueia e?euee?noue oai?eo c eaeii?iiith iaoee — 45 ae?iie.

Aei eiio?ieueii? a?oie caeo/aii 145 ae?iie, o yeeo o i?ioean?
niiia?ao?/iiai oa ee?i?/iiai ianoaaeaiiy ia aoei aeyaeaii iaoieia?/ieo
ci?i c aieo noaoaai? nenoaie oa i?aai?a iaeiai oaco. Iniiaia iaoeiai —
aeine?aeia ?iaioa aeeiiaia ia aiae?c? aeaieo ianoaaeaiiy 140 oai?eo
iieia?iaeieia?/iiai i?io?eth c ii?oieia?/ii aa?eo?eiaaiei ae?aaiicii, c
ieo 97 iaoe??ioie i?iiia?iaaii.

Anueiai aeeiiaii 1209 oeueo?acaoeiaeo aeine?aeaeaiue (oaae.2).
Oeueo?acaoeiaa aeine?aeaeaiiy cae?enithaaee ia aia?aoao o??ie “Aloka”
iiaeae? SSD 1100, 500 (ssiii?y).

E?euee?noue i?iaaaeaieo ianoaaeaiue ii aeaeao i?aaenoaaeaii a oaaeeoe?
2.

Oaaeeoey 2

?iciiae?e oeueo?acaoeiaeo ianoaaeaiue ii aeaeao

Aeaee oeueo?acaoeiaeo ianoaaeaiue E?euee?noue oai?eo

OAN ia/?iee 201

OAN ie?ie 107

OAN caeooaeiieo oa ia?aai?oaeueieo e\aoce?a 221

OAN– i?aai?a iaeiai oaco 302

OAN – i?aai?a iaeiai oaco 354

OAEAN 24

Anueiai: 1209

?acoeueoaoe aei??thaaiiy ?ici???a iaoee oa I-aoi eiiieaeno noaoenoe/ii
ia?iaeai? ca e?eoa???i No’thaeaioa. Ae?aaiinoe/ia aoaeoeai?noue
oeueo?acaoeiaeo ianoaaeaiue ioe?ithaaeanue ca iieacieeaie: oi/i?noue,
/ooeea?noue, niaoeeo?/i?noue.

?acoeueoaoe aeine?aeaeaiue oa ?o iaaiai?aiiy

Ia?o, i?ae ii/aoe aea/aiiy aoi — nai?ioeee ??cieo iaoieia?/ieo i?ioean?a
aiaeiiao??th, iaiao?aeii aoei aecia/eoe ? iaa?oiooaaoe niiia?ao?/io
ea?oeio, a?aeiia?aeii iiiyooth “ii?ia”. Aeey ae??oaiiy oeueiai caaaeaiiy
cae?eniaii aeeiai?/ia ianoaaeaiiy 67-ie a?iaeieia?/ii caei?iaeo ae?iie
?ai?iaeoeoeaiiai a?eo oa 78 ae?iie a iaiiiaocaeueiiio ia??iae?.

1

2

Ca aeaieie o?ainaaaeii?iaeueii? niiia?ao?? iai aia?oa aaeaeiny
nenoaiaoecoaaoe ??ci? aeaee cia?aaeaiiy ii?iaeieie iaoee, iia’ycai? c
??ciith i?inoi?iaith i???ioaoe??th i?aaia (anteflexio, retroflexio). O
ae?oa?e iieiaei? iaino?oaeueiiai oeeeeo a ?aiith oa na?aaeith oaco
nae?aoe?? i?e OAN, yeui iaoea a normoflexio, ?? ii?iaeieia
a?coae?co?oueny o aeaeyae? o?eeooieea (71,6%) (?en.1).

?en.1. Iaoea a normoflexio.

1. Iaoea.

2. Ii?iaeieia iaoee o aeaeyae? o?eeooieea aa?o?aea yeiai ni?yiiaaia aei
ieco.

2

1

I?e iii??ii ae?aaeai?e anteflexio (10,5%) aai retroflexio (4,5%)
ii?iaeieia iaoee a?coae?co?oueny o aeaeyae? o?aiaoe??, aa?oiy iniiaa
yei? a?aeiia?aea? e?i?? ia?aaeio, a ieaeiy — ??aith ?icoaooaaiiy
iaoeiaeo o?oa (?en.2).

?en.2. Iaoea o iii??ii ae?aaeai?e anteflexio aai retroflexio.

1. Iaoea.

2. Ii?iaeieia iaoee o aeaeyae? o?eeooieea aa?o?aea yeiai ni?yiiaaia aei
ieco.

I?e ?icoaooaaii? iaoee o ae?aaeai?e anteflexio (4,5%) /e retroflex?i
(8,9%) aa?o?aea o?eeooieea ni?yiiaaia aei aa?oo (?en.3).

2

1

?en.2. Iaoea o hiperanteflexio aai hiperretroflexio.

1. Iaoea.

2. Ii?iaeieia iaoee o aeaeyae? o?eeooieea aa?o?aea yeiai ni?yiiaaia aei
ieco.

I?e aea/ai? I-aoi eiiieaeno ia?aaaao iaaeaaaee OAN, yea ia a?aei?io a?ae
OAN aeicaieyea i?iaiaeeoe aeeoa?aioe?eiaaio ioe?ieo ie?aieo eiai
eiiiiiaio?a. O no?oeoo?? I-aoi eiiieaeno ?ic??ciyee 3 eiiiiiaioe: ia?oee
eiiiiiaio — oea caaaeaee a?ia?aoiaaiia no?oeoo?a o oeaio?? iaoee
oiaueiith aei 1 ii, (coiiaeaia aeioe/ieie iiaa?oiyie aioo??oiuei?
aeno?eee ia?aaeiuei? oa caaeiuei? no?iie iaoee); ae?oaee eiiiiiaio —
aaciina?aaeiuei aiaeiiao??e, aeonoe/ia no?oeoo?a yeiai na?aaeiuei? aai
i?aeaeuaii? aoiaaiiino?, a oiaueia aa??th? a?ae 2 ii aei 10 ii caeaaeii
a?ae oace iaino?oaeueiiai oeeeeo; o?ao?e eiiiiiaio — aacaeueiee oa?,
?icoaoiaaiee iii?ae i’yciaei oa?ii oa aeania aiaeiiao???i, iaeaea
iino?eii a?coae?co?oueny oa iaei ci?ith?oueny o nai?o ?ici??ao, ia?
aeaeyae a?iiaoiaaiii? no?oeoo?e oiaueiith 1-1,5 ii.

Oaaeeoey 3

Aeonoe/ia oa?aeoa?enoeea eiiiiiaio?a I-aoi eiiieaeno a ??ci? oace
iaino?oaeueiiai oeeeeo

Aei? iaino?oaeueiiai oeeeeo I-aoi eiiieaen, eiiiiiaioe A?coae?- co?oueny
Oiaueia Aoiaaii?noue

3 — 4 aeaiue, ? eiiiiiaio — — —

oaca ?? eiiiiiaio + 2,2 ± 0,92 A?ia?aoiaaiiee

?aaaia?aoe?? ??? eiiiiiaio ± — A?iiaoiaaiiee

5 — 10 aeaiue I eiiiiiaio + 0,7 ± 0,23 A?ia?aoiaaiiee

?aiiy oa na?aaeiy oaca II eiiiiiaio + 4,8 ± 0,76 Na?aaeiuei? aoiaaiiino?

i?ie?oa?aoe?? III eiiiiiao + 1,0 ± 0,41 A?iiaoiaaiiee

11 — 14 aeaiue I eiiiiiaio + 0,74 ± 0,29 A?ia?aoiaaiiee

i?ciy oaca II eiiiiiaio + 7,6 ± 0,07 Na?aaeiuei? aoiaaiiino?

i?ie?oa?aoe?? III eiiiiiao + 1,2 ± 0,03 A?iiaoiaaiiee

15 — 23 aeaiue, I eiiiiiaio + 0,74 ± 0,29 A?ia?aoiaaiiee

?aiiy oa na?aaeiy oaca II eiiiiiaio + 8,7 ± 1,2 Na?aaeiuei? aoiaaiiino?

nae?aoe?? III eiiiiiao + 1,2 ± 0,03 A?iiaoiaaiiee

24 — 28 aeaiue, I eiiiiiaio + 0,74 ± 0,29 A?iiaoiaaiiee

i?ciy oaca II eiiiiiaio + 8,7 ± 1,2 A?ia?aoiaaiiee

nae?aoe?? III eiiiiiao ± 1,2 ± 0,03 A?iiaoiaaiiee

Iniaeeaino? i?iya?a eiiiiiaio?a I-aoi eiiieaeno caeaaeii a?ae oace
iaino?oaeueiiai oeeeeo i?aaenoaaeai? a oaaeeoe? 3.

O ca’yceo c ?iaiethoeaieie i?ioeanaie o iaooe? a iinoiaiiiaocaeueiiio
ia??iae? iniaeeaino? I-aoi eiiieaeno o ae?iie oe??? a?oie aea/aee
ie?aii.

A?aoiaoth/e aeina?ae i?ia?aeieo oao?aoe?a c OCAe [Aeaieaeia A.I., Cueei
A.E., 1990; No?eaeaeia A.I., Aeaauaeia A.?.1994; Mondoni M., c
ni?aaaoi?., 1993] i?e aea/aii? I-aoi eiiieaeno, iaiaaeoaaeenue eeoa
aecia/aiiyi eiai ia?aaeiuei — caaeiueiai ?ici??o (IC?). Oeae iieaciee ca
iaoeie aeaieie (oaae. 4) i?ia?aneaii ciaioo?oueny o a?aeiia?aeiino? ?c
ca?eueoaiiyi no?ieo iaiiiaoce a?ae 8,61 ± 2,3 ii aei 2,55 ± 0, 7 ii
i?ioyaii 10 ?ie?a ? ia ia?aaeuo? 1,33 ± 0, 33 ii o ae?iie, ui
ia?aaoaathoue a iaiiiaocaeueiiio noai? iiiaae 15 ?ie?a.

I?iaaaeai? iaie aeine?aeaeaiiy na?ae/aoue, ui niiia?ao?/ia ea?oeia
aiaeiiao??th cia/ii ci?ith?oueny i?ioyaii iaino?oaeueiiai oeeeeo.
Eiaei?e oac? oeeeeo i?eoaiaii? nai? niaoeeo?/i? niiia?ao?/i? iciaee, ye?
iathoue aooe a?aoiaai? i?e ianoaaeaii? ae?iie. O iinoiaiiiaocaeueiiio
a?oe? no?oeoo?a I-aoi eiiieaeno ia ci?ith?oueny, aea ia? i?noea cai?ioiy
caeaaei?noue IC? I-aoi a?ae no?ie?a iaiiiaoce.

Aecia/eaoenue c iiiyooyi “ii?ie” aeey niiia?ao?/iiai cia?aaeaiiy
aiaeiiao??th, ie iaeaea ia caciaaaee o?oaeiiu?a o ae?aaiinoeoe?
a?ia?ieanoe/ieo i?ioean?a aiaeiiao??th.

Oaaeeoey 4

Ia?aaeiuei-caaei?e ?ici?? I-aoi eiiieaeno a ??ci? no?iee

iinoiaiiiaoce ca aeaieie OAN

O?eaae?noue iinoiaiiiaoce (?iee) ?ici?? IC? I-aoi a ii

2 8,61 ± 2, 3

3 7,33 ± 2, 4

4 6,01 ± 1, 8

5 5,24 ± 2, 1

6 4,06 ± 0, 9

7 4,00 ± 0, 8

8 3,03 ± 0, 9

9 3,10 ± 0, 5

10 2,55 ± 0,7

Iiiaae 15 1,33 ± 0,3

Iaie ianoaaeaii 45 oai?eo c i?iiith iaoee, o 18 ?c ieo
ae?aaiinoiaaia a?ia?ieac?y aiaeiiao??th. Ia?aiiy naia oaei? a?oie
iaoe??ioie iaoiiaeaia aeaiia i?e/eiaie. Ii – ia?oa, eaeii?iie, ye
oae?, aeieeathoue i?eaeecii o eiaeii? i’yoi? ae?iee ? yaeythoue
niaith i?aaeiao aeeoa?aioe?eii? ae?aaiinoeee ?c na?eiiaie iaoee. Ii –
ae?oaa, neiioiii? i?iie i?aeeyaaee o??o?a?/iiio aeaeaeaiith ?, oaeei
/eiii, aoee oiiae i?neyiia?aoe?eii? a?noieia?/ii? aa?eo?eaoe?? ye
iaoieia?? i?iiao??th, oae ? ci?i a aiaeiiao??th ? ni?anoaaeaii?
iaea?aeaieo aeaieo. I?iaaaeai? iaie aeine?aeaeaiiy na?ae/aoue i?i oa, ui
i?e ianoaaeaii? oai?eo c i?iiith iaoee, iniaeeao oaaao ne?ae i?eae?eyoe
ioe?ioe? no?oeoo?e aiaeiiao??th. Oeueo?acaoeiaa aeine?aeaeaiiy
aeioe?eueii i?iaiaeeoe ia 5-10 aeaiue iaino?oaeueiiai oeeeeo, a i?e
i?aeic?? ia iayai?noue a?ia?ieac?? aiaeiiao??th — iiaoi?ii ia 15-23
aeaiue oeeeeo. Ia?aaaao iio??aii a?aeaeaaaoe OAN, yea ia? o ii??aiyii?
?c OAN a?eueo aenie? ae?aaiinoe/i? iiaeeeaino?. Ii??aiyiiy ?acoeueoao?a
o?ainaaaeii?iaeueiiai oa o?ainaaa?iaeueiiai ianoaaeaiiy oai?eo
i?aaenoaaeaii a oaaeeoe? 5.

Oaaeeoey 5

?ioi?iaoeai?noue OAN oa OAN o ae?aaiinoeoe? a?ia?ieac?? aiaeiiao??th

o oai?eo ia eaeii?iio iaoee

Iieacieee ?ioi?iaoeaiino? OAN OAN

*ooeea?noue 72,2%* 88,8%*

Niaoeeo?/i?noue 92,6% 96,3%

Caaaeueia oi/i?noue 84,4% 93,3%

* ( ?( 0,05

A?aoiaoth/e ?acoeueoaoe, aeeeaaeai? a oaae.5, ne?ae cacia/eoe, ui
iaea?eueo oi/iei oeueo?acaoeiaei iaoiaeii ae?aaiinoeee a?ia?ieanoe/ieo
i?ioean?a i?e i?ii? iaoee ? o?ainaaa?iaeueia niiia?ao?y. Aiia yaey?
niaith iaiao?aeiee ? iaea?eueo aaaeeeaee eiiiiiaio ae?aaiinoe/iiai
aeai?eoio i?e ianiaeo ianoaaeaiiyo ae?ii/iai ianaeaiiy.

C iaoith aea/aiiy iniaeeainoae aeonoe/ii? no?oeoo?e iaoee i?e ?aeo
aiaeiiao??th ? ?ic?iaee eiai aeeoa?aioe?aeueii — ae?aaiinoe/ieo
niiia?ao?/ieo iciae ianoaaeaii 71 ae?ieo. Ca aeaieie ii?oieia?/iiai
aeine?aeaeaiiy o 50 c ieo aa?eo?eiaaii ceiye?ni? iooeeie iaoee (?ae
aiaeiiao??th — 46; na?eiia iaoee — 4).

O ?aooe (21) iaoe??ioie aeyaeaii iaoieia?/i? i?ioeane, ye? neioethaaee
iayai?noue ?OI (a?ia?ieac?y aiaeiiao??th — 9; iie?ie aiaeiiao??th — 4;
aiaeiiao??ic -6; ?ae y?/ieea — 2). A?ia?ieac?y oa iie?ie aiaeiiao??th a
on?o aeiaaeeao ii?aeioaaeenue ?c i?iiith iaoee (13 oai?eo).

sse e ?io? aeine?aeieee, [Aioiai ss.A.,1989, *aeaeiaa I.A., 1993,
Rudelstofer R., c ni?aaaoi?.,1990] ie /ano?oa ae?aaiinooaaee ?ae
aiaeiiao??th a iinoiaiiiaocaeueiiio ia??iae? (93,5% niinoa?aaeaiue). Ca
ii?oieia?/iith aoaeiaith a a?oi? niinoa?aaeaiiy ia?aaaaeio a?eueo?noue
aeiaaee?a (67,3%) noaiiaeee iii??iiaeeoa?aioe?eiaai? aaeaiiea?oeeiiie.
Niiia?ao?/i? iciaee ?aeo o?ea iaoee (?OI), aeyaeai? ca aeiiiiiaith OAN ?
OAN, aeeeaaeai? a oaaeeoe? 6.

Ioaea, ie??i ia?aaeiuei — caaeiueiai ?ici??o I-aoi eiiieaeno,
ae??oaeueia cia/aiiy aeey ?ic??ciaiiy ?A oa a?ia?ieac?? iathoue
eiai iaiaeii??aei?noue oa ia??ai?noue ??? eiiiiiaioo (aacaeueiee
oa?). Aeey a?ia?ieanoe/ieo i?ioean?a i?eoa-iaiia ca?eueoaiiy IC?
I-aoi eiiieaeno ia?aaaaeii ca ?aooiie aeania aiaeiiao??th (??
eiiiiiaioo).

Oaaeeoey 6

Ae?aaiinoe/ia cia/ei?noue niiia?ao?/ieo iciae ?aeo aiaeiiao??th

Niiia?ao?/i? iciaee *anoioa aeyaeaiiy

OAN OAN

Ca?eueoaiiy IC? I-aoi eiiieaeno iiiaae 5 ii i?e iaiiiaoc? a?eueoa 5
?ie?a 84,7% 89,1%

Iaiaeii??aei?noue I -aoi eiiieaeno 52,2% 84,7%

Ia??ai?noue ??? eiiiiiaioo I-aoi eiiieaeno 63,1% 67,3%

?iaac?y a i?iiao??e 67,4% 84,7%

?iciianthaeaeaiiy ia oeeeo iaoee 36,9% 63,1%

Aacia?a/ieie iciaeaie ceiye?niiai i?ioeano ? ?iciianthaeaeaiiy
iooeeiiiai i?ioeano ia oeeeo iaoee oa ?iaac?y a i?iiao??e. ?acoeueoaoe
o?ainaaaeii?iaeueiiai oa o?ainaaa?iaeueiiai ianoaaeaiiy oai?eo ia ?OI
i?aaenoaaeaii a oaaeeoe? 7.

Oaaeeoey 7

?ioi?iaoeai?noue OAN oa OAN o ae?aaiinoeoe? ?aeo o?ea iaoee

Iieacieee ?ioi?iaoeaiino? OAN OAN

*ooeea?noue 82% 88%

Niaoeeo?/i?noue 90,4% 95,2%

Caaaeueia oi/i?noue 84,5% 90,1%

* ( ?( 0,05

Aei oeueiai /ano ioe?iea aeeaeie ?iaac?? ?A a i?iiao??e cae?enithaaeanue
ca eeaneo?eaoe??th FIGO ia iniia? ii?oieia?/ieo aeine?aeaeaiue.
Io?eiaaoe iiceoeai? ?acoeueoaoe i?e aea/aii? noaio I -aoi eiiieaeno ca
aeiiiiiaith OAN, ie aeciaee ca aeioe?eueia canoinoaaoe ?? aeey
?ica’ycaiiy ? oeueiai caaaeaiiy. An? aeai? niiia?ao?/iiai aeine?aeaeaiiy
aa?eo?eiaai? ii?oieia?/ii. Oaeei /eiii, iaie aoee a?aeie?aieai? OAN —
iciaee eiaeii? ?c noaae?e iooeeiii? ?iaac??:

I1 — iaoea cae/aeieo ?ici???a (ca?aeii c a?eiaith ii?iith), I-aoi
eiiieaen ?c ca?eueoaiiyi ia?aaeiuei-caaeiueiai ?ici??o aei 16-17 ii oa
ia/?oeei , ia??aiei ??? eiiiiiaioii I-aoi.

I2 — iaoea iacia/ii ca?eueoaia a ?ici??ao (ia 5 — 10% a?aeiia?aeii c
a?eiaith ii?iith), ?c ca?eueoaiei I-aoi eiiieaenii aei 21-22 ii ?
a?iiaoiaaiieie ae?eyieaie aei 3 ii o aiaeiiao??? oa ae?aiao?ii 4 — 6 ii
a i?iiao???.

I3 — iaoea ca?eueoaia o ?ici??ao (aei 25% o ii??aiyii? c a?eiaith
ii?iith). No?oeoo?a iaoee i?e oeueiio iaiaeii??aeia, ia a?coae?co?oueny
/?oea iaaea i?ae aiaeiiao???i ? i?iiao???i. I-aoi eiiieaen — no?oeoo?ii
iaiaeii??aeiee, c ae?eyieaie cieaeaii? aeonoe/ii? u?eueiino?, ?ici??e
yeeo ?ieiee aeinyaathoue 7-8 ii. Ciai?oi? eiioo?e iaoee oa a?aieoey i?ae
iaoeith ? na/iaei i?oo?ii caeeoathoueny /?oeeie.

Ioe?ithth/e oi/i?noue OAN o aecia/ai? ?iaac?? ?A (oi/i?noue — 84,7%,
/ooeea?noue — 83,7%, niaoeeo?/i?noue — 88,8%), ie ia io?eiaee oaeeo
aenieeo iieaciee?a ye B. Karlsson ? ni?aaao. oa R. Varner ? ni?aaao.
(/ooeea?noue — 79%, niaoeeo?/i?noue — 100%). I?ioa iao? ?acoeueoaoe
aeyaeeeny e?aueie, i?ae o Y.Yamashita ? ni?aaao (oi/i?noue — 68%).

Aiaeia?/ieie iieacieeaie, ?ic?aoiaaieie aeey OAN, ie aeiaaee
iani?iiiaei?noue iaoiaeo o noaae?thaaii? ?A ca aeeaeiith ?iaac??
(oi/i?noue — 67,4%, /ooeea?noue — 64,8%, niaoeeo?/i?noue — 78,1%).
?acoeueoaoe o?ainaaaeii?iaeueiiai oa o?ainaaa?iaeueiiai ianoaaeaiiy
oai?eo o aecia/aii? aeeaeie ?iaac?? iooeeiiiai i?ioeano a i?iiao??e
iaaaaeaii a oaaeeoe? 8.

Oaaeeoey 8

?ioi?iaoeai?noue OAN oa OAN o aecia/aii? ?iaac?? ?aeo aiaeiiao??th a
i?iiao??e

Iieacieee ?ioi?iaoeaiino? OAN OAN

*ooeea?noue 64,8%* 83,7%*

Niaoeeo?/i?noue 78,1% 88,8%

Caaaeueia oi/i?noue 67,4%* 84,7%*

* ( ?( 0,05

Iiaeeea?noue a?aeie?aieaiiai aea/aiiy o?ueio eiiiiiaio?a I-aoi eiiieaeno
i?ae /an OAN aeicaiey? aecia/eoe aeeoa?aioe?eii — ae?aaiinoe/i? iciaee
?aeo oa a?ia?ieac?? aiaeiiao??th. Oae, aaniethoieie iciaeaie ?A ne?ae
aaaaeaoe iayai?noue ?iaac?? a i?iiao??e oa iioe?aiiy i?ioeano ia oeeeo
iaoee. Aenieith ? a??ia?aei?noue ?aeo aiaeiiao??th i?e ca?eueoaii? IC?
I-aoi eiiieaeno iiiaae 5 ii a iaiiiaoc? iiiaae 5 ?ie?a, ao?aoa eiai
no?oeoo?ii? aeeoa?aioe?aoe??, ia??ai?noue, ia/?oe?noue aacaeueiiai oa?o
(??? — eiiiiiaio). Iayai?noue an?o aeua icia/aieo ci?i oa noii?ai?
?acoeueoaoe OAN ? aacia?a/ieie iieacieeaie aeey ae?aaiinoe/iiai
eth?aoaaeo.

Iiaeeaeaia aea/aiiy iaoeiaeo ioae?eaoe?e c oeueo?acaoeiai? ae?aaiinoeee
a a?iaeieia?? [Aon A.I.,1986, Aeaieaeia A.I., Cueei A.E., 1990,
No?eaeaeia A.I., Aeaauaeia A.?., 1994, Dordoni F., c ni?aaao., 1992,
Gruboeck K., c ni?aaao., 1994], aeaei ciiao aecia/eoe iai i?noea
cai?iiiiiaaiiai aeai?eoio a caaaeueiiio i?ioean? ianoaaeaiiy ae?iie c
iaoieia??th iaoee (noaia 1).

Noaia 1

Aeai?eoi canoinoaaiiy OAN oa OAN niiia?ao?? aeey aeeoa?aioe?eii?

ae?aaiinoeee caoai?thaaiue o?ea iaoee

OAN

ia?iaeaioeo?eo?oueny

?iaeaioeo?eo?oueny

IAOEA

?ici??e iaoee

aiaeiiao??e

ia a?coae?co?oueny

ca?eueoai?

ciaioai?

ii?ia

ii?ia

ciaioai?

OAN

iaoea

aiaeiiao??e

ii?iaeueiee

ia?iaeaioeo?eo?oueny

?iaeaioeo?eo?oueny

aeaeaeaia

aieac?y

?ici??e iaoee

ii?iaeuei?

ca?eueoai?

ciaioai?

ci?iaia no?oeoo?a

ci?iaia no?oeoo?a aiaeiiao??th

?iei?ii?aoe?yi?e aanoeanao oaco aai a iooeeiiee eiiaeiia?ao

NAss

A?

Iss

aaaaeaiiy ciiaea a ii?iaeieio iaoee aeey oii?/ii? ae?aaiinoeee

aeeoocii

aiaieuaai

ii?iaeueia no?oeoo?a

AA

IAI

Sa,

i?iia

OO

?A

AA

AA

aeeoocia a?ia?ieac?y aiaeiiao??th

aiiiae?y ?icaeoeo

(aeao?iaa iaoea)

ii?iaeueia aaa?oi?noue, iicaiaoeiaa aaa?oi?noue

Iacaaaeath/e ia cia/io ia?aaaao o??o?a?/iiai e?eoaaiiy ?aeo aiaeiiao??th
a ii?aeiaii? c ia?aae — aai i?neyiia?aoe?eiith i?iiaiaaith oa?ai??th
(Aioiai ss.C., 1989), aeayeei iaoe??ioeai iia?aoeaia ao?o/aiiy ia
i?iaiaeeeinue /a?ac iayai?noue aaaeeeo noiooi?o caoai?thaaiue.

Aiaeii/an ie aeciaee aaaeeeaei aea/eoe iiaeeeaino? aeei?enoaiiy
eiiieaenii? niiia?ao?? (OAN, OAN, OAEAN) a ae?aaiinoe/iiio
noi?iaiaeaeaii? ii?aeiaii — i?iiaiaai? oa?ai?? aiaeiiao??aeueieo
ea?oeeiii.

C oe??th iaoith — ianoaaeeee 30 iaoe??ioie oai?eo ia ?ae aiaeiiao??th
a?eii a?ae 62 aei 77 ?ie?a, o yeeo iia?aoeaia ao?o/aiiy aoei iia’ycaia c
aenieei aianoac?ieia?/iei ?eceeii o ca’yceo c oaeeie noiooi?ie
caoai?thaaiiyie, ye a?ia?oii?/ia oai?iaa ??-??? nooiaiy — o 24,
iino?ioa?eoiee ea?ae?ineea?ic — o 9, oea?aa?aeueiee aoa?ineea?ic c
aeeiai?/ieie ii?ooaiiyie iiceiaiai e?iaiia?ao — o 6, oeoe?iaee ae?aaao —
o 15 ? iaee??iiy ???-IV no., — o 17.

I?e ?iciiae?e? oai?eo ia ?A caeaaeii a?ae nooiaiy i?noeaaiai
?iciianthaeaeaiiy iooeeiiiai i?ioeano aei noaae?? O1 aoee a?aeianai? 2
oai?eo; O2-11; O3-15; O4-2.

Ia?aeiia ianoaaeaiiy ae?iie cae?enithaaee ?c canoinoaaiiyi
o?ainaaaeii?iaeueiiai oa o?ainaaa?iaeueiiai OC aeine?aeaeaiue. O 12 ?c
30 iaoe??ioie cia?aaeaiiy I-aoi eiiieaeno io?eiaii eeoa i?ae /an OAN.
I?e/eiith ia?ioi?iaoeaiino? OAN o 8 (26,6%) aeiaaeeao aoa iaaeeeoeiaee
?icaeoie i?aeoe??yiiai aee?iaiai i?ioa?eo. O 4 (13,3%) oai?eo, ui
ia?aaoaaee a iinoiaiiiaocaeueiiio ia??iae? i?ioyaii 10-21 ?ie?a,
ioe?ieoe noai I-aoi aoei ia iiaeeeaei ( aenioa iaoee ia ia?aaeuoaaea 32
ii).

C iaoith a?eueo aeaoaeueiiai aea/aiiy iciae iaoieia?? aiaeiiao??y oa
noaio ii?iaeieie iaoee ye ia aoai? ia?aeiii? ae?aaiinoeee ?A, oae ?
i?ioyaii aeeiai?/iiai eiio?ieth ca ii?aeiaii — i?iiaiaaei e?eoaaiiyi 21
oai?i? iaie aia?oa canoiniaaia OAEAN (o?ainaaa?iaeueia eiio?anoia
a?noa?inaeuei?iainiiia?ao?y).

Ca ?? aeiiiiiaith o 17 (80,9%) aeyaeaii aeaoi?iaoe?th ii?iaeieie iaoee.
O 18 (85,7%) aeiaaeeao io?eiaii aeiaeaoeiao, o ii??aiyii? c OAN
?ioi?iaoe?th i?i ?ici??e (o 7 oai?eo), eieae?caoe?th (o 8 iaoe??ioie),
eiioo?e (a 6 niinoa?aaeaiiyo) oa i?noeaaa ?iciianthaeaeaiiy (o 3
aeiaaeeao) iooeeie.

Ie ia?aeiiaeeny, ui i?e i?aaeeuei?e i?aeaioiaoe? iaoe??ioie aei
aeine?aeaeaiiy ? aeio?eiaii? oiia i?aaee anaioeee oa aioenaioeee,
aeieeiaiiy oneeaaeiaiue a i?ioean? aeine?aeaeaiiy i?aeoe/ii aeeeth/aii.

Aeine?aeaeaiiy i?iaiaeeee an?i oai?ei ia?aae ii/aoeii e?eoaaiiy, a
i?ioean? e?eoaaiiy, i?ney cae?i/aiiy eo?no IIO, /a?ac 3 i?nyoe? i?ney
e?eoaaiiy.

A ae?aaiinoe/iiio noi?iaiaeaeaii? ii?aeiaii — i?iiaiaaiai e?eoaaiiy ?A
aeei?enoiaoaaee eeaneo?eaoe?th ci?i iooeeie, cai?iiiiiaaio AIIC.

I — iiaia ?aa?an?y.

II — /anoeiaa ?aa?an?y (a?eueoa 50%).

III — noaa?e?caoe?y i?ioeano (iaioa 50 %).

IV — i?ia?anoaaiiy i?ioeano.

Iio??aii i?aee?aneeoe, ui ioe?ieo ?acoeueoao?a e?eoaaiiy ?A a?aeiia?aeii
eeaneo?eaoe?? AIIC cae?enithaaee ia iniia? iaioaeueiiai aeine?aeaeaiiy
iaoee c a?aooaaiiyi noaio oai?i?, ? eeoa c oeeoieia?/iith aa?eo?eaoe??th
aeeiai?ee i?ioeano. Oiio oeueo?acaoeiaa aeine?aeaeaiiy iaei i???ioiaia
i?ecia/aiiy, a ?acoeueoaoe eiai ia ?icoe?ithaaeeny ye aeiiii?aei?.

Ca?aeii e?oa?aoo?ieo aeaieo (E. N. Iaca?iaa, I.O. THeaeaoaaa, O.O.
Eiaeeiaa) ia’?eoeaieie iieacieeaie ?aaeoe?? ?A ia ii?aeiaii — i?iiaiaao
oa?ai?th ? ci?ie no?oeoo?e ? IC? I-aoi.

Oaaeeoey 9

Oa?aeoa? ci?ie ceiye?niiai i?ioeano ??ciiai nooiaiy aeeoa?aioe?aoe?? a

eiiieaeniiio e?eoaaii? ?aeo aiaeiiao??th ca aeaieie niiia?ao??

Ii?oieia?/ia no?oeoo?a

Nooi?iue ci?i

a iooeei?

Aaeaiiea?oeeiiia Iaaeeoa-?aioe?eiaaiee

Aenieiaeeoa?aioe?eiaaia Iii??iiaeeoa-?aioe?eiaaia Iecueeiaeeoa-
?aioe?eiaaia ?ae

Iiaia ?aa?an?y — 5 3 1

*anoeiaa (>50%) ?aa?an?y 2 4 6 2

Noaa?e?caoe?y (<50%) i?ioeano 1 2 — 1 I?ia?anoaaiiy i?ioeano 2 1 — — Anueiai: 5 12 9 4 Ca iaoeie niinoa?aaeaiiyie aeonoe/ieie iciaeaie iiaii? ?aa?an?? aoee: ciaioaiiy ?ici???a iaoee oa IC? I-aoi eiiieaeno aei a?eiai? ii?ie, a?aeiiaethaaiiy ?o ii?iaeueii? aoino?oeoo?e. Niiia?ao?/i? iciaee ?aa?an?? iooeeie niinoa??aaee i?ney e?eoaaiiy o 9 oai?eo (O1-2, O3 -7). Niiia?ao?/iith oa?aeoa?enoeeith /anoeiai? ?aa?an?? iooeeie aaaaeaee ciaioaiiy ?ici???a iaoee oa IC? I-aoi eiiieaeno a?eueoa, i?ae ia 50% o ii??aiyii? c aeo?aeieie aeaieie, ci?ie a I-aoi o aeaeyae? eiai aiiiaai?caoe?? aoino?oeoo?e, ciaioaiiy aeeaeie ?iaac?? iooeeiiiai i?ioeano a i?iiao???. *anoeiaa ?aa?an?y iooeeie ianoaea o 14 oai?eo (O2-4, O3-10). Noaa?e?caoe?y i?ioeano-ioe?ithaaeany ca oeie ae e?eoa??yie, ui ? /anoeiaa ?aa?an?y, ? eeoa nooi?iue i?iyao ci?i aoa iaioee 50%. Noaa?e?caoe?y i?ioeano a?aecia/aeany o 4 oai?eo (O3-3,O4-1). I?ia?anoaaiiy i?ioeano ca ee?i?/ieie aeaieie iaei i?noea o o?ueio oai?eo (aeaa niinoa?aaeaiiy a noaae?? O3, ? iaeia a O4) /a?ac 3 i?nyoey i?ney e?eoaaiiy. A ioe?ioe? ?aaeoe?? i?aai?a iaeiai oaco ia i?iiaiaao oa?ai?th, ie??i ?a?no?aoe?? ci?i naii? iooeeie, caaaeueiiaeciaiei ? oaeiae a?aooaaiiy /anoioe ? oyaee?noue iinoi?iiaiaaeo ooeiaeaeaiue. Oae, o 4 (13,3%) i?e i?iaaaeai? ii?ii?iaiiy a noaoe/iiio ?aaeei? iai?ee?ioe? ia?oiai aoaio e?eoaaiiy iaee i?noea oeenoeoe ?? - ??? no. oyaeeino?. Aeonoe/ieie iciaeaie oeenoeoo aaaaeaee iioiauaiiy no?iie na/iaiai i?oo?a iiiaae 5 ii oa iayai?noue ae??aiiaeenia?nieo aeeth/aiue o i?ina?o? i?oo?a, ii?ooaiiy eiai ooieoe?? ii a?iioii?/iiio oeio. Iaiao?aeii i?aee?aneeoe, ui o aeaio oai?eo aaeaeiny cai?aeic?eoe iayai?noue i?ieoeoo i?e eiio?ieuei?e niiia?ao?? aei iiyae ee?i?/ieo neiioii?a, ii iayaiino? neiioiio “ii?iaeiueiai i?aaio”. Aeonoe/ieie iciaeaie i?ieoeo?a aaaaeaee iioiauaiiy no?iee eeoee iiiaae 3 ii, iineeaiiy ia?enoaeueoeee, iaoai?eci. Ne?ae a?aecia/eoe, ui i?ney i?iiaiaaiai e?eoaaiiy iiaea aeieeaoe ao?io?y aaa?iaeueii? /anoeie oeeee iaoee, ceeiaiiy no?iie i?oae oa oea?a?eaeueiiai eaiaeo, iane?aeeii /iai ? neoi/aiiy ??aeeie a ii?iaeiei? iaoee - aaiaoi /e i?iiao?a. Inoaiiy iaie aoea aeyaeaia o 3 iaoe??ioie. Oaeei /eiii, iao? aeine?aeaeaiiy aeiaiaeyoue, ui niiia?ao?/iee iii?oi?eia aeioe?eueii aeei?enoiaoaaoe, ye ia'?eoeaiee e?eoa??e a ioe?ioe? iinoi?iiaiaaeo ?aaeoe?e ? oneeaaeiaiue i?iiaiaaiai e?eoaaiiy. AENIIAEE O?ainaaaeii?iaeueia niiia?ao?/ia aeine?aeaeaiiy yaey? niaith aoaeoeaiee iaoiae aecia/aiiy ?ici???a iaoee oa ioe?iee ?? aiaoiii-oiiia?ao?/ieo iniaeeainoae. Caeaaeii a?ae aiaoii?/iiai ?icoaooaaiiy iaoee a ii?iaeiei? oaco aeae?eaii o?e aa??aioe ?? ii?iaeueiiai cia?aaeaiiy i?e OAN: o aeaeyae? o?eeooieea (71,3%), o?aiaoe?? (17,5%), “ia?aaa?iooiai” o?eeooieea (11,2%). Niiia?ao?/ia ioe?iea aeeiai?/ieo ci?i aeonoe/ii? no?oeoo?e iaoee i?ioyaii iaa??aeueii - iaino?oaeueiiai oeeeeo oa iaiiiaocaeueiiai ia??iaeo iiaeeeaa eeoa ia i?aenoaa? o?ainaaa?iaeueiiai aeine?aeaeaiiy, yea aeicaiey? aeeoa?aioe?eiaaii aea/eoe eiaeiee c o?ueio eiiiiiaio?a I-aoi eiiieaeno. Cai?iiiiiaaia iaoiaeeea aeai?aciai? OAN o oac? i?ie?oa?aoe?? oa nae?aoe?? aiaeiiao??th, i?aeaeuo? aoaeoeai?noue ae?aaiinoeee eiai a?ia?ieanoe/ieo i?ioean?a o ii??aiyii? ?c OAN ca /ooeea?noth - ia 16%, oa niaoeeo?/i?noth - ia 4%. Oa?aeoa?ieie iciaeaie ?aeo aiaeiiao??th ia ?aii?o noaae?yo ?inoo iooeeie (O1) ne?ae aaaaeaoe ca?eueoaiiy IC? I - aoi eiiieaeno oa ia/?oe?, ia??ai? eiioo?e eiai ??? eiiiiiaioo. I?e a?ia?ieac?? aiaeiiao??th ?icoe?aiiy I - aoi a?aeaoaa?oueny ca ?aooiie ?? eiiiiiaioo (aeania aiaeiiao??th) ?c caa?aaeaiiyi aacaeueiiai oa?o (??? eiiiiiaioo). O?ainaaa?iaeueia niiia?ao?y ia? aacia?a/i? ia?aaaae ia?aae o?ainaaaeii?iaeueiith o aecia/aii? aeeaeie ?iaac?? ?aeo aiaeiiao??th a i?iiao??e (/ooeea?noue - 83,7% i?ioe 64,8%; niaoeeo?/i?noue - 88,8% i?ioe 78,1%; oi/i?noue - 84.7% i?ioe 67,4%). Aeai?eoi niiia?ao?/iiai ianoaaeaiiy ae?iie ?c i?aeic?ith ia iayai?noue ?aeo aiaeiiao??th ia?aaeaa/a? aeaa iine?aeiaieo aoaie aeine?aeaeaiue. Ia ia?oiio - aeeiio?oueny OAN, ia ae?oaiio - OAN. Iieacaiiyie aeey o?ainaaa?iaeueii? niiia?ao?? ne?ae aaaaeaoe a?aenooi?noue cia?aaeaiiy iaoee, ci?io ?? ?ici???a, a?aenooi?noue cia?aaeaiiy aai ci?ie no?oeoo?e aiaeiiao??th. Eiiieaenia niiia?ao?/ia aeine?aeaeaiiy, ui ii?aeio? OAN,OAN, OAEAN, aeioe?eueii aeei?enoiaoaaoe aeey iii?oi?eiao aeeiai?ee ?aa?ano ?A i?ioyaii ii?aeiaii - i?iiaiaaiai e?eoaaiiy. NIENIE IIOAE?EIAAIEO I?AOeUe II OAI? AeENA?OAOe?? A.A. Iaaeaaaeaa, E.E.Ai?iaue?aa, O.I. Eica?aiei.O?ainaaaeiaeueiay oeueo?acaoeiaay aeeaaiinoeea a iieiaeiaeieiaee // I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie OIAe?I? Euea?anueeee iaaee/iee ?inoeooo. Oi?aae?iiy ioi?iie caei?ia’y Euea?anueei? iaeaea?aeaaei?i?no?aoe??. Anioe?aoe?y ?aae?ieia?a Oe?a?ie. Oacenu aeieeaaeia. — Aai?oio?ieia?y. — Eeaa: 1996. — N. 21. O.I. Eica?aiei. Oeueo?acaoeiaa ae?aaiinoeea i?ii iaoee // I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie OIAe?I? ?aaii-O?aie?anueea iaaee/ia aeaaeai?y. Anioe?aoe?y ?aae?ieia?a Oe?a?ie. “Oi?aeaeueia ?aae?ieia?y. ?aae?ieia?y iiei/ii? caeice”. Ca??ea iaoeiaeo ?ia?o anioe?aoe?? ?aae?ieia?a Oe?a?ie. — 1997. — N. 86- 88. A.N. Eaaieiaa, I.O. Aaa?eeaiei, I.N. Aiiaea?oe, O.I. Eica?aiei. Ea/aiea ?aea oaea iaoee o aieueiuo iiaeeeiai aic?anoa // I?iaeaiu noa?aiey e aeieaieaoey. —- 1996. —-1-2. — ?6. — N. 45-53. O.I. Eica?aiei. ?ieue o?ainaaaeiaeueiie niiia?aoee a aeeaaiinoeea iaoieiaee oaea iaoee // I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie Oe?a?inueea iaoeiaa - iaaee/ia oiaa?enoai iieieia?a OIAe?I?. Ieeiea?anueeee iaeaniee iieieia?/iee aeeniaina?. Iaoa??aee iaoeiai - i?aeoe/ii? eiioa?aioe??. - No/aniee i?aeo?ae aei ae?aaiinoeee ? e?eoaaiiy aai?oaeueiiai ?aeo o ae?iie. — Ee?a - Ieeiea?a. — 1997. — N. 31-33. A.A. Iaaeaaaeaa, E.E.Ai?iaue?aa, O.I. Eica?aiei. Eioi?iaoeaiinoue oeueo?acaoeiaie niiia?aoee a aeeaaiinoeea aeia?ieacee yiaeiiao?ey i?e ieiia iaoee // I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie Oe?a?inueea iaoeiai - iaaee/ia oiaa?enoai iieieia?a OIAe?I?. Ieeiea?anueeee iaeaniee iieieia?/iee aeeniaina?. Iaoa??aee iaoeiai - i?aeoe/ii? eiioa?aioe??. - No/aniee i?aeo?ae aei ae?aaiinoeee ? e?eoaaiiy aai?oaeueiiai ?aeo o ae?iie. — Ee?a - Ieeiea?a. — 1997. — N. 36-37. A.A. Iaaeaaaeaa, E.E.Ai?iaue?aa, O.I. Eica?aiei. Aeeaaiinoe/aneea aiciiaeiinoe eiiieaeniie niiia?aoee i?e ?aea oaea iaoee // Oe?a?inueeee aeo?iae iaei?iaaceaii? oa aiaeineii?/ii? o??o?a??. — 1997. — O.1. — ?4. — N. 27-29. A.A. Iaaeaaaeaa, E.E.Ai?iaue?aa, O.I. Eica?aiei. Aiciiaeiinoe o?ainaaaeiaeueiie niiia?aoee a aeeaaiinoeea aeia?ieacee yiaeiiao?ey i?e ieiia iaoee // Oe?a?inueeee aeo?iae iaei?iaaceaii? oa aiaeineii?/ii? o??o?a??. — 1997. — O.1. — ?4. — N. 23-26. A.?. Iaaeaaaeaa, ?.I. Aeeeai, O.I. Eica?aiei. Iniaeeaino? niiia?ao?/iiai cia?aaeaiiy iaoee o ae?iie ?ai?iaeoeoeaiiai a?eo // Caei?iauea aeaiueiu. — 1998. — ?1. — N.36-40. AIIOAOe?ss Eica?aiei O.I. Iiaeeeaino? oeueo?acaoeiaiai aeine?aeaeaiiy a ae?aaiinoeoe? oa iii?oi?eiao ii?aeiaii - i?iiaiaai? oa?ai?? ?aeo aiaeiiao??th. — ?oeiien. Aeena?oaoe?y ia caeiaoooy a/aiiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca oaoii 14.01.23. - i?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y. Oe?a?inueeee iaoeiai - aeine?aeiee ?inoeooo iieieia?? oa ?aae?ieia?? IIC Oe?a?ie, Ee?a, 1998. Caoeua?oueny aeena?oaoe?y, ui i?noeoue a?aeiiino? uiaei aeei?enoaiiy o?ainaaaeii?iaeueii? oa o?ainaaa?iaeueii? niiia?ao?? a ae?aaiinoeoe? ?aeo aiaeiiao??th. Nenoaiaoeciaai? niiia?ao?/i? e?eoa??? a ioe?ioe? aoaeoeaiino? e?eoaaiiy ?aeo aiaeiiao??th i?e ??cieo oeueo?acaoeiaeo iaoiaeeeao aeine?aeaeaiiy. Aia?oa aeei?enoaia o?ainaaa?iaeueia eiio?anoia a?noa?inaeuei?iainiiia?ao?y aeey eiio?ieth ca aoaeoeai?noth e?eoaaiiy ?aeo aiaeiiao??th. Aaoi?ii iienai? o?e aa??aioe oeueo?acaoeiai? ea?oeie ii?iaeieie iaoee o aeaeyae? o?eeooieea, o?aiaoe?? oa “ia?aaa?iooiai” o?eeooieea i?e ??cieo aiaoiii - oiiia?ao?/ieo aa??aioao. Cae?eniaii ooi/iaiiy niiia?ao?/ii? nai?ioeee I-aoi eiiieaeno a ?ai?iaeoeoeaiiio oa iaiiiaocaeueiiio ia??iaeao a ii?i? oa i?e a?ia?ieanoe/ieo i?ioeanao aiaeiiao??th. Eeth/ia? neiaa: o?ainaaaeii?iaeueia niiia?ao?y, o?ainaaa?iaeueiay niiia?ao?y, o?ainaaa?iaeueia eiio?anoia a?noa?inaeuei?iainiiia?ao?y, ?ae aiaeiiao??th. AIIIOAOeEss Eica?aiei O.I. Aiciiaeiinoe oeueo?acaoeiaiai enneaaeiaaiey a aeeaaiinoeea e iiieoi?eiaa ni/aoaiii — eo/aaie oa?aiee ?aea yiaeiiao?ey. — ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa 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, 1998. Caueuaaony aeenna?oaoeey, eioi?ay niaea?aeeo naaaeaiey ii eniieueciaaieth o?ainaaaeiieiaeueiie e o?ainaaaeiaeueiie niiia?aoee, a aeeaaiinoeea ?aea yiaeiiao?ey. Nenoaiaoece?iaaiu niiia?aoe/aneea e?eoa?ee a ioeaiea yooaeoeaiinoe ea/aiey ?aea yiaeiiao?ey i?e ?acee/iuo oeueo?acaoeiauo iaoiaeeeao enneaaeiaaiey. Aia?aua eniieueciaaia o?ainaaaeiaeueiay eiio?anoiay aenoa?inaeueieiainiiia?aoey aeey eiio?iey ca yooaeoeaiinoueth ea/aiey ?aea yiaeiiao?ey. Aaoi?ii iienaiu o?e aa?eaioa oeueo?acaoeiaie ea?oeiu iieinoe iaoee: a aeaea o?aoaieueieea, o?aiaoeee e “ia?aa??iooiai” o?aoaieueieea i?e ?acee/iuo aiaoiii - oiiia?aoe/iuo aa?eaioao. Ooi/iaia niiia?aoe/aneay naieioeea I-yoi eiiieaena a ?ai?iaeoeoeaiii e iaiiiaocaeueiii ia?eiaeao a ii?ia e i?e aeia?ieanoe/aneeo i?ioeannao yiaeiiao?ey. Eeth/aaua neiaa: o?ainaaaeiieiaeueiay niiia?aoey, o?ainaaaeiaeueiay niiia?aoey, o?ainaaaeiaeueiay eiio?anoiay aenoa?inaeueieiainiiia?aoey, ?ae yiaeiiao?ey. ABSTRACT Kozarenko T.M. Possibility of ultrasonography investigation in diagnostics and monitoring of combined radiotherapy of endometrium cancer. — Manuscript. Dissertation for Candidate of Medical Sciense Degree on speciality 14.01.23-radiodiagnostics, radiotherapy, Ukraine Research Institute of Oncology and Radiology ministry of Helth of Ukraine, Kyiv,1998. Thesis contained data on using of transabdominal and transvaginal sonography in the diagnostic of endometrium cancer, are presented for defence. The sonography criteria on evaluation of effecteveness of endometrium cancer treatment under the different ultra- sonography methods of investigation are analised. Firstly transvaginal contrast hysterosalpinsonography has been used for control of effectiveness of endometrium cancer treatment. Three modifications of ultrasound picture of uterine cavity - triangle, trapezium and “terned up” triangle - are described by the author. The sonography of semiotic M-sound complex in reproductive and menopause periods is specifed. Key words: transabdominal sonography, transvaginal sonography, transvaginal contrast hysterosalpinsonography, endometrium cancer. PAGE PAGE 20

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