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

OA?E?ANUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

AA?AAEIA OAOssIA AIAe???AIA

OAeE 618.11-006.2-08-092

II??AIssEUeIA OA?AEOA?ENOEEA AOAEOEAI?NO? AIAeINEII?*II? I?E?I?ACAEOe??
OA EEEIIIIAe?AII? ?ACAEOe?? ss?*IEE?A O E?EOAAII? NEIAe?IIO
IIE?E?NOICIEO ss?*IEE?A ?C AEEI?ENOAIIssI AENIA?OII? NENOAIE
I?IAIICOAAIIss

14.01.01 — aeooa?noai oa a?iaeieia?y

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

i. Oa?e?a — 1998 ?.Aeena?oaoe??th ? ?oeiien.

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

Iaoeiaee ea??aiee — aeaaeai?e IAI Oe?a?ie, aeieoi? iaaee/iee iaoe,
i?ioani? A?EUAIEI Aaeaioei ?aaiiae/, aee?aeoi? ?inoeoooo i?iaeai
e??ia?ieia?? oa e??iiaaeeoeeie IAI Oe?a?ie, caa?aeoaa/ eaoaae?ith
aeooa?noaa oa a?iaeieia?? ? 1 Oa?e?anueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.

Io?oe?ei? iiiiaioe:

— aeieoi? iaaee/ieo iaoe, i?ioani? Aiaaeaoe?i Ieeiea

A?eai?iae/,

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

eaoaae?ith aeooa?noaa oa a?iaeieia?? ?2,

— aeieoi? iaaee/ieo iaoe, i?ioani? Aeoainna?nueea Ceia?aea

Ieoaee?aia,

Aei?i?iiao?ianuenea aea?aeaaia iaaee/ia aeaaeai?y, caa?aeoaa/

eaoaae?ith aeooa?noaa oa a?iaeieia??.

I?ia?aeia onoaiiaa — ?ino?ooo iaae?ao???, aeooa?noaa oa a?iaeieia??,
a?aeae?e a?iaeieia?? AII Oe?a?ie, i.Ee?a.

Caoeno a?aeaoaeaoueny _11_ __ethoiai____ 1999 ?. i __1330___
aiaeei? ia can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae64.600.01 i?e
Oa?e?anueeiio aea?aeaaiiio iaaee/iiio oi?aa?neoao? ca aae?anith: 310022,
i.Oa?e?a, i?.Eai?ia, 4.

C aeena?oaoe??th iiaeia iciaeiieoeny o 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?neaii _11_ __n?/iy____ 1999 ?

A/aiee nae?aoa?

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

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

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue aeine?aeaeaiiy. Neiae?ii iie?e?noicieo y?/iee?a (NIEss)
caeeoa?oueny iaei??th c iaea?eueo /anoeo i?e/ei aiaeie?eiiiai iaie?aeaey
o ae?iie (3-11% ca aeaieie O.ss.Ioaie/ieeiai?, 1991).

Iaaeeeaiaioicia ei?aeoe?y NIEss i?ecaiaeeoue, ye i?aaeei, aei oei/aniai?
ii?iae?caoe?? iaino?oaeueiiai oeeeeo ? aoaeoeaia o 15-40% oai?eo (ca
aeaieie A.A.Ae??ai?, 1989). Aoaeoeai?noue o??o?a?/iiai e?eoaaiiy oai?eo
ia NIEss noaiiaeoue 45-75% (ca aeaieie TH.E.Iaioai??iaa, 1985).
Iaoiaeeea eeeiiaeaeii? ?acaeoe?? y?/iee?a iaea?eueo oe?iei
aeei?enoiao?oueny a ee?i?/i?e i?aeoeoe?.

Aea, ?acii c a?aeiiaeaiiyi aiaeie?eii? oa aaia?aoeaii? ooieoe??
y?/iee?a, o??o?a?/ia ao?o/aiiy i?ecaiaeeoue aei ?icaeoeo niaeeiaiai
i?ioeano o iaeiio oac?, aiane?aeie i?iaaaeaii? eaia?ioii??, ui ni?ey?
?icaeoeo ia?eoiiaaeueieo oi?i aacie?aeaey ? cieaeo? aoaeoeai?noue
iia?aoeaiiai ao?o/aiiy (ca aeaieie O.ss.Ioai?/ieeiai?, 1991).

A inoaii? ?iee a a?iaeieia?/i?e i?aeoeoe? ana /ano?oa aee?enoiaothoueny
c iaoith ae?aaiinoeee oa e?eoaaiiy oai?eo ia NIEss aiaeineii?/i? caniae:
aeaeo?i- ? oa?ii- aieeae ia y?/ieee, ?acaeoe?y /anoeie y?/iee?a ?c
aeei?enoaiiyi ??cieo aeae?a eaca?a, a?aiiiaa ?acaeoe?y oa ?io? (ca
aeaieie I.Gjonnaess, 1994; I.Naether, 1994). Aoaeoeai?noue ia?a?aoiaaieo
iaoiaeee o a?aeiiaeaii? aiaeie?eiii? oa aaia?aoeaii? ooieoe?e ?
aeieeiaiiy i?neyiia?aoe?eieo ceoe ioe?ith?oueny ee?i?oeenoaie
iaiaeiicia/ii, oi/ i??i?eoao ?o ia?aae ?ooeiiith eeeiiiiae?aiith
?acaeoe??th ia aeeeeea? noii?ao (ca aeaieie O.Gurgan, 1991, 1992;
A.Greenblatt, 1993).

A oie naiee /an aaeee? aeiiii?/i? aeo?aoe oa neeaaei?noue aeei?enoaiiy
a?aiiiai? eiaaoeyoe?? oa eaca?iiai aieeao ia y?/ieee i?e aiaeineii?? ia
aeicaieythoue oe?iei aeei?enoiaoaaoe ?o a ee?i?/i?e i?aeoeoe? (ca
aeaieie H.Ota, 1986).

O ca’yceo c oeei aeooaeueiei oa iaiao?aeiei ? iiooe iaea?eueo
aeinooiiiai oa ae?eiaiai, aa?aaeiiai iaoiaeo aiaeineii?/iiai e?eoaaiiy
oai?eo ia NIEss, ui ? aoei aieiaiith iaoith oeueiai aeine?aeaeaiiy.

E??i oiai, ne?ae a?aecia/eoe, ui ??ciiiai?oi?noue ao?iiaoiaaiaoe/ieo
oaeoi??a ? aa??aaaeuei?noue ee?i?/ieo i?iya o oai?eo ia NIEss noai?th?
a?aeii? o?oaeiiu? o aeai?? iaoiae?a e?eoaaiiy o eiaeiiio eiie?aoiiio
aeiaaeeo. Noaiaea?oia ianoaaeaiiy oa iiaoaiia e?eoaaiiy oai?eo /anoi
caeia? aaeeeee ?ioa?aae /ano ? ia i?ecaiaeeoue aei aaaeaiiai iane?aeeo.
O ca’yceo c oeei, ia? nain ?ic?iaea oa aeei?enoaiiy aenia?oii? nenoaie
i?iaiicoaaiiy, yea aeicaieeoue a?eueo eiie?aoii i?iaiicoaaoe ?acoeueoao
oiai aai ?ioiai aeaeooa?ai??, nei?ioeoe /an ianoaaeaiiy ? aecia/eoe
iioeiaeueiee iaoiae e?eoaaiiy NIEss.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. Aeena?oaoe?y
iia’ycaia n aeeiiaiiyi eaoaae?aeueii? iaoeiai-aeine?aeii? ?iaioe
?01950029470 Aea?ae?a?no?aoe??.

Iaoa oa caaea/? aeine?aeaeaiiy. Iaoith oe??? ?iaioe noaee ?ic?iaea,
ai?iaaoe?y oa aeyaeaiiy aoaeoeai?no? aiaeineii?/ii? i?e?i?acaeoe??
y?/iee?a o ii??aiyii? c ?o eeeiiiiae?aiith ?acaeoe??th i?e i?iaaaeaii?
eaia?ioii?? o oai?eo ia NIEss a ?aiiueiio oa i?ciueiio i?neyiia?aoe?eieo
ia??iaeao, noai?aiiy aenia?oii? nenoaie i?iaiicoaaiiy c iaoith
?iaeea?aeoaeueiiai e?eoaaiiy oai?eo ia NIEss.

Aeoiaey/e c iaoe aeine?aeaeaiiy, i?e aeeiiaii? aeaii? ?iaioe aoei
iinoaaeaii aeey ae??oaiiy oae? caaaeaiiy:

1. ?ic?iaea iaoiaeeee aiaeineii?/ii? i?e?i?acaeoe?? y?/iee?a o oai?eo ia
NIEss c aeei?enoaiiyi iiaeo iaoiaee/ieo caoiae?a oa ?iaeea?aeoae?caoe??.

2. Ii??aiyoe oa?aiaaoe/io aoaeoeai?noue eeeiiiiae?aii? ?acaeoe?? i?ae
/an eaia?ioii?? oa aiaeineii?/ii? i?e?i?acaeoe?? c aeei?enoaiiyi
aeaeo?ieiaaoeyoi?a i?e e?eoaaii? oai?eo ia NIEss.

3. Anoaiiaeoe /anoioo aeieeiaiiy o?oaii-ia?eoiiaaeueiiai aacie?aeaey i?e
oeeo aeaeao o??o?a?/iiai e?eoaaiiy.

4. Aea/eoe iaoiii?oieia?/i? ci?ie oeaieie y?/iee?a oa aiaeiiao??th c
iaoith i?iaaaeaiiy aaeaeaaoii? ?aaa?e?oaoe?? o i?neyiia?aoe?eiiio
ia??iae?.

5. ?ic?iaeoe oa aeei?enoaoe aenia?oio nenoaio i?iaiicoaaiiy c iaoith
?iaeea?aeoaeueiiai eiina?aaoeaiiai oa o??o?a?/iiai iaoiae?a e?eoaaiiy
oai?eo ia NIEss.

Iaoeiaa iiaeia. O ?iaio? aia?oa ?ic?iaeaia iaoiaeeea i?e?i?acaeoe??
y?/iee?a ?c aeei?enoaiiyi iiiiiiey?iiai aeaeo?ieiaaoeyoi?a oa
?iaeea?aeoae?caoe?? ao?o/aiiy o ??cieo oai?eo, i?iaaaeaiee e?eoe/iee
aiae?c ?yaeo o??o?a?/ieo i?aeoiae?a o oai?eo ia NIEss.

Anoaiiaeaii, ui eaia?ineii?/ia i?e?i?acaeoe?y y?/ieea, ui i?ecaiaeeoue
aei oa?i?/iiai ii?ooaiiy iac??eeo oie?eoe?a oa eainoee y?/iee?a, ? iaio
o?aaiaoe/iith aeey y?/ieeiai? oeaieie, i?ae eeeiiiiae?aia ?acaeoe?y c
eaia?ioii??th. Aeyaeaii, ui o??o?a?/iee aieea ia y?/ieee, ye ia
i?aai-i?oaiue, ii?iae?co? ni?aa?aeiioaiiy o nenoai?
a?iioaeaion-a?iio?c-y?/iee, ui i?aeoaa?aeaeo?oueny iieacieeaie
i?iaeoeoe?? aiiaaeio?ii?i?a oa noaoo?aeo noa?i?ae?a.

Aia?oa ?ic?iaeai? eiie?aoi? ?aeiiaiaeaoe?? ?aaa?e?oaoe?eii?
i?neyiia?aoe?eii? ai?iiiaeueii? oa?ai?? oai?eo ia NIEss c aeei?enoaiiyi
?ic?iaeaii? oa ee?i?/ii ai?iaiaaii? aenia?oii? nenoaie i?iaiicoaaiiy,
yea aeicaieeea ?aae?coaaoe ?iaeea?aeoaeueiee i?aeo?ae o aeai?? iaea?eueo
aaeaeaaoiiai iaoiaeo e?eoaaiiy NIEss.

I?aeoe/ia cia/ei?noue. Io?eiai? iia? aeai?, ui aeicaieythoue iie?ioeoe
aoaeoeai?noue o??o?a?/iiai e?eoaaiiy NIEss ia aac? ?iaeea?aeoae?caoe??
aeai?o iaoiaeo oa?ai?? oa aeei?enoaiiy aenia?oii? nenoaie i?iaiicoaaiiy
oa i?iaaaeaiiy aiaeineii?/ii? i?e?i?acaeoe?? y?/iee?a c aaeaeaaoiith
?aaa?e?oaoe?eiith oa?ai??th o i?neyiia?aoe?eiiio ia??iae?.

I?aeoe/ia canoinoaaiiy ?ic?iaeaii? iaoiaeeee aiaeineii?/ii?
i?e?i?acaeoe?? y?/iee?a oa aenia?oii? nenoaie i?iaiicoaaiiy i?iaaaeaii
ia aac? a?iaeieia?/iiai a?aeae?eaiiy ee?i?/iiai 5-ai iieiaiaiai aoaeeieo
i.Oa?eiaa.

Iniaenoee aeeaae iiooe?aoey. Aaoi?ii naiino?eii ia?aia oaia ?iaioe,
iaa?oioiaai? iaoa oa ?? caaea/?, i?iaiae?ciaai? aeaea?aea e?oa?aoo?e ii
oe?e i?iaeai?, i?iaaaeai? ee?i?ei-eaai?aoi?i? ianoaaeaiiy, ?ic?iaeaia
iaoiaeeea aiaeineii?/iiai e?eoaaiiy ? aeeiiai? eaia?ineii?/i? ao?o/aiiy,
?ic?iaeaia aenia?oia nenoaia i?iaiicoaaiiy, iaa?oioiaai? iaea?aeai?
?acoeueoaoe, noi?ioeueiaai? aeniiaee ? i?aeoe/i? ?aeiiaiaeaoe??.

Ai?iaaoe?y ?iaioe i?iaaaeaia ia noi?niiio can?aeaii? eaoaae? aeooa?noaa
oa a?iaeieia?? ?1 e ?2 OAeIO 25.05.98 ?. Iniiai? iieiaeaiiy ?iaioe
aeeeaaeai? ? iaaiai?ai? ia can?aeai? OIIO a 1995 ?.

Ioae?eaoe?? ?acoeueoao?a aeine?aeaeaiiy. Ca oaiith aeena?oaoe??
iioae?eiaaii 7 ?ia?o, c ieo o?e noaoo? o oaoiaeo aeaeaiiyo Oe?a?ie.

No?oeoo?a oa ia’?i aeena?oaoe??. Aeena?oaoe?y aeeeaaeaia ia 137
noi??ieao iaoeiiieno, neeaaea?oueny c? anooio, iaeyaeo e?oa?aoo?e, 5
/anoei aeanieo aeine?aeaeaiue, aeniiae?a oa i?aeoe/ieo ?aeiiaiaeaoe?e.

?iaioa ?ethno?iaaia iaethieaie oa oaaeeoeyie (13 iaethie?a ? 28
oaaeeoeue), ianyaii 45 noi??iie, c aeei?enoaiiyi 287 aeaea?ae
e?oa?aoo?e.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy.

Aeey aeeiiaiiy iinoaaeaieo a ?iaio? caaea/ aia?oa aoei ianoaaeaii 164
oai?eo ia NIEss, ye? aoee iiae?eai? ianooiiei /eiii:

I ee?i?/io a?oio noaiiaeee 50 (52,0%) ae?iie, i?iiia?iaaieo
o?aaeeoe?eiei iaoiaeii — eaia?ioii?y, eeeiiiiae?aia ?acaeoe?y 2/3
y?/iee?a.

II ee?i?/io a?oio noaiiaeee 46 (48,0%) iaoe??ioie, yeei aoea i?iaaaeaia
aiaeineii?/ia i?e?i?acaeoe?y y?/iee?

Aeey ia?aa??ee noai?aii? i?ae /an ?iaioe aenia?oii? nenoaiei?iaiicoaaiiy
aoee ianoaaeai? ua 68 oai?eo ia iie?e?noic y?/iee?a, ui ia a?aeiineeenue
aei ? ? ?? ee?i?/ieo a?oi, aea ca ai?iiiaeueiei noaiii, aiaiianoe/ieie
aeaieie oa ee?i?/iei ianoaaeaiiyi a??ia?aeii ia a?ae??ciyeenue a?ae
oai?eo ? ? ?? a?oie. C ieo ia 40 oai?eo ia NIEss ia?aa??yeanue
i?aoeacaeaoi?noue aenia?oii? nenoaie i?iaiicoaaiiy, ui ?aeiiaiaeoaaea
iaiao?aei?noue aiaeineii?/iiai ao?o/aiiy; ia 28 oai?eo aoea ia?aa??aia
?iaioa aenia?oii? nenoaie, ui i?iaiicoaaea aoaeoeai?noue ai?iiiaeueii?
noeioeyoe?? iaoeyoe?? i?ney aiaeineii?/iiai e?eoaaiiy.

Na?aaei?e a?e oai?eo noaiiaea 25 ? 2,5 ?ie?a.

A?eueo?noue oai?eo I oa II ee?i?/ieo a?oi no?aaeaeaee ia?aeiiei
aanie?aeaeyi ? 73 (76%).

I?e ioe?ioe? io?eiaieo aiaiianoe/ieo aeaieo ii a?iaeieia?/iei
caoai?thaaiiyi oa iia?aoeaiei ao?o/aiiyi, a iniiaiiio, ia ciaeaeaii
aeinoia??ieo a?aei?iiinoae i?ae a?oiaie. Aeeeth/aiiy noaiiaeyoue
o?ii?/i? aaeiaeneoe, ye? /ano?oa cono??/aeenue o oai?eo II a?oie
(?<0,05). O a?eueoino? oai?eo aeyaeaiee a??nooeci oa iaee??iiy ?-?? nooiaith, i?ci? iaino?oaoe?? /ano?oa cono??/aeeny o oai?eo ? a?oie, a oie /an ye a/ani? aoee a?eueo oa?aeoa?i? aeey iaoe??ioie ?? a?oie. O 48,9% oai?eo iaio a?oi iaino?oaeueiee oeeee aoa ia ii?ooaiei. Aiaii?ay ? iini-ie?aiiaii?ay iaee i?noea a iaio a?oiao aac eiia??iiai ?ica?ao (?>0,05), ui ni?aa?aeiineoueny c aeaieie e?oa?aoo?e (THiaea ?.O., 1990).

Eiiieaenia ianoaaeaiiy aeey aeyaeaiiy i?e/ei aacie?aeaey aeeth/aei a
naaa aeai? i?i aeanoeaino? oea?a?eaeueiiai neeco (a aaeao),
?aioaaiia?ao?th /a?aia, iaia’yceiaa ianoaaeaiiy nia?iia?aie /ieia?ea ?
?acoeueoao?a oano–eiioaeoo n oea?a?eaeueiith neeccth. I?iaiaeeeanue
iao?inaeuei?iaia?ao?y ?c canoinoaaiiyi aiaei?ic/eiieo eiio?anieo
na?aaeiaeu, ia ?ai?o, i?ae ca 3-6 i?nyoe?a aei aini?oae?caoe??. An?
oai?? iaio ee?i?/ieo a?oi aei??thaaee aacaeueio oaiia?aoo?o ia iaio 3
i?nyoe?a ca caaaeueiii?eeiyoith iaoiaeeeith. O oai?eo iaio a?oii a
100,0% aeiaaee?a niinoa??aaeenue ci?ie oa?aeoa?o aacaeueii? oaiia?aoo?e.

On?i oai?ei aoea i?iaaaeaia o?ainaaaeii?iaeueia aai o?ainaaa?iaeueia
niiineii?y i?aai?a iaeiai oaco c aeei?enoaiiyi aia?ao?a “Aloka-SSD 256”
(ssiii?y) ? “Combics” (Oaaoe?y). I?e OCAe i?aai?a iaeiai oaco iaei
i?noea ca?eueoaiiy y?/iee?a ? ?o iie?e?noici? ci?ie, noaoenoe/i?
a?aei?iiino? i?ae a?oiaie aoee iaaeinoia??i? (?>0,05).

An?i ianoaaeaiei oai?ei i?iaiaeeeinue ?aioaaiiianoaaeaiiy iniiae /a?aia.
Iaoieia?/ieo ci?i ia ciaeaeaii.

O a?eueoino? ianoaaeaieo ae?iie i?iaiaeeeinue aecia/aiiy ci?noo
aiiaaeio?ii?i?a oa noa?i?aeieo ai?iii?a a ieaci? ?aae?i?ioiei iaoiaeii
?caeei?enoaiiyi ?aaeoea?a “Bio-Rad” (NOA): oie?eoeinoeioethth/iai
ai?iiio, ethoaio?iiiiai ai?iiio, oanoinoa?iio, ei?oecieo, i?iaanoa?iio,
ano?aae?ieo, i?ieaeoeio.

E??i oeueiai, i?iaiaeeeinue aecia/aiiy e?euee?niiai ci?noo 17-EN a na/?
eaei?eiao?e/iei iaoiaeii ca ?.A.Naiinoaeiaith, AE.AE.Aann. Ia?aeii?
ai?iiiaeuei? ianoaaeaiiy i?iaiaeeeenue aei iia?aoe?? ia 12-14 aeaiue
iaino?oaeueiiai oeeeeo. Iiaoi?i? aeine?aeaeaiiy ai?iiiaeueiiai noaoono
aoee i?iaaaeai? ia 5-6 aeiao i?ney iia?aoe??, oae ye, ca aeaieie
Gjonnaess (1991) oea iioeiaeueiee /an aeey ioe?iee i?neyiia?aoe?eieo
ai?iiiaeueieo ci?i.

I?e ioe?ithaaii? ai?iiiaeueieo iieaciee?a a iaio a?oiao ne?ae
a?aecia/eoe ianooiia. ??aaiue i?iaanoa?iio a iaeaeaao a?oiao
a?aeiia?aeaa oie?eoe?iia?e oac? iacaeaaeii a?ae aeiy aeine?aeaeaiiy ?
aoa iiia?aaeiuei iecueeei. Na?aaei?e ??aaiue i?ieaeoeio a iaeaeaio
a?oiao ia ia?aaeuoaaa ii?ie (1-14ieiieue/e).

A iaeaeaio a?oiao ci?no ano?aae?ieo aoa cia/ii i?aeaeuaiee (?<0,05), eiia??ii, aiane?aeie eiai iicaaiiaaeiiai neioaco aaeeiicioeeoaie, ui oa?aeoa?ii aeey NIEss, ? ocaiaeaeo?oueny c aeaieie e?oa?aoo?e (A.?.Aiaeyaeeia ?c ni?aaaoi?aie, 1990). A iaio a?oiao ianoaaeaieo oai?eo aeyaeeenue ci?ie ni?aa?aeiioaiue ONA/EA o noi?iio ca?eueoaiiy EA, ui oa?aeoa?ii aeey aeaiiai caoai?thaaiiy (ca aeaieie L.Speroff et al., 1979). Aeey i?aeoaa?aeaeaiiy y?/ieeiai? oi?ie NIEss i?iaiaeeeenue ai?iiiaeuei? i?iae c 17,5% ienei?iaanoa?iiii eai?iiaoii ? eeii?oai-oeeo?aoii, ca aeaieie yeeo an? iaoe??ioee iaee y?/ieeiao oi?io caoai?thaaiiy. ?acenoaioi?noue iaoe??ioie aei eeii?oaio noaei iieacieeii aeey iia?aoeaiiai e?eoaaiiy. O ieai? ia?aaeiia?aoe?eiiai ianoaaeaiiy on?i oai?ei aoea i?iaaaeaia iao?inaeuei?iaia?ao?y, ca aeaieie yei? o a?eueoino? a iaio a?oiao iaoea aoea cae/aeieo ?ici???a. I?io?aei?noue iaoeiaeo o?oa aeyaeaia 90,0 % aeiaaee?a a ia?o?e oa 87,0 % o ae?oa?e ee?i?/ieo a?oiao (p>0,05).

I?e i?iaaaeaii? eaia?ineii?? aeei?enoaia aia?aoo?a o??i “Storz”
(I?ia//eia) ? “Stryker” (NOA).

Iaoe??ioeai, a oiiaao iia?aoe?eii? i?ae aiaeio?aoaaeueiith aianoac??th,
i?ney ia?iaee iia?aoe?eiiai iiey nie?oii oa 1% ?ic/eiii eiaeo,
i?iaiaeeany i?ieie ia?aaeiueia?thoii? no?iee ao?aaiaoe/iith aieeith
Aa?aoa a?ey ioiea. Noai?thaaany iioeiaeueiee iiaaiiia?eoiiaoi, i?ae
a?coaeueiei eiio?ieai eaia?ineiia aaiaeeeenue aeiaeaoeia? o?iaea?e
ae?aiao?ii 5 ii a i?aeacaeioi?e iaeano? i?aai?o/ oa e?ai?o/, /aoaa?oee
aeiaeaoeiaee o?iaea? ca iaiao?aei?noth ? i?ae ioieii oa neio?cii. I?ney
ia?aaaaeaiiy iaoe??ioee o iieiaeaiiy O?aiaeaeaiao?aa i?iaiaeeany iaeyae
i?aai?a /a?aaii? ii?iaeieie ? ioe?iea niaeeiaiai ia?eooaa?iiai i?ioeano.
I?iaiaeeeanue o?iiinaeuei?iaineii?y ca aeiiiiiaith 1 % aiaeiiai
noa?eeueiiai ?ic/eio iaoeeaiiaiai neiueiai. Caa?oaeanue oaaaa ia ?ici??e
y?/iee?a oa iaoee, neea?ic oa oiaueio eainoee, eie?? y?/iee?a oa ?io?
ci?ie.

Oaoi?ea i?e?i?acaeoe?? y?/iee?a: y?/ieee caoiiethaaeenue y?/ieeiaeie
caaeeiaie a oeaio?aeuei?e /anoei?. Eainoea iaae??caeanue iiiiiiey?iei
aeaeo?ieiaaoeyoi?ii a ?aaeei? ??caiiy ii oeio aocueeiai eeeio ?ici??aie
1,0o0,5o0,5 ni a 1-3 ciiao, a caeaaeiino? a?ae ?ici???a y?/ieea ?
nooiaith iayai?no? iie?e?noico. Aeeaeia aeae?eaiiy oeaieie y?/ieea iaea
0,5 ni. Aiaeii/an aeinyaaany aaiinoac. Oae ia y?/ieee ia iaeeaaeaeenue.
*anoeie y?/ieea aeoyaaeenue /a?ac o?iaea?.

*anoei? oai?eo (20 — 43,0%) i?ae /an eaia?ineii?? aoea c?iaeaia
a?noa?ineii?y c aeei?enoaiiyi a?noa?ineiia o??ie “Storz”. I?iaiaeeeanue
ioe?iea noaio ii?iaeieie iaoee oa aiaeiiao??th. A?noa?ineii?y
i?iaiaeeeanue ii caaaeueiii?eeiyo?e iaoiaeeoe? c aeei?enoaiiyi
aoaeaeeneiai aaco aai ?ic/eio oo?aoeee?ia. Iaoe??ioeai c a?ia?ieac??th
oa iie?iicii aiaeiiao??y iai?ee?ioe? ao?o/aiiy, i?ney
o?iiinaeuei?iaineii??, i?iaiaeeeinue aeoe??aaiiy aiaeiiao??th. O
aeiaaeeo ao?io?? aiaeiiao??y ae?aaiinoe/ia aeoe??aaiiy ia i?iaiaeeeinue.
I?iaiaeeeinue a?noieia?/ia aeine?aeaeaiiy a?iioao?a y?/iee?a oa
aiaeiiao??y.

Aoaeoeai?noue iia?aoeaiiai e?eoaaiiy ioe?ithaaeanue ii ianooio iaoeyoe??
oa aaa?oiino?, ii?iae?caoe?? ai?iiiaeueieo ni?aa?aeiioaiue a ieaci?
e?ia?, ca ?acoeueoaoaie eaoaiiaco ia i?ioyc? 2 ?ie?a i?ney iia?aoe??.

Noaoenoe/ia ia?iaea aeaieo i?iaiaeeeanue ca iaoiaeii Nouethaeaioa-O?oa?a
c aeei?enoaiiyi e??oa??y 2, eiao?oe??ioa ei?aeyoe?? ca Ni??iaiii, a
oaeiae ?c aeei?enoaiiyi ae?aa?ai ?icn?thaaiiy.

O aeine?aeaeaii? aia?oa ?ic?iaeaia oa aeei?enoaia aenia?oia nenoaia
?iaeea?aeoaeueiiai i?iaiicoaaiiy oa aeai?o iioeiaeueiiai iaoiaeo
e?eoaaiiy oai?eo ia NIEss.

Aeey ia?aa??ee i?aoeacaeaoiino? aenia?oii? nenoaie i?iaiicoaaiiy ??
?aeiiaiaeaoe?? aoee aeei?enoai? o 68 oai?eo ia iie?e?noic y?/iee?a, ui
ia aoiaeeee o ee?i?/i? a?oie, aea ca nai?ie oa?aeoa?enoeeaie ia iaee
eiia??ieo a?aei?iiinoae a?ae iaoe??ioie ? ? ?? ee?ie/ieo a?oi.

?ACOEUeOAOE AeINE?AeAEAIIss

Aiane?aeie aeei?enoaiiy ?ic?iaeaii? iaie iaoiaeeee aiaeineii?/ii?
i?e?i?acaeoe?? y?/iee?a ie iaee ciiao ii??aiyoe aoaeoeai?noue oeueiai
iaoiaeo c eeeiiiiae?aiith ?acaeoe??th y?/iee?a i?e eaia?ioii??.

A?noieia?/i? ci?ie neea?iiie?e?noicieo y?/iee?a, i?aaenoaaeai? a
oaaeeoe? 2, iathoue i?noea a iaio a?oiao oai?eo, ?ica?aeiino? i?ae ieie
iaa??ia?aei? (?>0,05).

Ii?ooaiiy a a?noieia?/i?e ea?oei? y?/iee?a — oeiia? aeey NIEss (ca
aeaieie O.ss.Ioaie/ieeiai?, 1990).

Aiane?aeie i?iaaaeaieo aeine?aeaeaiue aeyaeaia i?enooi?noue ci?i
noaooaaeo ai?iii?a a iaeaeaio ee?i?/ieo a?oiao, yea oa?aeoa?eco?
ii?iae?caoe?th ?iaioe a?iioaeaii-a?iio?ca?ii-y?/ieeiai? nenoaie.
Eiia??ii ci?ith?oueny ??aaiue ano?aae?ieo oa ei?oecieo a a?e ciaioaiiy a
iaeaeaio a?oiao. Ni?aa?aeiioaiiy ONA/EA c?inoa? aiane?aeie cieaeaiiy
??aiy EA ? i?aeaeuaiiy ONA, aea a??ia?aeia ci?ia oeeo iieaciee?a
a?aeaoaa?oueny eeoa o ?? a?oi?. Ai?iiiaeuei? ci?ie i?ney iia?aoeaiiai
ao?o/aiiy a iaio a?oiao iaaaaeai? a oaaeeoe? 3.

Aeyaeai? ci?ie i?iaeoeoe?? ai?iii?a ia 5-6 aeiao i?neyiia?aoe?eiiai
ia??iaeo oa?aeoa?ecothoue a??ia?aeii e?auee aoaeo iia?aoeaiiai e?eoaaiiy
o II a?oi? oai?eo (p<0,05). Aacoth/enue ia aeine?aeaeaiiyo E.Greenblatt (1993) ne?ae aeoiaoe, ui aiaeie?eii? ci?ie i?ney ao?o/aiue ia y?/ieeao i?e NIEss, iiaeeeai, iiaycai? c aeoea?caoe??th y?/ieeiai-a?iio?ca?iiai ?aoeaeno, yeee iiaeeeai oyaeoe ianooiiei /eiii (iaethiie 1). Iaoai?/ia ii?ooaiiy eainoee i?ecaiaeeoue aei ci?ie aiiaaeio?iiii? ooieoe?? a?iio?co, iane?aeeii /iai ? ii?iae?caoe?y aiaeie?eiii? ooieoe?? y?/iee?a. Oea i?eiouaiiy i?aeoaa?aeaeo?oueny oaeiae iano?eeei oa?aiaaoe/iei aoaeoii a?aeiiaeaiiy aiaeie?eiii? oa aaia?aoeaii? ooieoe?? y?/iee?a i?ney iia?aoe?? ca iaoeie niinoa?aaeaiiyi oa ca aeaieie O.ss.Ioai?/ieeiai? (1991). I?e aiae?c? ci?i o iaa??aeueii-iaino?oaeueiiio oeeee? aeyaeai? ianooii? oaiaeaioe?? (oaaeeoey 4). A ? a?oi? 23 iaoe??ioee (46,0%) ia iaee ii?ooaiue iaino?oaeueiiai oeeeeo. I?ney iia?aoe?? e?euee?noue oai?eo c ii?iaeueiei iaino?oaeueiei oeeeeii ca?eueoeeanue aaea?/?. A ?? a?oi? aei iia?aoe?? iaci?iiee iaino?oaeueiee oeeee niinoa??aaany eeoa o 5 oai?eo (10,9%), i?ney iia?aoeaiiai ao?o/aiiy o a?eueoino? oai?eo (45 ? 97,8%) ae?oai? a?oie iaino?oaeueiee oeeee ii?iae?coaaany (p<0.05). Ca aiae?cii ianooio aaa?oiino? a caeaaeiino? a?ae iane?aee?a a?noieia?/iiai aeine?aeaeaiiy a?iioao?a y?/ieeiai? oeaieie oa aiaeiiao??th io?eiai? aeai?, ye? iaaaaeai? o oaaeeoe? 1. Aiae?coth/e /anoioo a?aeiiaeaiiy iaoeyoe?? a ee?i?/ieo a?oiao c o?aooaaiiyi /ano eiia??ieo a?aei?iiinoae a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? ia aeyaeaii (?>0,05) (oaaeeoey 5). A oie naiee /an /anoioa
ianooio aaa?oiino? aoea a 1,8 ?ace aeua o ae?iie ?? ee?i?/ii? a?oie
(p<0.05). Oea, iiaeeeai, iia’ycaii c oei, ui i?ney aiaeineii?/iiai ao?o/aiiy o oai?eo i?aeoe/ii aoa a?aenooi?e ?aaeoeaiee ceoeiaee i?ioean a cii? iia?aoe??, a oaeiae caaaeyee a?eueo ni?eyoeeaei ai?iiiaeueiei ci?iai i?ney iia?aoe?? a ae?oa?e a?oi? oai?eo. Oea i?aeoaa?aeaeaii aeaieie iiaoi?ii? eaia?ineii?? o 5 (10,9%) oai?eo i?ney eaia?ineii?/ii? i?e?i?acaeoe??. E??i oiai, a?aeiiaeeanue /ooeea?noue aei eeii?oaio o 7 ae?iie ( 15,2%).O iiaeaeueoiio /anoioa ianooio aaa?oiino? a ae?oa?e ee?i?/i?e a?oi? oaeiae aoea a??ia?aeii aeua (?<0,05), i?ae a ia?o?e (oaaeeoey 5). Oaeei /eiii, ne?ae a?aeaeaaaoe i??i?eoao a?eueo aa?aaeiei ao?o/aiiyi, aei yeeo a?aeiineoueny eaia?ineii?/ia i?e?i?acaeoe?y. E??i oiai, a?aei?oeoe, ui o?eaae?noue ia?aaoaaiiy oai?eo o noaoe?iia?? i?ney aiaeineii?/ii? i?e?i?acaeoe?? o ii??aiyii? c eeeiiiiae?aiith ?acaeoe??th y?/iee?a i?ae /an eaia?ioii?? ciaioeeanue o 2 ?ace. A?aoiaoth/e ??ciiiai?oi?noue ee?i?/ieo oi?i NIEss oa o?oaeiiu? o aeai?? aoaeoeaiiai iaoiaeo e?eoaaiiy, iaie ?ic?iaeaia oa ai?iaiaaia aenia?oia nenoaia aeai?o iioeiaeueiiai e?eoaaeueiiai i?aeoiaeo. ?ic?iaea iaoiaeo i?iaiicoaaiiy i?iaiaeeeanue ia aac? ?acoeueoao?a ianoaaeaiiy i?iiia?iaaieo oai?eo II ee?i?/ii? a?oie (iaa/ath/a a?oia). Ia ia?oiio aoai? aeine?aeaeaiiy aeyaeyeenue noaoenoe/i? oa?aeoa?enoeee iaaieo iieaciee?a oa niinoa??aaeenue caeiie ?o ?iciiae?eaiiy. Ia ae?oaiio aoai? aea/aeenue ni?aa?aeiioaiiy ie?aieo o?c?ieia?/ieo ia?aiao??a o oai?eo ia NIEss. E?ioeaaei aoaiii ?iaioe noaei noai?aiiy aenia?oii? nenoaie, yea aeicaieeea ?ioa?i?aooaaoe caaaeueiiee?i?/i? oa ee?i?ei-ae?aaiinoe/i? iieacieee o oai?eo ia NIEss, i?iaiicoaaoe aea?? e?eoaaeueii? oa o??o?a?/ii? oaeoeee. A aeeiiai?e ?iaio? aaca ciaiue noi?iiaaia ia aeaeo?iiiiio iin?? a e?eueeino? iiiaae 160 caien?a (eiaeia c yeeo iaea 89 iieaciee?a). Aeeiiaiee iaoaiaoe/iee aiae?c iaaee/ii? ?ioi?iaoe??. Aeine?aeaeaiiy i?iaiaeeeenue a eaai?aoi??? eiii’thoa?ieo aenia?oieo nenoai AI “Oa?o?ii” i. Oa?eiaa (Aaia?aeueiee aee?aeoi?, aeaaeai?e ss.?. Aecaiaa?a). I?aeo?ae aei ??oaiiy caaea/ i???ioiaaiee ia iciaee. Eiaeia iciaea ia?oe?io, yea a?aeia?aaea? ?? cia/ei?noue a i?ioean? aeaiaeo, ?, a ia?oo /a?ao, caaea?oueny oa caieoaiiy, aeey yeiai oe?ia iaeaeua. Nenoaia noaaeoue o? ieoaiiy, ye? aaaaea? aaaeeeaeie, iiaeeo?eo? nai? oyaeaiiy i?ae /an aaaaeaiiy a?aeiia?aeae. Aiane?aeie ?iaioe aoee aeyaeai? iaea?eueo ?ioi?iaoeai? iieacieee ii a??ia?aeiino? ianooio aaa?oiino?. Ca ?acoeueoaoaie i?iaaaeaii? ?iaioe eiia??i?noue ianooio aaa?oiino? i?iaiico?oueny c oi/i?noth 91,7%. Aiane?aeie aeine?aeaeaiiy aeae?eai? i?iaiinoe/ii aaaeeea? iciaee, ca ioe?ieith yeeo aeathoueny ?aeiiaiaeaoe?? ii i?iaaaeaiith oiai /e ?ioiai aeaeo oa?ai?? NIEss. Iaea?eueoee aieea ia i?iaiic iaee: a?e iaoe??ioee, o?eaae?noue caoai?thaaiiy, ia?aeii?noue caoai?thaaiiy, ia?aianai? a?iaeieia?/i? iia?aoeai? ao?o/aiiy, ooo/i? aai?oe ca aiaiiacii, iniaeeaino? noaiiaeaiiy iaino?oaeueiiai oeeeeo, oa?aeoa?enoeea iaino?oaoe?e ca e?euee?noth e?ia?, ui ao?a/a?oueny, aeai? OCAe iaoee ? y?/iee?a, nooiaiue iaee??iiy, a?noieia?/ia aeine?aeaeaiiy aiaeiiao??th. C iaoith ia?aa??ee ?iaioe aenia?oii? nenoaie iane?aeee i?iaiicoaaiiy a iaa/ath/?e a?oi? c?noaaeai? c ?acoeueoaoaie i?iaiicoaaiiy a eiio?ieuei?e a?oi? ?c 40 oai?eo ia NIEss, ui ia aoee aeeth/ai? a iniiai? ee?i?/i? a?oie, ? aea?? e?eoaaiiy yeeo aecia/aany ca ?acoeueoaoaie aenia?oii? nenoaie (c 68 oai?eo ia NIEss ia yeeo ia?aa??yeanue aenia?oia nenoaia ii?iaiicoaaiiy). O caeaaeiino? a?ae i?iaiico oey a?oia oai?eo iiae?eaia ia o?e i?aea?oie: 1) 15 (37,5%) oai?eo i?aeeyaaee aiaeineii?/iiio ao?o/aiith c i?e?i?acaeoe??th y?/iee?a; 2) 20 (50%) oai?eo i?eeiaee oeeee?/io ai?iiiaeueio oa?ai?th (eeii?oai n 5 ii 9 aeiao oeeeeo a aeiaiaiio aeicoaaii? 50-150 iea, i?e?ioie?i ii 25 ia 2 ?ace ia aeiao c 7 ii 13 aeaiue oeeeeo, 10000 iae. i?ioac? i?ae eiio?ieai OCAe oie?eoe?a, i?iaanoa?ii o ae?oao oaco oeeeeo; 3) 5 (12,5%) oai?ei aoea cai?iiiiiaaia i?ia?aia IVF (aeno?aei?ii?aeueia caie?aeiaiiy), Iane?aeee i?iaaaeaiiai e?eoaaiiy: 1) NIEss i?ae /an eaia?ineii?? i?aeoaa?aeaeaiee o an?o 15 oai?eo; iaino?oaeueiee oeeee a?aeiiaeany o 14 oai?eo (93,3%), iaoeyoe?y eiinoaoiaaia o 14 (93,3%), aaa?oi?noue ianooieea ia i?ioyc? ia?oiai i?a??//y o 10 (66,7%), ia oii? noeioeyoe?? iaoeyoe?? ? o 4 oai?eo (26,6%), oiaoi o 93,3% ianoaaeaieo; 2) c 20 oai?eo i?ney i?iaaaeaiiy ai?iiiaeueii? noeioeyoe?? iaoeyoe?? iaino?oaeueiee oeeee a?aeiiaeany o 19 (95,0%). Iaoeyoe?y iaea i?noea o 19(95,0%), caaaa?oi?ee 17 (85,0%) ae?iie. 3) o 3 oai?eo (60%) aoea i?iaaaeaia noeioeyoe?y iaoeyoe?? iao?iaeeiii. Iioeeoe aoee aeae?eai? o an?o ianoaaeaieo, aaa?oi?noue i?ney ?iieaioaoe?? aia??iio iaea i?noea o 1 (20,0%) ae?iee; Oaeei /eiii, aeei?enoaiiy aenia?oii? nenoaie i?iaiicoaaiiy i?aeoaa?aeeei ?? aoaeoeai?noue. E??i oiai, iaie noai?aia aenia?oia nenoaia i?iaiicoaaiiy iaiao?aeiino? aeei?enoaiiy ai?iiiaeueii? oa?ai?? o oai?eo ia NIEss i?ney aiaeineii?/iiai ao?o/aiiy o oai?eo II ee?i?/ii? a?oie. I?ae /an ia?iaee aeaieo noaoenoe/ii? ea?oe iaea?aeaia a?oia i?iaiinoe/ii oe?iieo iciae, aiae?c na?aeioeoa yeeo aeicaieea i?iaiicoaaoe iaiao?aei?noue i?ecia/aiiy ai?iiiaeueii? oa?ai?? iae?aco i?ney ao?o/aiiy c oi/i?noth 95,5%. Iaa/ath/a a?oia - oai?? II ee?i?/ii? a?oie. 28 iaoe??ioie, oai?eo ia NIEss, ye? ia a?aeiineeeny aei ?I ee?i?/ii? a?oie, yaeyee niaith eiio?ieueio a?oio (c 68 oai?eo ia NIEss ia yeeo ia?aa??yeanue aenia?oia nenoaia ii?iaiicoaaiiy). I?ney aeei?enoaiiy aenia?oii? nenoaie i?iaiicoaaiiy 12 (42,9%) iaoe??ioeai ia aoea ?aeiiaiaeiaaia ai?iiiaeueia oa?ai?y a i?neyiia?aoe?eiiio ia??iae?. 16 (57,1%) iaea?aeaee i?ney ao?o/aiiy ai?iiiaeueio oa?ai?th, ni?yiiaaio ia noeioeyoe?th iaoeyoe??. I?e oeueiio io?eiai? ianooii? iane?aeee e?eoaaiiy. O an?o oai?eo aac ai?iiiaeueii? i?neyiia?aoe?eii? oa?ai?? iaino?oaeueiee oeeee oa iaoeyoe?y a?aeiiaeeenue, aaa?oi?noue iaea i?noea o 11 (91,7%) ae?iie. O ae?iie, ye? iaea?aeaee ai?iiiaeueio oa?ai?th, iaino?oaeueiee oeeee a?aeiiaeany o an?o; iaoeyoe?y a?aei?/aia o 15 (93,7%), aaa?oi?noue ianoaea o 14 (87,5%) oai?eo. Oaeei /eiii, iaea?aeai? iane?aeee i?aeoaa?aeaeothoue i?aoeacaeaoi?noue oe??? aenia?oii? nenoaie aeey ??oaiiy ieoaiiy i?i iaiao?aei?noue aeei?enoaiiy ai?iiiaeueii? oa?ai?? a i?neyiia?aoe?eiiio ia??iae?. AENIIAEE 1. Aiaeineii?/ia i?e?i?acaeoe?y y?/iee?a ?c aeei?enoaiiyi aeaeo?ieiaaoeyoi?o i?e NIEss y?/ieeiaiai aaiaco a??ia?aeii a?eueo aoaeoeaia o a?aeiiaeaii? aiaeie?eiii? oa aaia?aoeaii? ooieoe?e o ii??aiyii? c eeeiiiiae?aiith ?acaeoe??th y?/iee?a i?ae /an eaia?ioii??. 2. Ca eaoaiianoe/ieie aeaieie i?ney iia?aoe?? a?aeiiaeaiiy iaa??aeueii-iaino?oaeueii? ooieoe?? o oai?eo i?ney i?e?i?acaeoe?? y?/iee?a oaeiae a??ia?aeiiaeua, i?ae o oai?eo i?ney eaia?ioii?/ii? ?acaeoe??. 3. Oe?eeii, ianooi aaa?oiino? i?ney aiaeineii?/ii? i?e?i?acaeoe?? y?/iee?a o?aiey?oueny o 1,8 ?ace /ano?oa, i?ae i?ney eeeiiiiae?aii? ?acaeoe?? i?e eaia?ioii??, ui coiiaeaii a cia/i?e i??? a?aenooi?noth niaeeiaiai i?ioeano a iaeiio oac? i?ney aiaeineii?? oa a?eueo ni?eyoeeaeie ai?iiiaeueieie ci?iaie. 4. O?eaae?noue ia?aaoaaiiy oai?eo o noaoe?iia?? i?ney aiaeineii?/ii? i?e?i?acaeoe?? o ii??aiyii? c eeeiiiiae?aiith ?acaeoe??th y?/iee?a i?ae /an eaia?ioii?? ciaioo?oueny o 2 ?ace. 5. Iiaeeea?noue ianooio aaa?oiino? i?ney aiaeineii?/ii? i?e?i?acaeoe?? o oai?eo ia NIEss iaa??aeueiiai aaiaca ?acii c a?ia?ieac??th aiaeiiao??th aeua, i?ae o iaoe??ioie c ao?io??th aiaeiiao??th. 6. O ae?iie, ui ia caaaa?oi?ee i?ney aiaeineii?/ii? i?e?i?acaoe??, c?inea /ooeea?noue aei eeii?oaio, ? i?ney ai?iiiaeueii? noeioeyoe?? iaoeyoe?? o /anoeie c ieo ianoaea aaa?oi?noue. 7. Canoinoaaiiy aenia?oii? nenoaie i?iaiicoaaiiy aeicaiey? ?iaeea?aeoae?coaaoe oa?aiaaoe/iee i?aeo?ae aei e?eoaaiiy NIEss oa iie?ioeoe aoaeoeai?noue i?iaiaeaii? oa?ai??. I?AEOE*I? ?AEIIAIAeAOe?? O??o?a?/ia e?eoaaiiy oai?eo (eaia?ineii?y /e eaia?ioii?y) ia NIEss (y?/ieeiaa oi?ia) iieacaii i?ney iaaoaeoeaii? ai?iiiaeueii? oa?ai??. I??i?eoao ioneoue aooe ca aiaeineii?/iith i?e?i?acaeoe??th y?/iee?a, yea aeicaiey? ?iaeea?aeoae?coaaoe ao?o/aiiy n iiceoe?? e?eueeino? aeaeaeaii? oeaieie y?/ieea. I?neyiia?aoe?eia ?aaa?e?oaoe?y oai?eo i?ney eaia?ineii?/ii? i?e?i?acaeoe?? ioneoue aacoaaoeny ia iane?aeeao a?noieia?/iiai aeine?aeaeaiiy y?/iee?a oa aiaeiiao??y, a?aoiaoth/e ?aeiiaiaeaoe?? aenia?oieo nenoai i?iaiicoaaiiy, ui aeicaieeoue ?iaeea?aeoae?coaaoe e?eoaaeueii-?aaa?e?oaoe?eio oaeoeeo. O i?neyiia?aoe?eiiio ia??iae?, a?aoiaoth/e iiaeuaiiy /ooeeaino? iaoe??ioie aei ai?iiiaeueii? oa?ai??, ?aeiiaiaeo?oueny noeioeyoe?y iaoeyoe?? eeii?oaiii a ?iaeea?aeoaeueiiio aeicoaaii?. NIENIE ?IA?O, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe?? 1. O.A. Aa?aaeia. Ii??aiyeueia oa?aeoa?enoeea aoaeoeaiino? eeeiiaeaeii? ?acaeoe?? y?/iee?a oa aiaeineii?/ii? i?e?i?acaeoe?? o e?eoaaii? neiae?iio iie?e?noicieo y?/iee?a // IAA. – 1998. –?2. – C.106 - 107. 2. Aei ieoaiiy iaoiaaiaco oa e?eoaaiiy neiae?iio iie?e?noicieo y?/iee?a // IAA. – 1998. – ?6. – C. (ni?aaao. A. ?. A?euaiei, I. A. Ua?aeia, Ae.?.Aeai?aeaiei oa ?i., anueiai 5). 3. O.A. Aa?aaeiay. Yiaeineiie/aneay iee?i?acaeoeey a ea/aiee neiae?iia iieeeenoiciuo ye/ieeia // A?a/aaiay i?aeoeea. –1998. – ?5. – N.68–70. 4. Noeioeyoeey iaoeyoeee eeiieoai-oeeo?aoii e yoia?aoe/aneee eiio?ieue ca ?inoii oieeeeoeia a noeioee?iaaiiuo oeeeeao // Eiioa?aioeey iieiaeuo o/aiuo iaaeeeia Oe?aeineie NN?: Oac. aeie. – Aeiieoea, 1989. – N.186-187. 5. Oeueo?acaoeiaie eiio?ieue ca ?inoii oieeeeoeia a noeioee?iaaiiuo oeeeeao // Iae. eiioa?aioeey iieiaeuo o/aiuo: Oac. aeie. – Oa?ueeia, 1988. – N.25. 6. N?aaieoaeueiay ioeaiea oe?o?ae/aneiai aicaeaenoaey ia ye/ieee i?e yiaeineiie/aneii ea/aiee neiae?iia Ooaeia-Eaaaioaey // Iaaeeoeeia naaiaeiy e caao?a. – Oa?ueeia, 1996. – C.215-216. 7. Yiaeineiie/aneay iee?i?acaeoeey a ea/aiee neiae?iia iieeeenoiciuo ye/ieeia // Aeooaeueiua aii?inu ?ai?iaeoeoieiaee e e?eiiaaeeoeeiu. – Oa?ueeia, 1998. – C. 74–78 (niaao. I.I.Eeiei). AIIOAOe?ss Aa?aaeia O.A. Ii??aiyeueia oa?aeoa?enoeea aoaeoeaiino? aiaeineii?/ii? i?e?i?acaeoe?? oa eeeiiiiae?aii? ?acaeoe?? y?/iee?a o e?eoaaii? neiae?iio iie?e?noicieo y?/iee?a ?c aeei?enoaiiyi aenia?oii? nenoaie i?iaiicoaaiiy. - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaith eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.01 - aeooa?noai oa a?iaeieia?y. - Oa?e?anueeee aea?aeaaiee iaaee/iee oi?aa?neoao, 1998. Aeena?oaoe?th i?enay/aii ?ic?iaoe? oa ai?iaaoe?? aiaeineii?/ii? i?e?i?acaeoe?? y?/iee?a, ii??aiyiith ?? aoaeoeaiino? c eeeiiiiae?aiith ?acaeoe??th y?/iee?a i?e eaia?ioii??. A ?iaio? aia?oa ?ic?iaeaia iaoiaeeea aiaeineii?/ii? i?e?i?acaeoe?? y?/iee?a ?c aeei?enoaiiyi iiiiiiey?iiai aeaeo?ieiaaoeyoi?a o oai?eo ia NIEss, i?aeoaa?aeaeaii ?? i??i?eoao ia?aae eeeiiiiae?aiith ?acaeoe??th aiane?aeie ao?aaiaoe/iiai oa ia?iaaceaiiai aeinooio, a oaeiae i?i?iaeueiiai iioeiaeaeaiiy oeaieie y?/iee?a, ui i?aeaeuo? e?eoaaeueiee aoaeo ao?o/aiiy ? ia i?ecaiaeeoue aei oi?ioaaiiy ceoeiai? oai?iae. Aenia?oia nenoaia i?iaiicoaaiiy aeei?enoaia aia?oa aeey ?iaeea?aeoae?caoe?? iaoiaeo e?eoaaiiy NIEss ? a ?ic?iaoe? a?aeiia?aeieo i?neyiia?aoe?eieo ?aeiiaiaeaoe?e. Eeth/ia? neiaa: NIEss, aiaeineii?y, i?e?i?acaeoe?y y?/iee?a, iiiiiiey?iee aeaeo?ieiaaoeyoi?, aenia?oia nenoaia i?iaiicoaaiiy. AIIIOAOeEss Aa?aaeiay O.A.. N?aaieoaeueiay oa?aeoa?enoeea yoaeoeaiinoe yiaeineiie/aneie iee?i?acaeoeee e eeeiiaeaeiie ?acaeoeee ye/ieeia a ea/aiee neiae?iia iieeeenoiciuo ye/ieeia n eniieueciaaieai yenia?oiie nenoaie i?iaiice?iaaiey. - ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.01 - aeooa?noai e aeiaeieiaey. - Oa?ueeianeee ainoaea?noaaiiue iaaeeoeeineee oieaa?neoao, 1998. Aeenna?oaoeey iinayuaia ?ac?aaioea e ai?iaaoeee yiaeineiie/aneie iee?i?acaeoeee ye/ieeia, n?aaiaieth aa yooaeoeaiinoe n eeeiiaeaeiie ?acaeoeeae ye/ieeia i?e eaia?ioiiee. A ?aaioa aia?aua ?ac?aaioaia iaoiaeeea yiaeineiie/aneie iee?i?acaeoeee ye/ieeia n eniieueciaaieai iiiiiiey?iiai yeaeo?ieiaaoeyoi?a o aieueiuo NIEss, iiaeoaa?aeaeaii aa i?aeiouanoai a n?aaiaiee n eeeiiaeaeiie ?acaeoeeae aneaaenoaea ao?aaiaoe/aneiai e iaeiaaceaiiai aeinooia, a oaeaea ieieiaeueiiai iia?aaeaeaiey oeaie ye/ieeia, /oi iiauoaao ea/aaiue yooaeo aiaoaoaeuenoaa e ia i?eaiaeeo e oi?ie?iaaieth niaa/iiai i?ioeanna. Yenia?oiay nenoaia i?iaiice?iaaiey eniieueciaaia aia?aua aeey eiaeeaeaeoaeecaoeee iaoiaea ea/aiey NIEss e a ?ac?aaioea aaeaeaaoieo iineaiia?aoeeiiiuo ?aeiiaiaeaoeee. Eeth/aaua neiaa: NIEss, yiaeineiiey, iee?i?acaeoeey ye/ieeia, iiiiiiey?iue yeaeo?ieiaaoeyoi?, yenia?oiay nenoaia i?iaiice?iaaiey. ANNOTATION Bereshnaya T.A.. The comparative characteristic of the efficiency of endoscopic microresection and the sphenoidal resection of ovaries in the therapy of the syndrome of polycystic ovaries with use of expert system of prognosis. - Manuscript. Thesis for a candidat’s degree by speciality 14.01.01 – obstetric and gyne cology – Kharkov Medical State University, 1998. Subject of the manuscript is to design and test ovaries endoscopic microresection, and to compare its efficiency and efficiency of ovaries sphenoidalIts advantages in comparison with sphenoidal resection is prooved atravmatic and becaus of non-invasive admittance and also to minimal destroyment of ovaries tissue, which increases treatment effect of intervention and excludes adhesive process. resection in case of laparotomy. Ovaries endospic microresection method using monopolar coagulator for PCOD-patients is designed in the present manuscript. Prognosing expert system was used for the first time to indivilize PCOD treatment method and to design equal recommendations after operation. Key words: PCOD, endoscopy, microresection of ovaries, monopolar electrocoagulator, prognosing expert system.

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