.

Поперекова симпатектомія у хворих на облітеруючий атеросклероз при хронічній критичній ішемії нижніх кінцівок: Автореф. дис… канд. мед. наук / В.І.

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I?i?noa?noai ioi?iie caei?ia’y Oe?a?ie

Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao

AEAAeAIIA Aieiaeeie? ?ee?/

OAeE 617;616.13-004.6-036.12-056-24

IIIA?AEIAA NEIIAOAEOII?ss

O OAI?EO IA IAE?OA?OTH*EE AOA?INEEA?IC I?E O?II?*I?E E?EOE*I?E ?OAI??
IEAEI?O E?IOe?AIE

14.01.03 – O??o?a?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Oa?e?a, 1999?.

Aeena?oaoe?th ? ?oeiien.

?iaioa aeeiiaia a Eoaainueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? IIC
Oe?a?ie.

Iaoeiaee Aeieoi? iaaee/ieo iaoe i?ioani? OI?

ea??aiee: Iaoi Aiaoie?eiae/, caa?aeoaa/ eaoaae?ith o?- ?o?a?? oa
aianoac?ieia??, ?aai?iaoieia?? oa-

eoeueoaoo i?neyaeeieiiii? ina?oe Eoaainue- eiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo.

Io?oe?ei? iiiiaioe: aeieoi? iaaee/ieo iaoe, i?ioani?

Eoiaeueoeia Aieiaeeie? ?aaiiae/, Oa?e?anue- eee aea?aeaaiee oi?aa?neoao
caa?aeoaa/ eaoaae-

?ith o??o?a??.

aeieoi? iaaee/ieo iaoe, i?ioani?

Ieeiiaiei Ieaenaiae? Naiaiiae/, Caii??aenue-

eee aea?aeaaiee oi?aa?neoao caa?aeoaa/ eaoaae-?ith o??o?a??.

I?ia?aeia onoaiiaa – Aeiiaoeueeee aea?aeaaiee iaaee/iee

oi?aa?neoao ?i. I.Ai?ueeiai

eaoaae?a caaaeueii? o??o?a??

Caoeno aeena?oaoe?? a?aeaoaeaoueny ” 28 ” aeiaoiy 1999 ?. i 14-00 aiae.

ia can?aeaii? niaoe?ae?ciaaii? A/aii? ?aaee Ae.64.600.01 i?e
Oa?uee?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? (310022, i.Oa?e?a,
i?. Eai?ia, 4).

C aeena?oaoe??th iiaeia iciaeiieoenue o iaoeia?e a?ae?ioaoe?
Oa?e?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo. (310022, i.Oa?e?a,
i?. eai?ia, 4).

Aaoi?aoa?ao ?ic?neaiee ” 25 ” aa?aniy 1999 ?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? A/aii? ?aaee

eaiaeeaeao iaaee/ieo iaoe, aeioeaio Oaiueei I.I.

Caaaeueia oa?aeoa?enoeea ?iaioe.

Aeooaeuei?noue i?iaeaie. A inoaii? ?iee iae?oa?oth/? caoai?thaaiiy
noaeei ieaei?o e?ioe?aie iathoue oe?iea ?iciianthaeaeaiiy ?
cono??/athoueny o 2-3% ianaeaiiy (A.N.Naa?eue?a oa ni?aaaoi?e., 1996).
Na?aae oeeo caoai?thaaiue ia?aaaaeathoue aoa?ineea?ioe/i? o?aaeaiiy
noaeei, /anoioa yeeo aeinyaa? 90% (A.A.Oae?iia oa ni?aaao., 1979).

O e?eoaaii? oai?eo ia iae?oa?oth/? caoai?thaaiiy noaeei ieaei?o
e?ioe?aie a inoaii? ?iee aeinyaiooi cia/ieo oni?o?a, ui coiiaeaii
oe?ieei canoinoaaiiyi o e?eoaaii? ?aeiino?oeoeaieo iia?aoe?e. Aea o
aaaaoueio oai?eo, o ca’yceo c iiaaiei noaiii aeenoaeueiiai noaeeiiiai
?onea aai caaaeueiei aaaeeei noaiii aeeiiaoe ?aeiino?oeoeaio iia?aoe?th
iaiiaeeeai. Oae, ca aeaieie O.I.Coniaiiae/a (1996), i?e iae?oa?oth/iio
aoa?ineea?ic? aeeiiaoe ?aeiino?oeoeaio iia?aoe?th ia noaeeiao aaea?oueny
eeoa o 17-20% oai?eo. Naia oiio a a?naiae? o??o?aa i?e iaaoaeoeaiino?
eiina?aaoeaiiai e?eoaaiiy oa iaiiaeeeaino? aeeiiaiiy ?aeiino?oeoeaii?
iia?aoe?? caeeoa?oueny iaeio?aaiaoe/ia oa aeinoaoaiuei aoaeoeaia
iia?aoe?y – iiia?aeiaa neiiaoaeoii?y.

A?eueo?noue o??o?a?a noaaeueii ioe?iththoue ?acoeueoaoe oe??? iia?aoe??
a ii/aoeiaeo noaae?yo caoai?thaaiiy ye i?e iae?oa?oth/ei aiaea?oa???o?,
oae ? i?e iae?oa?oth/ei aoa?ineea?ic? (?.I.Eioai oa ni?aaao., 1986,
A.I.Aa/aa oa ni?aaao., 1996).

I?ioa, i?e iayaiino? III-IVnooiaith ?oai?? (ii eeaneo?eaoe??
A.A.Iie?ianueeiai-Oiioaia), yea a iao /an a?eueo?noth o??o?a?a
aecia/a?oueny ye o?ii?/ia e?eoe/ia ?oai?y, ?acoeueoaoe iiia?aeiai?
neiiaoaeoii?? a oe?eiio iacaaeia?euei? (A.A.Aa?aen?i, 1994).

A oie aea /an, i?iaeaia e?eoaaiiy o?ii?/ii? e?eoe/ii? ?oai?? e?ioe?aie
i?e iae?oa?oth/iio aoa?ineea?ic? yaey?oueny aeooaeueiith, ai oai?? c
oaeith ?oai??th cono??/athoueny o 35% aeiaaee?a, i?e /iio 30% c ieo
iio?aaothoue ia?aeiii? aiiooaoe?? (TH.A.A?eia oa ni?aaao., 1997,
A.E.Aonae oa ni?aaao., 1992, A.A.Iie?ianueeee 1994, ?.?.Nooa??a oa
ni?aaao., 1992).

A?eueo?noue o??o?a?a aaaaeathoue, ui a oeueiio ?ac? eeoa
?aeiino?oeoeai? iia?aoe?? ia noaeeiao aeicaieythoue oieeiooe aiiooaoe??
e?ioe?aee (TH.A.A?eia oa ni?aaao., 1997, A.E.Aonae oa ni?aaao., 1992,
A.A.Iie?ianueeee 1994, ?.?.Nooa??a oa ni?aaao., 1992, A.A.Aiai?oiia,
1995).

Aea ? oaeiae ? ie?ai? iia?aeiieaiiy, ui o oai?eo ia iae?oa?oth/ee
aoa?ineea?ic ieaei?o e?ioe?aie i?e iayaiino? o?ii?/ii? e?eoe/ii? ?oai??
iiaeeeai io?eiaoe iiceoeai? ?acoeueoaoe a 50-70% aeiaaee?a ? i?ney
aeeiiaiiy iiia?aeiai? neiiaoaeoii?? (A.E.Aai?aaaeca oa ni?aaao., 1997,
O.?.Ea??iia oa ni?aaao., 1994, ?.I.Eioai oa ni?aaao., 1996).

Iacaaeia?euei? ?acoeueoaoe iiia?aeiai? neiiaoaeoii?? coiiaeai?
a?aenooi?noth iaa?oioiaaieo e?eoa???a i?iaiicoaaiiy ?? ?acoeueoao?a, ui
aeene?aaeeoo? oeae iaoiae o??o?a?/iiai e?eoaaiiy (A.A.Aiai?oiia oa
ni?aaao., 1995, A.I.Caoa?iaa oa ni?aaao., 1984).

Ca’ycie caaaeaiue aeine?aeaeaiiy c i?iaeaiiei ieaiii ?icaeoeo iaaee/ii?
iaoee. Aeena?oaoe?eia ?iaioa aeeiioaaeanue ca ieaiii iaoeiai-aeine?aeieo
?ia?o Eoaainueeiai aea?aeaaiiai iaaee/iieai oi?aa?neoaoo, caoaa?aeaeaiei
IIC Oe?a?ie – iiia? aea?aeaaii? ?a?no?aoe?? 01970009505.

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoith ?iaioe aoei aecia/aiiy
iiaeeeaino? aeeiiaiiy iiia?aeiai? neiiaoaeoii?? o oai?eo ia
iae?oa?oth/ee aoa?ineea?ic i?e iayaiino? o?ii?/ii? e?eoe/ii? ?oai??
ieaei?o e?ioe?aie.

A?aeiia?aeii aei oeueiai aoee iinoaaeai? oae? caaea/? aeine?aeaeaiiy:

· O oai?eo ia iae?oa?oth/ee aoa?ineea?ic i?e iayaiino? a ieo o?ii?/ii?
e?eoe/ii? ?oai?? ieaei?o e?ioe?aie ca aeiiiiiaith no/anieo iaoiae?a
aeine?aeaeaiiy aea/eoe noai ?aa?iia?ii? aaiiaeeiai?ee oa
i?e?ioee?eoeyoe??.

· ?ic?iaeoe ia’?eoeai? e?eoa???, ye? a aeicaieeee i?iaiicoaaoe
?acoeueoaoe iiia?aeiai? neiiaoaeoii?? i?e e?eoe/i?e ?oai?? e?ioe?aee.

· Aecia/eoe iieacaiiy aei iiia?aeiai? neiiaoaeoii?? o oai?eo ia
iae?oa?oth/ee aoa?ineea?ic i?e o?ii?/i?e e?eoe/i?e ?oai?? ieaei?o
e?ioe?aie.

· Aea/eoe aaciina?aaei? oa a?aeaeaeaii? ?acoeueoaoe iia?aoe?? a
caeaaeiino? a?ae noaio ?aa?iia?ii? aaiiaeeiai?ee i?e o?ii?/i?e e?eoe/i?e
?oai?? ieaei?e e?ioe?aee.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. Aia?oa, ia iniia?
eiiieaeniiai ee?i?ei-?ino?oiaioaeueiiai aeine?aeaeaiiy oai?eo ia
iae?oa?oth/ee aoa?ineea?ic i?e iayaiino? o?ii?/ii? e?eoe/ii? ?oai??
ieaei?o e?ioe?aie c o?aooaaiiyi noaio ?aa?iia?ii? aaiiaeeiai?ee,
?ic?iaeai? ia’?eoeai? e?eoa??? aeey i?iaiicoaaiiy ?acoeueoao?a
iiia?aeiai? neiiaoaeoii??, ?ic?iaeai? iieacaiiy aei ?? aeeiiaiiy.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Eiiieaenia aea/aiiy noaio
?aa?iia?ii? aaiiaeeiai?ee a ieaei?o e?ioe?aeao ca aeiiiiiaith
?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy aeicaieeei ?ic?iaeoe iieacaiiy
aei aeeiiaiiy iiia?aeiai? neiiaoaeoii?? oa i?iaiicoaaoe ?? ?acoeueoaoe o
oai?eo ia iae?oa?oth/ee aoa?ineea?ic i?e iayaiino? o?ii?/ii? e?eoe/ii?
?oai??.

Oea aeicaiey? o aaaaoueio aeiaaeeao i?e iaiiaeeeaino? aeeiiaiiy
?aeiino?oeoeaii? iia?aoe?? ia noaeeiao e?ioe?aee caiia?aoe ??
aiiooaoe??.

Ai?iaaaeaeaiiy a i?aeoeeo. ?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeai? ia
eaoaae?? o??o?a?? oaeoeueoaoo oaeineiiaeaiiy e?ea??a Eoaainueeiai
iaaee/iiai oi?aa?neoaoo, Eoaainuee?e iaeani?e e?ea?i?, oa e?ea?iyo
iaeano?. Aieiai? iieiaeaiiy ?iaioe aeeth/ai? aei eaeoe?eiiai iaoa??aeo c
o??o?a?? aeey e?ea??a-eo?naio?a, ee?i?/ieo i?aeeiaoi??a oa ?ioa?i?a i?e
Eoaainueeiio iaaee/iiio oi?aa?n?oao?.

I?i?eoiiiaai? o??o?ae Oe?a?ie (?a?no? iaaeeei-a?ieia?/ieo
iaoeiai-oaoi?/ieo iiaiaaaaeaiue. Aei.7. – Ee?a, 1997.- ? 19/717).

Iniaenoee aianie caeiaoaa/a. Aaoi?ii i?iaiae?ciaaia iaoeiaa e?oa?aoo?a
uiaei ia?aii? oaie, i?iaaaeaiee aeeaieee ?ioi?iaoe?eiee iiooe. Ee?i?/ia
aeine?aeaeaiiy oai?eo ca aeiiiiiaith ?ino?oiaioaeuei?o iaoiae?a
aeine?aeaeaiiy (oeueo?acaoeiaa aeiiea?iiao??y oa aeiiea?ia?ao?y, eaca?ia
oeioiao??y, iaoe??ia ieneiao??y) a aei oa i?neyiia?aoe?eiiio ia??iae?,
noaoenoe/ia ia?iaea io?eiaieo aeaieo i?iaaaeaia iniaenoi aeena?oaioii.
Aia?ia?ao?/i? aeine?aeaeaiiy i?iaaaeai? ?acii c ni?ai?aoe?aieeaie
a?aeae?eaiiy ?aioaaiieia?? 9-? ? 1-? i?nueeeo e?ea?aiue i.Eoaainueea.
Iia?aoeai? ao?o/aiiy aeeiiai? naiino?eii o 70 (40%) aeine?aeaeaieo
oai?eo.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Iaoa??aee aeena?oaoe?? aeeeaaeai?
oa iaaiai?ai? ia iaoeia?e eiioa?aioe?? ?in?enueei? ni?eee aia?ieia?a oa
noaeeiieo o??o?a?a (Ooea, 1994), ia iaoeiai-i?aeoe/i?e eiioa?aioe??
o??o?a?a Oe?a?ie (Oa?e?a, 1995), ia iaoeiai-i?aeoe/i?e eiioa?aioe??,
i?enay/ai?e 100-??//th c aeiy canioaaiiy 4-? i?nueei? e?ea?i?
i.Eoaainueea (Eoaainuee, 1995), ia iaoeiai-i?aeoe/i?e eiioa?aioe??
ni?ai?aoe?aiee?a iaaee/iiai oi?aa?neoaoo oa i?aeoe/ieo e?ea??a
Eoaainueei? iaeanii? o??o?a?/ii? ni?eee (Eoaainuee, 1997), ia iaoeia?e
eiioa?aioe?? ni?ai?aoe?aiee?a o??o?a?/ieo eaoaae? Eoaainueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo (Eoaainuee, 1998).

Ioae?eaoe?? ca oaiith. Ca oaiith aeena?oaoe?? iaae?oeiaaii 11 iaoeiaeo
?ia?o, c ieo 3 – a oeaio?aeueieo iaaee/ieo aeo?iaeao, 3 – a ca??eao
iaoeiaeo i?aoeue, 4 – a iaoa??aeao iaoeiaeo eiioa?aioe?e. 5 c oeeo ?ia?o
iaienai? iaeiiiniaiai. Io?eiaii 4 iina?ae/aiiy ia ?aoe?iiae?caoi?nuee?
i?iiiceoe??.

Ianya oa no?oeoo?a aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 120
noi??ieao iaoeiiieno, i?noeoue 18 oaaeeoeue oa 14 ?ethno?aoe?e.
Aeena?oaoe?y neeaaea?oueny ?c anooio, 4-o ?icae?e?a (iaeyae e?oa?aoo?e,
iaoa??aee oa iaoiaee aeine?aeaeaiiy, 2-o ?icae?e?a aeanieo
aeine?aeaeaiue), aiae?co oa ocaaaeueiaiiy ?acoeueoao?a aeine?aeaeaiiy,
aeniiae?a, i?aeoe/ieo ?aeiiaiaeaoe?e, iieaae/eea e?oa?aoo?e, yeee
i?noeoue 190 aeaea?ae, c ieo 76 – ?iicaiieo aaoi??a.

Ci?no ?iaioe.

?iaioa iniiaaia ia ?acoeueoaoao e?eoaaiiy 175 oai?eo iae?oa?oth/ei
aoa?ineea?icii c o?ii?/iith e?eoe/iith ?oai??th e?ioe?aee, ye?
e?eoaaeenue o a?aeae?eaii? noaeei eaoaae?e o??o?a?? oaeoeueoaoo
oaeineiiaeaiiy e?ea??a Eoaainueeiai iaaee/iiai oi?aa?neoaoo c 1989 aei
1997 ??. A?e oai?eo – a?ae 40 aei 75 ?ie?a, iaeneiaeueia a?eueo?noue
(91,4%) – 51-75 ?ie?a. *ieia?e?a aoei 171 (97%), ae?iie – 4 (3%).
O?eaae?noue caoai?thaaiiy 1-3 ?iee anoaiiaeaia o 60 oai?eo (34,2%), o
115 (65,8%) oai?eo aiia aoea a?eueoith, i?ae 3 ?iee.

Ieethc?? a ai?oi-eeoaiaiio naaiaio? iaee i?noea o 11 (6,2%) oai?eo,
noaaiiai-i?aeeie?iiiio – o 95(54,2%), ieethc?? a?oa??e aii?eee aoee o 69
(39,4%). Aaaee?noue ?oai?? ieaei?o e?ioe?aie o aeine?aeaeaieo oai?eo
ioe?ithaaeanue ii eeaneo?eaoe?? A.A.Iie?ianueeiai (1979): III no. ?oai??
aoea o 111 (63,5%) oai?eo, IV no. – o 64(36,5%) (Oaaeeoey ? 1). An?
oai?? nea?aeeeenue ia a?eue, yeee c’yaeyany i?ae /an oiaeueae ia i?ioyc?
iaioa 50 iao??a, ia a?eue o niiei? i?e iayaiino? aai a?aenooiino?
o?io?/ieo ii?ooaiue ia iaeueoeyo oa ia noii?. O an?o oai?eo
eiina?aaoeaia e?eoaaiiy ia i?ioyc? 2 oeaei?a ia aeaaaei iiceoeaiiai
?acoeueoaoo.

O a?eueoino? oai?eo aeyaeai? noiooi? caoai?thaaiiy, ye? iia??ooaaee
noai oai?iai. Oae, ?oai?/ia oai?iaa na?oey aoea o 80 (45,7%) oai?eo,
ia?aianaiee ?ioa?eo i?iea?aeo – o 20 (11,4%), a?ia?oii?/ia oai?iaa – o
39 (22,2%), caoai?thaaiiy eaaaiue iaee i?noea o 36 (20,5%).

Ianoaaeaiiy oai?eo aeeth/aei ee?i?/i?, eaai?aoi?i? oa ?ino?oiaioaeuei?
iaoiaee aeine?aeaeaiiy. C ?ino?oiaioaeueieo cania?a aeei?enoiaoaaeenue
oa?iiiao??y oe??e, ?aiaacia?ao?y, iaoe??ia ieneiao??y, oeueo?acaoeiaa
aeiiea?iiao??y, eaca?ia oeoiiao??y, ?aiaaieiio?anoia aia?ia?ao?y.

Oaaeeoey ? 1.

?iciiae?e oai?eo ii ??aith ieethc?? oa nooiaith ?oai??.

??aaiue

ieethc??Nooiai? ?oai?? (ii A.A.Iie?ianueeiio)AnueiaiIIIIVAi?oi-eeoaiaee

naaiaio7

4.0%4

2.2%11

6.2%Noaaii-i?aeeie?iiee

naaiaio59

33.7%36

20.5%95

54.2%A?oa??? aii?eee45

25.7%24

13.7%69

39.4%Anueiai111

63.4%64

36.6%175

100%

Oe? iaoiaee aeine?aeaeaiiy aeicaieeee neeanoe oyaeaiiy i?i i?noea
ieethc?? iaa?no?aeueieo noaeei oa ?? aeiaaeeio, i?i noai aeenoaeueiiai
noaeeiiiai ?onea ? eieaoa?aeueiiai e?iaiia?ao, cie?aia
i?e?ioee?eoeyoe??. Aeine?aeaeaiiy, ye? i?iaaaeai? iaie o 25 caei?iaeo
ethaeae (eiio?ieueia a?oia) oa o 175 oai?eo iae?oa?oth/ei aoa?ineea?icii
i?e iayaiino? III-IV nooiaiy ?oai??, aeicaieeee aeyaeoe noai
?aa?iia?iiai e?iaiia?ao oa i?e?ioee?eoeyoe?? ia aii?eoe? oa noii? i?e
o?ii?/i?e e?eoe/i?e ?oai?? e?ioe?aie (oaaeeoe? ? 2a ? ? 2a).

sse aeaeii c iaaaaeaieo aeaieo a oaaeeoeyo ? 2a ? 2a, o oai?eo i?e
iayaiino? III aai IV nooiai? ?oai?? ia aii?eoe? ? noii? a?aei?/a?oueny
noaoenoe/ii a??ia?aeia (a ii??aiyii? c caei?iaeie) cieaeaiiy iai?oae
eenith o oe??? oa oeaieiiiai e?iaiia?ao. E??i

oeueiai ia noii? aeyaey?oueny noaoenoe/ii a??ia?aeia cia/aiiy
oaiia?aoo?e oe??e, nenoie?/iiai a?oa??aeueiiai oeneo,
e?noi/eiai-iea/aaiai ?iaeaeno. I?e oeueiio ciaeaeaii, ui iaia?
noaoenoe/ii a??ia?aeii? ??cieoe? i?ae iieacieeaie ?ino?oiaioaeueieo
iaoiae?a aeine?aeaeaiiy o oai?eo c III oa IV nooiaiyie ?oai??. Oea
aeicaieeei iai ia i?aenoaa? oa?aeoa?o ?aa?iia?iiai e?iaiia?ao aeae?eeoe
?aeeio a?oio oai?eo c o?ii?/iith e?eoe/iith ?oai??th, aac iaeyaeo ia
ee?i?/i? aeai?. I?e oeueiio ie iii?oeee, ui /ei ieae/eie aoee iieacieee
noaio aaiiaeeiai?ee oa i?e?ioee?eoeyoe?? a?aaeaii? e?ioe?aee, iaea?aeai?
ca aeiiiiiaith ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy, oei aeoae/a
aoee ae?aaeai? ee?i?/i? iciaee ?oai??. O ca’yceo c oeei o oai?eo c
o?ii?/iith e?eoe/iith ?oai??th e?ioe?aee ie aeae?ey?ii 2 noaae??
ii?ooaiiy ?aa?iia?ii? aaiiaeeiai?ee:

?. A?aeiinia eiiiainaoe?y e?iaiia?ao.

??. Aeaeiiiainaoe?y ?aa?iia?iiai e?iaiia?ao.

Oaaeeoey ? 2a.

Iieacieee ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy

ia aii?eoe? o caei?iaeo oa o oai?eo

c o?ii?/iith e?eoe/iith ?oai??th ieaei?o e?ioe?aie.

A?oia

aeine?aeaeaiieoOaiia?aoo?a

oe??e

(a?aaeone Ni)Iai?oaa eenith o oe???

(ii ?o no)Oeaieiiee

e?iaiia?a (ie/oa ia

100a oeaieie)Caei?ia?

Oai?? c

??? no ?oai??

Oai?? c

IV no ?oai??29,0+1,5

24,5+1,8

p>0.05

22,4+2,0

p0.05

1,2+0,18

p>0.05

I?e a?aeiini?e eiiiainaoe?? e?iaiia?ao nenoie?/iee a?oa??aeueiee oene o
a?oa??yo noiie aoa 40-60 ii ?o no, e?noi/eiai-iea/iaee ?iaeaen aoa ia
ieae/a 0.3-0.4, iai?oaa eenith o oe??? noiie – ia ieae/a 20 ii ?o.no.,
aaee/eia oe??iiai e?iaiia?ao ia 1 iaeueoe? oa noii? aoea a iaaeao
0.8-1.1 ie/oa/100a oeaieie.

I?e aeaeiiiainaoe?? e?iaiia?ao iieacieee ?aa?iia?ii? aaiiaeeiai?ee ?
i?e?ioee?eoeyoe?? aoee oaeeie: nenoie?/iee a?oa??aeueiee oene a noaeeiao
noiie aoa 0-30 ii ?o no, iai?oaa eenith o oe??? noiie – iaioa 20 ii ?o
no, aaee/eia oe??iiai e?iaiia?ao ia 1 iaeueoe? noiie – 0.2-0.5
ie/oa/100a oeaieie.

Oaaeeoey ? 2a.

Iieacieee ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy

ia noii? o caei?iaeo oa o oai?eo c o?ii?/iith

e?eoe/iith ?oai??th e?ioe?aie.

A?oia

aeine?ae-aeaieoOaiia?a-oo?a

oe??e

(a?aaeone) NiNenoie?/-iee a?oa??aeue-iee oene a CAA

(ii ?o no)E?noi/ei-

ai-iea/i-aee ?iaeaen

(E I ?)Iai?oaa eenith o oe???

(ii ?o no)Oeaieiiee

e?iaiia?a

(ie/oa ia

100a oeaieie)Caei?ia?

Oai?? c

??? no ?oai??

Oai?? c

IV no ?oai??27,01+1,0

23,5+0,6

p0.0523.0+0.724.6+1.1

p>0.05Nenoie?/iee a?oa??aeueiee oene a CAA

(ii ?o no) 60,0+2,273,0+2,3

p0.05).

Iaie anoaiiaeaii, ui /anoioa aiiooaoe?e i?ney IN o iacia/iiio nooiai?
caeaaeaea a?ae aaaeeino? ?oai??. Oae, c 111 oai?eo c ??? no. ?oai??
aiiooaoe?? aeeiiaii o 5 (4.6%), a c 64 oai?eo c IV no. ?oai?? – o 9
(14.2%) (p>0.05).

Iaea?eueoa aaciina?aaei? ?acoeueoaoe IN caeaaeaee a?ae aeo?aeiiai noaio
?aa?iia?ii? aaiiaeeiai?ee, ui aecia/aany ?ino?oiaioaeueieie iaoiaeaie.
Oae, c 152 oai?eo, o yeeo aei iia?aoe?? iaea i?noea a?aeiinia
eiiiainaoe?y ?aa?iia?iiai e?iaiia?ao (nenoie?/iee a?oa??aeueiee oene ia
CAA a iaaeao 40-60 ii ?o no, iai?oaa eenith a oe??? nooii? a?eueoa 20 ii
?o no), iacaaeia?euei? ?acoeueoaoe io?eiai? o 4 (2.7%), a o 23 c
aeaeiiiainaoe??th ?aa?iia?iiai e?iaiia?ao, iacaaeia?eueiee ?acoeueoao
io?eiaii o 10 (43.5%) (p

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