IINOEOOO IAAeIAO?I?, AEOOA?NOAA I AIIAEIEIAI?

AEAAeAII? IAAeE*IEO IAOE OE?A?IE.

OAeE 618.11-002,191-089+612.621.9.

AEIIssI A?AI CAAAIIAE*

O?AAeEOeIEII I NO*ANII IAOIAeE OI?O?AI*II? IIAeOEOeI? IAOEssOeI? O
AEIIIE

C NEIAe?IIII IIEIEINOICIEO ss?*IEEIA

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy a/aiiai
nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Niaoe?aeuei?noue -14.01.01

Aeooa?noai i aiiaeieiaiy

Ee?a — 1998

Aeena?oaoeiy ? ?oeiienii.

?iaioa aeeiiaia a Iinoeoooi iaaeiao?i?, aeooa?noaa oa aiiaeieiai?
Aeaaeaii? iaaee/ieo iaoe Oe?a?ie

Iaoeiaie ea?iaiee: — aeieoi? iaaee/ieo iaoe, i?ioani? Iaaithoa Eiaeiy
Iaaiiaia

Iinoeooo iaaeiao?i?, aeooa?noaa oa aiiaeieiai? AII Oe?a?ie

caaiaeoth/a aiaeaeieaiiyi ?aaaieioaoei? ?ai?iaeoeoeaii? ooieoei? aeiiie

Ioioeieii iiiiaioe: — aeieoi? iaaee/ieo iaoe, i?ioani?,
/eai-ei?aniiiaeaio AII oa IAI Oe?a?ie Noaiaieianueea Aaeeia
Einoyioeiiaia

Iaoeiiiaeueiee iaaee/iee oiiaa?neoao ii. I.I. Aiaiiieueoey IIC Oe?a?ie,

i?ioani? eaoaae?e aeooa?noaa i aiiaeieiai? ?1

— aeieoi? iaaee/ieo iaoe, i?ioani? *aeea Aieiaeeie? Ee?eeiae/

Aeiiaoeueeee iaaee/iee oiiaa?neoao ii. I.I. Ai?ueeiai IIC Oe?a?ie,

caaiaeoth/ee eaoaae?ith aeooa?noaa i aiiaeieiai?

I?iaiaeia onoaiiaa: Ee?anueea iaaee/ia aeaaeaiiy iineyaeeieiiii? inaioe
ii. I.E. Ooieea IIC Oe?a?ie, eaoaae?a aeooa?noaa i aiiaeieiai? ?3

Caoeno aeena?oaoei? aiaeaoaeaoueny 22 a?oaeiy 1998 ?. i 13 aiae. ia
caniaeaiii niaoeiaeiciaaii? a/aii? ?aaee (Ae.26.553.01) ii
caoenoo aeena?oaoeie ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaoe
ca niaoeiaeueiinoyie «Iaaeiao?iy», «Aeooa?noai i aiiaeieiaiy» i?e
Iinoeoooi iaaeiao?i?, aeooa?noaa oa aiiaeieiai? AII Oe?a?ie
(254052, i. Ee?a, aoe. Iaio?euenueeiai, 8).

C aeena?oaoei?th iiaeia iciaeiieoenue a aiaeiioaoei Iinoeoooo
iaaeiao?i?, aeooa?noaa oa aiiaeieiai? AII Oe?a?ie (254052, i. Ee?a, aoe.
Iaio?euenueeiai 8).

Aaoi?aoa?ao ?icineaiee » 20″ eenoiiaaea 1998 ?.

A/aiee nae?aoa?

niaoeiaeiciaaii? a/aii? ?aaee Eaaoiiia E.A.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeueiinoue i?iaeaie. Neiae?ii iieieinoicieo y?/ieeia (NIEss) ?
iaeii?th c iae/anoioeo i?e/ei aiaeie?eiii? iaieiaeiinoi o aeiiie
?ai?iaeoeoeaiiai aieo. O 73% aeiiie c aiiaoeyoi?iith
iaieiaeiinoth aeyaey?oueny NIEss (M. Hull, 1987). NIEss ?icaeyaea?oueny
ye i?ia?anoth/ee i?ioean, ui iaaeeaea? iaiiiaoco (R. Homburg,
1996). E?ii oiai, a 19.5% aeiaaeeia niinoa?iaathoueny aiia?ieanoe/ii
i?ioeane, a iieiee (2.5%) i ?ae aiaeiiao?ith (A.I. AEae?ciia, 1982).

Aieiaiei caaaeaiiyi eieoaaiiy aeiiie c NIEss ?ai?iaeoeoeaiiai
aieo ? eieaiaeaoeiy iaieiaeiinoi. Aiia iaeii/anii aaaaea?oueny
i?ioieaeoeeith aiia?ieanoe/ieo i?ioeania aiaeiiao?ith.

Iniothoue aeaa iniiaiuo iaoiaee eieoaaiiy iaieiaeiinoi o aeiiie c NIEss
— oi?o?ai/iee i eiina?aaoeaiee. Nooue oi?o?ai/iiai iaoiaeo iieyaa? a
iiaeoeoei? iaoeyoei? oeyoii aei? ia y?/ieeiao oeaieio ?icieie oaeoi?aie
(iaoaii/iei, yeaeo?e/iei, oa?ii/iei). Oi?o?ai/ia iiaeoeoeiy
iaoeyoei? canoiniao?oueny ye naiinoieiee iaoiae eieoaaiiy oai?eo c
NIEss, a oaeiae iiaeaeuo? aoaeoeaiinoue iaaeeeaiaioicii? oa?aii? o
oai?eo, ?acenoaioieo aei ai?iiiioa?aii? (J. Farhi et al., 1995).
O?aaeeoeieiei iaoiaeii oi?o?ai/ii? iiaeoeoei? iaoeyoei? i?e NIEss ?
eeeiiaeaeia ?acaeoeiy y?/ieeia oeyoii eaia?ioiii? (A.I. Aeoeyaaa, 1998).
Aaaaoi aaoi?ia aaaaeathoue eiai aoaeoeaiei iaoiaeii oi?o?ai/iiai
eieoaaiiy (E.I. Ethaeiiaa, 1990). Iioi aaaaeathoue eiai iiaaceaiei,
a?aoiaiooth/e oea ?icaeoeii iineyiia?aoeieiiai niaeeiaiai i?ioeano a
iaeiio oaci (W. Donesky, Y. Adashi, 1995). Canoinoaaiiy
iie?ioi?o?ai/ii? oaoiiee i iineyiia?aoeieieo i?ioieaeoe/ieo caoiaeia
cia/ii cieaeothoue ?icaeoie niaeeiaiai i?ioeano (D. McLaughlin, 1984;
C.A. Eddy et al., 1980).

A ca’yceo ic canoinoaaiiyi aiaeineiii/ii? oaoiiee ?ic?iaeaii iiai
iaoiaee oi?o?ai/ii? iiaeoeoei? iaoeyoei? (aiiiniy,
aeiaoa?iieiaaoeyoeiy, oa?iieaooa?ecaoeiy, eaca?ia aaii?ecaoeiy

y?/ieeia). Aoaeoeaiinoue oeeo iia?aoeie eieeaa?oueny a oe?ieeo
iaaeao, aiae 33% aei 79.3% (T. Gurgan et al., 1994; O.Ae. Ao?i?a e
ae?., 1997). Aei oiai ae ca aeaieie aeayeeo aaoi?ia niaeeiaee i?ioean
?icaeaa?oueny i iiney eaia?ineiii/ieo ao?o/aiue (M. Greenblatt,
F. Casper, 1993).

A eioa?aoo?i aiaenooiy ?aeeia aeoiea uiaei aoaeoeaiinoi ?icieo
iaoiaeia oi?o?ai/ii? iiaeoeoei? iaoeyoei? o aeiiie c NIEss i

iaieiaeiinoth. C iioiai aieo, a eioa?aoo?i aeaco?oueny ia iayaiinoue
noiooiuei? iaoieiai? i?e NIEss, ieoiia aaaa caieueoo?oueny
iiney ia?acoeueoaoeaii? eiina?aaoeaii? oa?aii?. A oaeeo aeiaaeeao
aeieeathoue iaaii o?oaeiiui o aeai?i i?aaeeueiiai iai?yieo i?e
aeiaaiinoeoei i eieoaaiii iaieiaeiinoi o aeaiiiai eiioeiaaioo
oai?eo. Iaaeinoaoiuei aenaioeaii ieoaiiy aeiaaiinoeee i eieoaaiiy
iaieiaeiinoi o aeiiie c NIEss i ii?aeiaii? c iei iaoieiai? i?aaiia
iaeiai oaco.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.
Aeena?oaoeieia ?iaioa ? o?aaiaioii IAe? «Ii?aeiaii oi?ie
iaieiaeiinoi, aeeoa?aioeieia aeiaaiinoeea, iniaeeainoi i?ioieaiiy i
iaoiaaiaoe/ia ei?aeoeiy» o aiaeiiaiaeiinoi c ieaiii
iaoeiaiaeineiaeieo ?iaio IIAA AII Oe?a?ie (? aea?aeaaii? ?a?no?aoei?
0.1.96. i 006280).

Iaoa aeineiaeaeaiiy. Oaeineiiaeaiiy iaoiaeia aeiaaiinoeee i
iiaeaeuaiiy aoaeoeaiinoi eieoaaiiy oai?eo c iaieiaeiinoth i
neiae?iiii iieieinoicieo y?/ieeia ia iniiai canoinoaaiiy no/anieo
iaoiaeia aeiaaiinoeee i oi?o?ai/ii? iiaeoeoei? iaoeyoei?.

Caaea/i aeineiaeaeaiiy:

1. Aea/eoe noai aioo?ioiio noaoaaeo i?aaiia, iaino?oaeueio
ooieoeith, ii?oia?aio, ai?nooia /enei, noaiiiue iaee?iiiy o aeiiie c
neiae?iiii iieieinoicieo y?/ieeia (NIEss).

2. Aecia/eoe ooieoeiiiaeueiee noai y?/ieeia ca oanoaie ooieoeiiiaeueii?
aeiaaiinoeee (OOAe) a aeeiaiioei, aei i iiney canoinoaaiiy oi?o?ai/ii?
iiaeoeoei? iaoeyoei?.

3. Aea/eoe noai aioo?ioiio noaoaaeo i?aaiia i nooiiiue
ae?aaeaiinoi niaeeiaiai i?ioeano iiney oi?o?ai/iiai eieoaaiiy.

4. Aecia/eoe ooieoeiiiaeueiee noai nenoaie aiiioic — y?/ieee o aeiiie
c NIEss aei i iiney canoinoaaiiy o?aaeeoeieieo i no/anieo iaoiaeia
oi?o?ai/ii? iiaeoeoei? iaoeyoei?.

5. Aeaoe ii?iaiyeueio ioeiieo io?eiaieo ?acoeueoaoia eieoaaiiy i
cai?iiiioaaoe iaeaieueo iioeiaeueiee iaoiae oi?o?ai/ii? iiaeoeoei?
iaoeyoei? aeey canoinoaaiiy a i?aeoeoei.

Iaoeiaa iiaecia io?eiaieo ?acoeueoaoia. Aia?oa ia iniiai
eeiii/ieo i niaoeiaeueieo iaoiaeia ianoaaeaiiy aeaia
ii?iaiyeueia oa?aeoa?enoeea o?ueio ?icieo iaoiaeia oi?o?ai/ii?
iiaeoeoei? iaoeyoei? o aeiiie c NIEss. Iieacaia aaaeo/a ?ieue
aiaeineiii/ieo (eaia?ineiii/ieo i ainoa?ineiii/ieo) aeineiaeaeaiue o
aecia/aiii i?e/ei iaieiaeiinoi i aeai?o iaoiaeo eieoaaiiy aeiiie c
NIEss. Aecia/aia ?ieue noiooiuei? iaoieiai? i?aaiia iaeiai oaco o
aeiiie c NIEss, ye oaeoi?o, ui iaoiiaeth? iaaaea/i i?e noeioeyoei?
iaoeyoei? eeiiioaiii. Iaoeiai iaa?oioiaaii iinoea oi?o?ai/iiai
eieoaaiiy, ye iniiaiiai iaoiaeo o aeiiie c NIEss i iaieiaeiinoth,
ii?aeiaieo c iioeie oaeoi?aie iaieiaeiinoi. Aea/aii noai nenoaie
aiiioic-y?/ieee o aeiiie c NIEss aei i iiney canoinoaaiiy ?icieo
iaoiaeia eieoaaiiy i cai?iiiiiaaii iaeaieueo iioeiaeueiee iaoiae
oi?o?ai/ii? iiaeoeoei? iaoeyoei?.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoaoia. Iieacaii, ui ?icii
iaoiaee oi?o?ai/ii? iiaeoeoei? iaoeyoei? i?ecaiaeyoue aei
iaeiaeiaeo ciii nenoaie aiiioic-y?/ieee i ?ai?iaeoeoeaii?
nenoaie o oeieiio. ?aeiiaiaeiaaii iaieiaeiei aeiieai c NIEss i
oai?ei, ?acenoaioiei aei eeiiioaio, i?iaiaeeoe aeiaeaoeiai
aeineiaeaeaiiy c iaoith aeyaeaiiy noiooiuei? iaoieiai?. Aeieacaia ?ieue
eaia?ineiii/iiai aeineiaeaeaiiy, ye naiiai iioi?iaoeaiiai a
aeiaaiinoeoei NIEss, ii?aeiaiiai c iioeie oaeoi?aie iaieiaeiinoi.
Eaia?ineiii/ia oa?iieaooa?ecaoeiy y?/ieeia ?aeiiaiaeo?oueny ye
aoaeoeaiee, iaeiiiaaceaiee iaoiae oi?o?ai/ii? iiaeoeoei? iaoeyoei? o
aeiiie c NIEss.

Ai?iaaaeaeaiiy ?acoeueoaoia aeineiaeaeaiiy a i?aeoeeo. ?acoeueoaoe
aeineiaeaeaiiy ai?iaaaeaeaii a i?aeoeeo ?iaioe eeiii/ii? eiea?ii ?3 i.
Ee?aa, aiiaeieiai/ieo caeeaaeia Aeiiaoeueei?, Caii?icueei?,
Noinueei? oa Oa?iiiieuenueei? iaeanoae.

Oai?aoe/ii iieiaeaiiy oa i?aeoe/ii ?aeiiaiaeaoei? aeeth/aii a oeeee
eaeoeie aeey eiea?ia eo?nia noaaeoaaiiy oa iioi?iaoeee ii oaii
«Aeiaaiinoeea oa eieoaaiiy iaieiaeiinoi» i?e Iinoeoooi iaaeiao?i?,
aeooa?noaa oa aiiaeieiai? AII Oe?a?ie.

Iniaenoee aianie caeiaoaa/a.

1. Eiiieaenia eeiii/ia ianoaaeaiiy 120 aeiiie c NIEss i
iaieiaeiinoth aei i iiney canoinoaaiiy ?icieo iaoiaeia oi?o?ai/ii?
iiaeoeoei? iaoeyoei?.

2. Iaoeiaa iaa?oiooaaiiy oi?o?ai/iiai eieoaaiiy ye iniiaiiai aeey aeiiie
c NIEss i iaieiaeiinoth, ?acenoaioieo aei eeiiioaio.

3. Aiaeai?, eeiii/ia i niaoeiaeueia ianoaaeaiiy oai?eo aeey i?iaaaeaiiy
oi?o?ai/ii? iiaeoeoei? iaoeyoei?.

4. Aiaeic io?eiaieo ?acoeueoaoia i ?o noaoenoe/ia ia?iaea.

Ai?iaaoeiy ?acoeueoaoia aeena?oaoei?. Iaoa?iaee aeena?oaoei?
aenaioeaii ia eiioa?aioei? iieiaeeo a/aieo Oe?a?ie (Aiiieoey,
1995); ia O c’?caei aeooa?ia-aiiaeieiaia Oe?a?ie (Iaeana, 1996); ia
iaoeiai-i?aeoe/iie eiioa?aioei? «Aeooaeueii ieoaiiy oi?o?ai?»
(Oiaeueieoeueeee, 1997); ia iaoeiai-i?aeoe/iie eiioa?aioei?
«Iaaeiiooaaiiy aaaioiinoi» (*a?iiaoei, 1997); ia iaoeiaeo
eiioa?aioeiyo aiaeaeieaiiy ?aaaieioaoei? ?ai?iaeoeoeaii? ooieoei?
aeiiie i aeooa?nueeiio aiaeaeiei IIAA AII Oe?a?ie, 1997.

Ioaeieaoei?: Ca iaoa?iaeaie aeena?oaoei? iioaeieiaaii 7 iaoeiaeo
i?aoeue, c ieo 3 o i?iaiaeieo aeo?iaeao, 2 — a cai?ieeao iaoeiaeo
i?aoeue i 2 — a oacao eiioa?aioei?.

Ianya i no?oeoo?a aeena?oaoei?. Aeena?oaoeiy aeeeaaeaia ia 149
noi?iieao iaoeiiieniiai oaenoo i neeaaea?oueny c anooio, iaeyaeo
eioa?aoo?e, /ioe?ueio ?icaeieia aeanieo aeineiaeaeaiue, aiaeico oa
ocaaaeueiaiue io?eiaieo ?acoeueoaoia, aeniiaeia, i?aeoe/ieo
?aeiiaiaeaoeie, nieneo eioa?aoo?e, yeee aeeth/a? 255 aeaea?ae. ?iaioa
iethno?iaaia 27 oaaeeoeyie i 7 iaethieaie, yei aeeeaaeaii ia 25
noi?iieao.

CIINO ?IAIOE

Ia’?eo oa iaoiaee aeineiaeaeaiiy. Eiiieaenii ianoaaeaii 120 aeiiie
c neiae?iiii iieieinoico y?/ieeia i 20 caei?iaeo aeiiie
?ai?iaeoeoeaiiai aieo. Oai?i ?icaeieaii ia 3 a?oie a caeaaeiinoi aiae
iaoiaeo oi?o?ai/ii? iiaeoeoei? iaoeyoei?, ii 40 aeiiie a eiaeiie
a?oii. Oai?ei ia?oi? a?oie i?iaaaeaia eeeiiaeaeia ?acaeoeiy
y?/ieeia oeyoii eaia?ioiii? c aeei?enoaiiyi iie?ioi?o?ai/ii?
oaoiiee, ae?oai? a?oie — aeiaoa?iieiaaoeyoeiy y?/ieeia iiae /an
eaia?ineiii?, a o?aoie a?oii i?iaaaeaia eaia?ineiiiy c
oa?iieaooa?ecaoei?th y?/ieeia. ?acaeoeiy y?/ieeia i?iaiaeeeanue a
caeaaeiinoi aiae ?o ?icii?ia. Oa?iieaooa?ecaoeiy i?iaaaeaia a 4-6
oi/eao ia eiaeiiio y?/ieeo, i?e oeueiio iaeiia/iee iaa?iaaee aei
120iN. Aeiaoa?iieiaaoeyoeiy i?iaaaeaia ia 5-7 oi/eao ia eiaeiiio
y?/ieeo iiiiiiey?iui aeaeo?iaeii (aia?aoii aeey aeniei/anoioii?
aeaeo?ioi?o?ai?). Iia?aoeiy i?iaiaeeeanue iiae aiaeio?aoaaeueiei
ia?eicii. Iiney iia?aoei? noai?thaaany aiae?iia?ioiiaoi 3% ?ic/eiii
iieiaetheiio c iaoith i?ioieaeoeee iineyiia?aoeieieo niaeie.

Oai?ei aoee i?iaaaeaii eeiii/ii, oa niaoeiaeueii aeineiaeaeaiiy
(?aioaaiieiai/ii, oeueo?acaoeiai, aiaeineiii/ii, ainoieiai/ii,
ai?iiiaeueii). Oei aoaeiae oiea aecia/aee c aeei?enoaiiyi
ii?oia?aie, cai?iiiiiaaii? J. Decort, J. Dumic (1950). Iayaiinoue
ai?nooecio aecia/aee ii aeiaa?aii i oeaei, ?ic?iaeaiie D. Ferriman,
J. Gallwey (1961). Nooiiiue ?icaeoeo iiei/ieo caeic aecia/aee ii J.
Tanner (1962). I?iaiaeeee ?aioaaiieiai/ia ianoaaeaiiy /a?aia,
ainoa?inaeueiiiaia?aoith c aiaeii?ic/eiieie ?aioaaiieiio?anoieie
?a/iaeiaie, iiaaiiiaeueaiia?aoith. C aiaeineiii/ieo iaoiaeia
aeineiaeaeaiiy canoiniaoaaeenue eaia?ineiiiy i ainoa?ineiiiy.
Iaoa?iaee aiiioaoia y?/ieeia i aiaeiiao?ith iiney caaa?aeaiiy ii
Aai-Aeciio iiaeeyaaee ainoieiai/iiio ianoaaeaiith. A e?iai aecia/aee
eiioeaio?aoeith ethoaiiicoth/iai (EA), oieieoeinoeioethth/iai (ONA)
ai?iiiia i i?ieaeoeio iioiioa?iaioiei iaoiaeii ca aeiiiiiaith
noaiaea?oieo iaai?ia (ae?iaieoeoaa NOA), ano?aaeiieo (A), i?iaanoa?iio
(I), oanoinoa?iio (O) i ei?oicieo (E) ?aaeiiiioiiei iaoiaeii ca
aeiiiiiaith noaiaea?oieo iaai?ia (ae?iaieoeoaa Aiei?oni?). O oai?eo
c ieiaiiaii?a?th eiioeaio?aoeith ai?iiiia o e?iai aecia/aee aeaa ?ace
o oieieoeiiiaie oaci oeeeeo (7-8-e; 13-14-e aeii) c iioa?aaeii 1
oeaeaeaiue, i ca oeaeaeaiue aei iaino?oaoei? (ui

iiaeoaa?aeaeaii iiney /a?aiaeo iaino?oaeueieo e?iaioa/). I?e
iayaiinoi aiaii?a? — aeaa ?ace c iioa?aaeii 1 oeaeaeaiue iacaeaaeii
aiae aeiy oeeeeo. O aeiiie eiio?ieueii? a?oie i o oai?eo c NIEss i
?aaoey?ieie oeeeeaie eiioeaio?aoeiy ai?iiiia a e?iai aecia/aeanue ia
7-8-e, 13-14-e, 21-22-e aeii oeeeeo. Iaai? iaoa?iaeo aeey
eieueiioeeoieiai/iiai aeineiaeaeaiiy i aecia/aiiy oea?aieaeueiiai /enea
i?iaiaeeee a oi ae aeii, ui i e?ia aeey aecia/aiiy eiioeaio?aoei?
ai?iiiia. I?aia?aoe caaa?aethaaee iieio?iiiei iaoiaeii. 17
eaoinoa?i?aee (17-EN) aecia/aii a aeiaiaie na/i ii iaoiaeo
E?aoiai?.

Noaoenoe/ia ia?iaea ?acoeueoaoia, iaea?aeaieo a i?ioeani
aeineiaeaeaiue, caeienithaaeanue ii noaiaea?oiie iaoiaeeoei. A
i?ioeani ia?iaee ?acoeueoaoia ae?aoiaoaaeenue na?aaei? a?eoiaoe/ia
cia/aiiy aa?iaoeieiiai ?yaeo (I). Aeey ioeiiee ?icieoei i?e
ii?iaiyiii na?aaeiio cia/aiue aeei?enoiaoaaee e?eoa?ie Oioa?a,
Nothaeaioa (t-?iciiaeie). ?icieoey iiae cia/aiiyie iieacieeia aoea
aeinoiai?iith o aeiaaeeao, eiee ?(0.05. Aeey ia/eneaiiy
cia/ouinoi ?icieoei aeieae (aiaenioeia) aeei?enoiaoaaee iaoiae
eooiaiai ia?aoai?aiiy Oioa?a.

?acoeueoaoe aeineiaeaeaiiy oa ?o iaaiai?aiiy. Aie ianoaaeaieo
aeiiie eieeaaany aiae 20 aei 35 ?ieia. 83.3% aeiiie aoee o aioei
iaeaieueoiai ?iceaioo ?ai?iaeoeoei? (20-30 ?ieia). Iniiaieie
nea?aaie oai?eo aoee ii?ooaiiy iaino?oaeueiiai oeeeeo i iaieiaeiinoue.
O 90.8% iaoei?ioie niinoa?iaaeinue ii?ooaiiy iaino?oaeueiiai oeeeeo
(ieiaiiaii?ay — 74.2%, aiaii?ay — 8.3%, aeenooieoeiiiaeueii iaoeiai
e?iaioa/i — 8.3%. O 9.2% iaoei?ioie oeeeee aoee ?aaoey?ii.
Na?aaeiie aie iaia?oa neeaaeaa 13.31.15 ?ieia, oiaoi o oai?eo
iaia?oa ianooieei nai?/anii. Ii?ooaiiy iaino?oaeueiiai oeeeeo o 59.2%
iaoei?ioie ii/eiaeinue c iaia?oa. O 15% iiny/ii ii?oooaaeenue iiney
ii/aoeo noaoaaiai aeeooy i o 5% iiney ineoe/ii? o?aaie. O?eaaeinoue
iaieiaeiinoi a 70% aeiaaeeia neeaaeaea 2-5 ?ieia. A 87.5% aeiaaeeia
iaieiaeiinoue aoea ia?aeiia. O 15 iaoei?ioie a aiaiiaci aoee
aaaioiinoi (4 caeii/eeenue iieiaaie, 11 — naiiaieueieie aeeeaeiyie).
Iaaeeeoeiaa iaieiniiiy (ai?nooeci) niinoa?iaaany o 32.5% oai?eo. O
25% iaoei?ioie aoei oa?iiiaeueia iaieiniiiy. O anio ianoaaeaieo
aeiiie aoa aeiii/ee ii?oioei. Niinoa?iaaeinue aiaeiinia iiaeiaaeaiiy
ieaeiio eiioeiaie i caieueoaiiy ia’?io a?oaeii? eeioee i
iiaeae?iiiaeueiiai ?icii?o. Oei aiaeoeeaiiy iiaeia o?aeooaaoe ye
?acoeueoao aiaeiinii? aiia?aiae?iaaii? i iaaeinoaoiinoi ano?iaaiia a
ia?iiae noaoaaiai aeic?iaaiiy, a ?acoeueoaoi /iai niiaieueieany
i?ioean ieinoaiiiiy aiioicia aeiaaeo o?oa/anoeo einoie. I?e
iaaeeeoeiaie iani oiea, eio?a niinoa?iaaeanue a 11.7% aeiaaeeia,
aee?iaa oeaieia aoea ?ici?eaeieaia ?iaiiii?ii i iaea
oiiaa?naeueiee oa?aeoa?.

O anio iaoei?ioie aoea 3-4-e nooiiiue ?icaeoeo iiei/ieo caeic. Iiei/ii
caeice aoee eiii/ii? aai noaeiii/ii? oi?ie. Oaea thaaiieueia
oi?ia iiei/ieo caeic iiaea aooe iaeii?th c iciae iaaeinoaoiinoi
i?iaanoa?iio c ia?iiaeo iaia?oa. Ciaiioii noaoaai i?aaie o anio
ianoaaeaieo aoee ?icaeiooi i?aaeeueii. O 20.8% niinoa?aaeaiue
niinoa?iaaeanue a?iciy oaeee iaoee. I?e aiiaioaeueiiio
aeineiaeaeaiii a 53.3% aeiaaeeia y?/ieee aoee caieueoaii.

?aioaaiieiai/ieie iciaeaie NIEss aaaaeathoueny caieueoaii ?icii?e
y?/ieeia ia iiaaiiiaeueaiia?aiao i cia/aiiy iaoeiai-y?/ieeiaiai
iiaeaeno (IssI)(1.O 60 aeiiie i?iaiaeeee iiaaiiiaeueaiia?aoith. A 66.75%
aeiaaeeia aoei aeyaeaii caieueoaiiy ?icii?ia y?/ieeia i a 21.7%
aeiaaeeia aiiiieacith iaoee. Iaoeiaiy?/ieeiaee iiaeaen o 55% aeiiie
aeyaeany iaioee iaeeieoei i o 10% ?iaiyany iaeeieoei. Aiaeic
?acoeueoaoia ainoa?inaeueiiiaia?aoi? iieacaa, ui a 59.2% aeiaaeeia
aeyaeyeenue iciaee niaeeiaiai i?ioeano, a 20% — iai?ioiaeiinoue
iaoeiaeo o?oa (a oiio /enei o 6.7% c iaeii?? noi?iie). A 15.8%
niinoa?aaeaiue aoea aeyaeaia aioo?iiaoeiaa iaoieiaiy (aeaoaeoe
iaiiaiaiiy, ia?iaii eiioo?e ii?iaeieie iaoee) i o 4.2% aeiiie —
aiiiaei? ?icaeoeo iaoee. O iaeii?? iaoei?ioee aoea aeyaeaia
oia?iiiiia iaoee. I?iaaaeaiiy aieiai? ?aioaaiia?aoi? /a?aia i
oo?aoeueeiai niaeea c ianooiiith ?aioaaiiiao?i?th aeicaieeei
aeeeth/eoe iaoieiaith aiiioico o anio niinoa?aaeaiiyo.

Oeueo?acaoeiaa ea?oeia iieieinoicieo y?/ieeia oa?aeoa?ecoaaeanue
iayaiinoth aaaaoi/enaeueieo einoi/ie, ?iciiuaieo ii anie no?iii aai
ii ia?eoa?i? y?/ieeia (90% aeiaaeeia) aai uieueii? eiinenoaioei?
y?/ieeia ci cieaeaiiyi ?o aeonoe/ii? uieueiinoi. Caieueoaiiy
?icii?ia y?/ieeia aoei aeyaeaii a 60% aeiaaeeia. O 15.8 % oai?eo
niinoa?iaaeanue aiiiieaciy iaoee 1 i 2 nooiaiy. O 43.3% oai?eo aoei
aeyaeaii iioiauaiiy eainoee y?/ieeia. E?ii oiai, aecia/aee eieueeinii
oeueo?acaoeiai iciaee: caieueoaiiy na?aaeiueiai oieieoey?iiai /enea
aieueoa 8 (80% aeiaaeeia), caieueoaiiy ia’?io y?/ieeia aieueoa 10
ni3 (65.8%), caieueoaiiy y?/ieei-iaoeiaiai iiaeaeno aieueoa 3.5 (52%
aeiaaeeia). ?acoeueoaoe, iaea?aeaii iaie ca aeiiiiiaith OCAe
niiaiaaeathoue c aeaieie eioa?aoo?e (J.P. Evert et al., 1997). OCAe
oaeiae aeaei iiaeeeainoue aeyaeoe noiooith iaoieiaith a 52.5%
niinoa?aaeaiue (niaeeiaee i?ioean — 3.5%, aiiiaeiy ?icaeoeo iaoee —
3.3%, oia?iiaoicii aocee einoe y?/ieeia — 5.8%, aaeaiiiiic iaoee —
3.3%, iciaee aiia?ieaci? aiaeiiao?ith — 20.8%).

O 52 oai?eo aoea i?iaaaeaia ainoa?ineiiiy c ianooiiith aiiini?th
aiaeiiao?ith. O 23.1% oai?eo aoea aeyaeaia aiia?ieaciy, o 23.1% —
iieiie, o 19.2% — ao?ioiy i o 34.6% — aiiiieaciy aiaeiiao?ith.
?acoeueoaoe ainoieiai/iiai aeineiaeaeaiiy a iniiaiiio (88.5%
aeiaaeeia) niiaiaee c ainoa?ineiii/iei aeiaaiicii, ui iiaeaeuo?
?ieue ainoa?ineiii?. Oae a 19.2% aeiaaeeia aoea aeyaeaia aiia?ieaciy i
a 21.2% iieiie aiaeiiao?ith. Ao?ioiy i aiiiieaciy aoee aeyaeaii
aiaeiiaiaeii o 19.2% i 28.9%. O iaeii?? oai?i? aoa nae?aoi?iee i
o 5 i?ieioa?aoeaiee aiaeiiao?ie. O?iii/iee aiaeiiao?io aoa a 13.5%
niinoa?aaeaiue. Ao?ioith i aiiiieacith neeciai? iiaeia iiynieoe ye
ianeiaeie iaaeinoaoiuei? ano?iaaiiai? aei?. Aiia?ieanoe/ii i?ioeane ?
ianeiaeeii o?eaaei? aei? ano?iaaiia, aiaeiinii? aiia?ano?iaaii? i
iaaeinoaoiinoi i?iaanoa?iia. Oaeei /eiii, ainoa?ineiiiy c aiiini?th
aiaeiiao?ith i ainoieiai/iei ianoaaeaiiyi iiaeiia aeeth/aoeny a
i?ia?aio ianoaaeaiiy oai?eo c NIEss, aeey nai?/anii? aeiaaiinoeee i
i?ioieaeoeee iaoieiai/ieo i?ioeania aiaeiiao?ith (cie?aia aiia?ieaci?
aiaeiiao?ith).

80 oai?ei i?iaiaeeee eaia?ineiiith (EN). O oai?eo i?e eaia?ineiii?
y?/ieee aoee yeoeaiiaeiaii? oi?ie, c aeaaeeith, aeeneo/ith
iiaa?oiath ia?eaioo?iaiai eieuei?o c noaeeiiei iaethieii, uieueiith
aieeiaith eainoeith. Iiae eainoeith i?inai/oaaeenue ae?iaii einoi/ee
aeiaiao?ii aei 8 ii. O 15% oai?eo aeyaeaia aiiiieaciy iaoee. O
anio oai?eo aeyaeaii iciaee o?iii/iiai caiaeueiiai i?ioeano
(cie?aia, o?iii/iiai naeueiiiaioo). O 6%

oai?eo aoea aeyaeaia iai?ioiaeiinoue iaoeiaeo o?oa c iaeii??
noi?iie. Niaeeiaee i?ioean i?aaiia iaeiai oaco niinoa?iaaany o 63.8%
oai?eo, a o 31.3% oai?eo — aiaeiiao?iic. C ieo o 3 oai?eo aii
ii?aeioaaany c aaeaiiiiicii iaoee. A 6.3% aeiaaeeia aeyaeaii
aiiiaei? ?icaeoeo aioo?ioiio noaoaaeo i?aaiia (niaeeiaeaeia,
aeai?iaa iaoea, aiiiieaciy iaoeiai? o?oae). O 7.5% aeyaeaii
oia?iiaoicii aocee iaaaeeeeo ?icii?ia, ?icoaoiaaii noana?icii. Einoe
y?/ieeia aeyaeaii o 10% oai?eo. O 4 oai?eo aoee aeyaeaii aeiaoi oiea
iaaaeeeeo ?icii?ia. O 3 c ieo iaeii/anii c aeiaoei oieii
niinoa?iaaeenue c?ith/i oieieoee aeiaiao?ii aei 13 ii. Eaia?ineiiiy
aeaea iiaeeeainoue aeyaeoe ciaiioiie aaiioaeueiee aiaeiiao?iic,
yeee ia aoa aeiaaiinoiaaiee iioeie iaoiaeaie ianoaaeaiiy i
iaeaiueei noana?icii oia?iiaoicii aocee, ia aeeoa?aioeieiaaii i?e
oeueo?acaoeiaiio aeineiaeaeaiii. Oaeei /eiii, eaia?ineiiiy ?
aenieiiioi?iaoeaiei iaoiaeii aeiaaiinoeee NIEss i noiooiuei? iaoieiai?
aioo?ioiio noaoaaeo i?aaiia, iaaeinooiii? aeey iioeo iaoiaeia
aeineiaeaeaiiy.

Ooieoeiiiaeueiee noai y?/ieeia ioeiithaaee ca aeaieie oanoia
ooieoeiiiaeueii? aeiaaiinoeee. A 90.8% niinoa?aaeaiue aeyaeyeenue
aiiaoeyoi?ii oeeeee c iiiioaciith aacaeueiith oaiia?aoo?ith i
iiiioiiiith, aiaeiinii iecueeith ano?iaaiiith iane/aiinoth

(ia?nenoaioeiy i ao?aciy iac?ieeo oieieoeia). O 5% aeiiie ia oiii
aeinoaoiuei? ano?iaaiii? iane/aiinoi aeyaeee ei?ioeo i iaaeinoaoith
ethoa?iiao oaco (ia?aae/aniee ?aa?an iaiiaiioeiiiiai aeiaoiai oiea). O
4.2% iaoei?ioie aoea aeyaeaia iecueea ano?iaaiia iane/aiiinoue ia
i?ioyci anueiai oeeeeo i ?icei aei?i/aia i iaaeinoaoiy ethoaiiiaa
oaca (iaaeinoaoiinoue iaio oac oeeeeo).

Aiino 17-EN a na/i o anio aeiiie aoa a iaaeao ii?ie. Aiino ai?iiiia
a e?iai ia 7-8-e aeaiue oeeeeo iieacaii a oaaeeoei 1.

Oaaeeoey 1. Eiioeaio?aoeiy ai?iiiia a e?iai iiney
oi?o?ai/ii? iiaeoei??

iaoeyoei? ia 7-8 aeaiue oeeeeo

A?oia EA ONA Ano?aaeii I?iaa Oanoi I?i Ei?oe

aeineiaeaea- IA/e IA/e e noa?ii noa?ii eaeoei cie

ieo aeiiie iiieue/e iiieue/e iiieue/e ia/ie iiieue

/e

Caei?iai 2,3 3,7 380,1 3,00,50 1,50,50 10.1 370

n=20 0,20 0,30 29,40 2.50 24.10

c NIEss aei 10,68 19,8 470,8 5,0 2,02 9.88 420

eieoaaiiy 1,16 1,57 37,20 0,53 0.11 0.63 28.00

n=60

iiney 6.8 18,4 410,3 4,9 1.4 8.9 400.1

eieoaaiiy 0.70 2,10 34,20 0,70 0.13 0.72 26.10

E?ss (1)

n=20

AeOE (2) 7,1 17,7 436,7 4,9 1.5 10.4 405.6

n=20 1.20 1.40 36,30 0,65 0.21 0.54 24.3

OE (3) 6,9 17,9 416,8 4,60.50 1.6 11.5 421.4

n=20 0.90 1.60 33.40 0.13 0.63 26.40

?1-2 0.05 0.05 0.05 0.05 0.05 0.05 0.05

?1-3 0.05 0.05 0.05 0.05 0.05 0.05 0.05

?2-3 0.05 0.05 0.05 0.05 0.05 0.05 0.05

I?eiioee: 1. * ?(0.05 o ii?iaiyiii c eiio?ieueiith a?oiith

** ?(0.05 o ii?iaiyiii c oai?eie NIEss aei oi?o?ai/ii?
iiaeoeoei? iaoeyoei?

Eiioeaio?aoeiy a e?iai EA a 4-5 ?acia ia?aaeuoaaea oaeo a a?oii
eiio?ieth, a ONA a 5 ?acia. Eiioeaio?aoeiy a e?iai ano?aaeiieo,
oanoinoa?iio, i?ieaeoeio i ei?oecieo a na?aaeiueiio ia aiae?iciyeany
aiae ii?ie (?(0.05) (oaae. 1). Iaeiae, o?aaa aiaeiioeoe, ui o
43.3% oai?eo aoea iiaeaeuaiith eiioeaio?aoeiy a e?iai ano?aaeiieo, a o
26.7% — oanoinoa?iio. Na?aaeiy eiioeaio?aoeiy i?iaanoa?iio a e?iai
aoea aeua o ii?iaiyiii c iieacieeaie eiio?ieueii? a?oie (?(0.05).
I?e oeueiio o 36.7% oai?eo ?iaaiue i?iaanoa?iio a e?iai ia
aiae?iciyany aiae ii?ie.

Noai aiiioica?ii-y?/ieeiai? nenoaie ioeiithaaee ca aeiiiiiaith
aecia/aiiy eiioeaio?aoei? a e?iai aiiaaeio?iiieo, noaoaaeo ai?iiiia oa
i?ieaeoeio. I?e aeeiaii/iiio aea/aiii aiinoo a e?iai I?E, O i E o
aeiiie c NIEss aeinoiai?ieo ciii iiae /an iaino?oaeueiiai oeeeeo ia
aoei aeyaeaii. Aiie aoee iaeiaeiai c oaeeie o caei?iaeo aeiiie. Aea/aiiy
aiinoo a e?iai aiiaaeio?iiiiia, i?iaanoa?iio i ano?aaeiieo a
aeeiaiioei o oai?eo c NIEss iieacaei, ui aiie ca oa?aeoa?ii cia/ii
aiae?iciyeenue aiae oaeeo o caei?iaeo aeiiie. O oai?eo c NIEss i
ieiaiiaii?a?th ia aeyaeaii ciiie aiinoo a e?iai ONA i EA a aeeiaiioei
iaino?oaeueiiai oeeeeo, oiaoi aeaeieaiiy oeeo ai?iiiia aaeaiiaiiioicii
iaei iiiioiiiee oa?aeoa?. C iioiai aieo, niinoa?iaaeanue aneio?iiiinoue
a ?iaiyo ano?aaeiieo i ONA, ineieueee iiaeaeuaiiy eiioeaio?aoei? a
e?iai ano?aaeiieo ia 13-14-e aeaiue iaino?oaeueiiai oeeeeo ia
noi?iaiaeaeoaaeinue iiaeaeuaiiyi eiioeaio?aoei? a e?iai ONA. O aeiiie c
ieiaiiaii?a?th a ethoaiiiaie oaci ia niinoa?iaaeinue aeinoiai?iiai
iiaeeiio eiioeaio?aoei? i?iaanoa?iio a e?iai. O aeiiie c NIEss i
aiaii?a?th eiioeaio?aoeiy a e?iai aiiaaeio?iiiiia i noaoaaeo
noa?i?aeieo ai?iiiia a aeeiaiioei iineea iiiioiiiee oa?aeoa?. Aea/aiiy
ai?iiiaeueieo aca?iiaiaeiinei iieacaei, ui o aeiiie c ieiaiiaii?a?th
i aiaii?a?th niinoa?iaaany ii?ooaiee ooieoeiiiaeueiee ca’ycie iiae
aiiioicii i y?/ieeaie. Aeoiaey/e c aeuaneacaiiai iiaeia ocaaaeueieoe,
ui o oeeo iaoei?ioie iaei iinoea iiaeaaeaiiy noa?iiaeiaaiaco a
y?/ieeao i aiaeiinia iiaeaeuaiiy ooieoeiiiaeueii? aeoeaiinoi
aaeaiiaiiioico. Aianeiaeie oeueiai ii?oooaaany oieieoeiaaiac a y?/ieeao
i niinoa?iaaeanue aiiaoeyoeiy.

O oai?eo c ?aaoey?ieie oeeeeaie i?ioiaeyoue oeeeei/ii, neio?iiii
ciiie eiioeaio?aoei? a e?iai ano?aaeiieo, ONA i EA. A na?aaeeii
oeeeeo, ia 13-14-e aeaiue, ianooiaei iiaeaeuaiiy ano?aaeiieo a e?iai,
yea noi?iaiaeaeoaaeinue iiaeaeuaiiyi EA i ONA. Iaeiae

eiioeaio?aoeiy ano?aaeiieo a e?iai ia aeinyaaea i?aiaoeyoi?ieo
iieiaeo aaee/ei. Aei oiai ae a?aaei?io ciii EA iecueeee.
Eiioeaio?aoeiy i?iaanoa?iio a e?iai a ae?oaie oaci oeeeeo

iiaeaeuoaaeanue aeinoiai?ii, aea aiia aoea a 3 ?ace ieae/ith oaei? a
a?oii eiio?ieth, ui iaaeinoaoiuei aeey iiaeo?eiaiiy ii?iaeueii?
ethoaiiiai? oace. Oaeei /eiii, aeoiaey/e c ?acoeueoaoia
ai?iiiaeueieo aeineiaeaeaiue a aeeiaiioei iiaeia aaaaeaoe, ui a o?aoie
a?oii ii?ooaiee aaeaeaaoiee ooieoeiiiaeueiee ca’ycie iiae aiiioicii i
y?/ieeaie.

Ainoieiai/ia ianoaaeaiiy aeieyiie y?/ieeia iiaeoaa?aeeei

aeiaaiic o anio niinoa?aaeaiiyo. A 90% aeiaaeeia aoa aeyaeaiee
o?iii/iee caiaeueiee i?ioean.

Noaey/e c io?eiaieo iaie ?acoeueoaoia, NIEss i?aaenoaaey?
iieineiioiiio iaoieiaith. Iaia? aeiaeiiai neiioiio, yeee aoa ae
aaniethoii iaoiaiiiiii/iei aeey aeiiie c NIEss. Eeiii/ii i?iyae
iiiythoueny a oe?ieeo iaaeao. Aea o?aaa aiaeiioeoe, ui iaieiaeiinoue
ia oiii ii?ooaiiy iaino?oaeueiiai oeeeeo niinoa?iaa?oueny o
iiaeaaeyth/i? aieueoinoi iaoei?ioie. Aiiaoeyoi?io iaieiaeiinoue o?aaa
aaaaeaoe ea?aeeiaeueiith iciaeith NIEss. Oaei neiioiie ye ai?nooeci,
iaee?iiiy, aeainoi?iii? caieueoaiiy y?/ieeia aeoaea iiieeai.
Iieieinoicii ciiie a y?/ieeao ? eiioeaaei aiaoiii/iei noano?aoii
iae?iai?iiiaeueieo ii?ooaiue a ?ai?iaeoeoeaiie nenoaii (O.ss.
Ioaie/ieeiaa, 1991). Aeoiaey/e c oeueiai aeiaaiinoeea NIEss iiaea
aacoaaoeny ia aeyaeaii ii?oieiai/ieo ciii a y?/ieeao. Oae, ca
aeiiiiiaith OCAe a aieueoinoi aeiaaeeia iiaeia aeyaeoe iieieinoicii
ciiie y?/ieeia. Iaeiae c iaoith aeeooa?aioeiaeueii? aeiaaiinoeee
ia?iaeei aeiaiaeeoueny i?iaiaeeoe ai?iiiaeueii i aiaeineiii/ii, a
iieiee, ainoieiai/ii aeineiaeaeaiiy. Iaoi aeineiaeaeaiiy iieacaee, ui
/anoi NIEss ii?aeio?oueny c iioeie iaoieiai/ieie i?ioeanaie
aioo?ioiio aaiioaeie. I aeaiee oaeo iaaiaeeoue ia aeoieo, ui aeiiee,
yei ia caaaaioiiee iiney noeioeyoei? eeiiioaiii iiaeooue iaoe
noiooith iaoieiaith, yea ye oaeoi? iaieiaeiinoi ? ia?aiiiith aei
ianoaiiy aaaioiinoi. Oaeee iiaeoiae aeiaaa? aieueo aeaoaeueiiai
aeineiaeaeaiiy aeiiie c aeei?enoaiiyi naieo aoaeoeaieo iaoiaeia
aeineiaeaeaiiy aeey ooi/iaiiy aeiaaiico NIEss i a ieaii aeyaeaiiy
iioeo oaeoi?ia iaieiaeiinoi. Iaoi aeineiaeaeaiiy aeicaieythoue
neacaoe, ui oaeei iaoiaeii iiaea aooe eaia?ineiiiy.

Aei oi?o?ai/iiai eieoaaiiy ani ianoaaeaii aeiiee io?eioaaee
ai?iiiaeueio oa?aiith, cie?aia, noeioeyoeith iaoeyoei? eeiiioaiii.
12% ianoaaeaieo aeiiie eieoaaeenue aiiaaeio?iiiiaie i o 3 aoei
i?iaaaeaia aeno?aei?ii?aeueia caieiaeiaiiy. Aea eieoaaiiy aeyaeeinue
iaaoaeoeaiei. I?iaeiaaeoaaoe eiina?aaoeaia eieoaaiiy o oeueiai
eiioeiaaioo aeiiie ia iaei naino. Ia?acoeueoaoeaia iaaeeeaiaioicia
oa?aiiy aeeeooaaea ciiio oaeoeee eieoaaiiy. Ianooiiei yoaiii
eieoaaiiy aoea oi?o?ai/ia iiaeoeoeiy iaoeyoei?. Ineieueee o anio
aeiiie aeyaeee o?iii/iee caiaeueiee i?ioean, oiio aei oi?o?ai/iiai
eieoaaiiy i?iaiaeeee i?ioeaicaiaeueio oa?aiith (c a?aooaaiiyi
iie?ioei?e). Iaeii/anii c oi?o?ai/iith iiaeoeoei?th iaoeyoei?
i?iaiaeeeanue oi?o?ai/ia ei?aeoeiy noiooiio oaeoi?ia iaieiaeiinoi
(naeueiiiaiiaa?iieicin — 70%, ?ic’?aeiaiiy niaeie — 19.2%,
iiiiaeoiiiy — 7.5%, eiaaoeyoeiy aiaieu aiaeiiao?iico 24.2%, ieanoeea
iaoeiaeo o?oa — 12.5%).

Aeey ioeiiee aoaeoeaiinoi oi?o?ai/iiai eieoaaiiy oai?i aoee
ianoaaeaii /a?ac 2-3 iinyoei iiney iia?aoei?.

Oeueo?acaoeiaa ianoaaeaiiy iieacaei, ui o oai?eo niinoa?iaaeinue
ciaioaiiy ?icii?ia y?/ieeia o ii?iaiyiii c iieacieeaie aei
oi?o?ai/iiai eieoaaiiy. A ?icieo iineyiia?aoeieieo a?oiao ciaioaiiy
?icii?ia y?/ieeia aoee iaeaioe/ii. Ca aeaieie OCAe /anoioa ?icaeoeo
niaeeiaiai i?ioeano iiney E? y?/ieeia (32.5%) a o?e ?ace ia?aaeuoaaea
iieacieee ae?oai? (12.5%) i o?aouei? (10%) a?oi.

O 28 aeiiie ia?oi? a?oie i?iaaaeaia ainoa?inaeueiiiaia?aoiy. O 28.6%
aeiiie aeyaeee iciaee niaeeiaiai i?ioeano.

Ca ?acoeueoaoaie iiaoi?ieo eaia?ineiiie iiney E? (12 aeiiie)
/anoioa ?icaeoeo niaeeiaiai i?ioeano neeaea 50%. Iiney eaia?ineiii/ii?
AeOE (12 aeiiie) y?/ieeia aiia neeaea 8.3%. Iiney eaia?ineiii/ii? OE
y?/ieeia (8 aeiiie) niaeeiaiai i?ioeano ia aeyaeaii.

Aiaeiiaeaiiy ?aaoey?ieo iaino?oaeueieo oeeeeia iiney E? neeaaeaei
82.5%, iiney AeOE — 80% i iiney OE — 85% aeiaaeeia. O iioeo aeyaeaia
ieiaiiaii?ay. Oaeei /eiii, ?acoeueoaoeaiinoue o?ueio ?icieo aeaeia
oi?o?ai/ii? iiaeoeoei? iaoeyoei? a ieaii iiiiaeaiiy ?aaoey?ieo
iaino?oaeueieo oeeeeia aoea iaeiicia/ia.

Iiney E? y?/ieeia eiioeaio?aoeiy EA a e?iai cieceeanue i ia 7-8-e
aeaiue oeeeeo neeaea 6.8+_0.70 IA/e (?0.05) (oaae. 1). Iaeiae o?aaa
aiaeiioeoe, ui eiai ?iaaiue a e?iai eeoaany aeinoiai?ii aeua ii?ie
(?0.05). Iaeaioe/ii ciiie ?iaiy EA a e?iai niinoa?iaaeenue iiney
aeiaoa?iieiaaoeyoei? i oa?iieaooa?ecaoei? y?/ieeia. Oae,
eiioeaio?aoei? EA a e?iai ia 7-8 aeaiue oeeeeo a ?icieo
iineyiia?aoeieieo a?oiao aeinoiai?ii ia aiae?iciyeenue iiae niaith
(?0.05) (oaae. 1). Eiioeaio?aoeiy i?iaanoa?iio i ONA a e?iai ia
7-8-e aeaiue oeeeeo a ?icieo iineyiia?aoeieieo a?oiao ia ciiieeanue i
aoea iaeaioe/iith c aeiiia?aoeieieie iieacieeaie, iaeia/a eeoeeanue
iiaeaeuaiith o ii?iaiyiii c eiio?ieueiith a?oiith (?0.05) (oaae. 1).
Eiioeaio?aoeiy oanoinoa?iio a e?iai cieceeanue iiney eeeiiaeaeii?
?acaeoei? y?/ieeia i aiaeiiaiaeaea ?iaith a eiio?ieueiie a?oii (?0.05).
Oaei ae ciiie niinoa?iaaeenue iiney AeOE i OE y?/ieeia. ?iaii
oanoinoa?iio a e?iai iiney ?icieo aeaeia iiaeoeoei? iaoeyoei? ia
aiae?iciyeenue iiae niaith (?0.05). Aac iniaeeaeo ciii eeoeeenue ?iaii
a e?iai ano?aaeiieo, i?ieaeoeio i ei?oecieo. Oei iieacieee ia
aiae?iciyeenue iiae niaith a ?icieo a?oiao (?0.05), aoee iaeaioe/ii c
oaeeie o ia?aaeiia?aoeieieo oai?eo (?0.05) i o caei?iaeo aeiiie
(?0.05) (oaae. 1). Oaeei /eiii, iiney oi?o?ai/ii? iiaeoei?? iaoeyoei?
o oai?eo, ui aoee iiaeaeaii ?iciei aeaeai iia?aoeaieo ao?o/aiue
cieceeanue eiioeaio?aoeiy a e?iai oanoinoa?iio i EA.

Eiioeaio?aoeiy a e?iai E, O, I?E a aeeiaiioei aoee iaeaioe/ieie a
?icieo iineyiia?aoeieieo a?oiao i ia aiae?iciyeenue aiae ii?ie (?0.05).

O aeiiie, o yeeo iaino?oaeueiee oeeee noaa ?aaoey?iei iiney
oi?o?ai/ii? iiaeoeoei? iaoeyoei?, aiaeiiaeany ooioeiiiaeueiee ca’ycie
iiae aiiioicii i y?/ieeaie. Aeeiaii/ii ciiie eiioeaio?aoei?
ano?aaeiieo c iaeii?? noi?iie, i aiiaaeio?iiiiia — c ae?oai? iaee
neio?iiiee oa?aeoa?. O ia?aaeiaoeyoeieiee ia?iiae niinoa?iaaeenue
iiee ano?aaeiieo, ONA i EA a e?iai, oa?aeoa?ii aeey caei?iaeo
aeiiie. O na?aaeeii ethoa?iiai? oace, ia 21-22-e aeaiue oeeeeo
aeinoiai?ii iiaeaeuoaaany ?iaaiue i?iaanoa?iio a e?iai (?0.05), oi/a
eiai aiino aoa ieae/ei, iiae o caei?iaeo aeiiie (?0.05). Neiae
aiaeiioeoe, ui ?iaii ONA i EA a e?iai ia 7-8 i 21-22 aeii oeeeeo aoee
aeinoiai?ii aeui aiae ii?ie. Iiney ?iciiiaiioieo aeaeia
oi?o?ai/ii? iiaeoeoei? iaoeyoei? o ?aaoey?ii iaino?othth/eo aeiiie
na?aaeii iieacieee eiioeaio?aoei? aiiaaeio?iiiiia, ano?aaeiieo i
i?iaanoa?iio a e?iai a aeeiaiioei aoee iaeaioe/ieie. Iiney ?icieo
aeaeia oi?o?ai/ii? iiaeoeoei? iaoeyoei? /anoioa aiaeiiaeaiiy
ooieoeiiiaeueiiai noaio nenoaie aiiioic-y?/ieee iaeiaeiaa i
noaiiaeoue 80-85%. O oai?eo c ieiaiiaii?a?th ia aiaeiiaeany
ooieoeiiiaeueiee ca’ycie iiae aiiioicii i y?/ieeaie. ?iaii
aiiaaeio?iiiiia, ano?aaeiieo i i?iaanoa?iio a e?iai a aeeiaiioei
iaee iiiioiiiee oa?aeoa?.

Ooioeiiiaeueiee noai y?/ieeia ioeiithaaee ca aeiiiiiaith
oeueo?acaoeiaiai oa ai?iiiaeueiiai iiiioi?eiao. E? y?/ieeia
i?ecaaea aei aiaeiiaeaiiy iaoeyoi?ieo oeeeeia a 67.5% aeiaaeeia. C ieo
a 35% aeiaaeeia aoea aeyaeaia iaaeinoaoiinoue ethoa?iiai? oace oeeeeo.
O 25% aeiiie niinoa?iaaeanue ia?nenoaioeiy i ao?aciy c?ieiai oieieoea i
o 7.5% — ia?nenoaioeiy i ao?aciy iac?ieiai oieieoea. Iiney AeOE
y?/ieeia iiae /an eaia?ineiii?, iaoeyoi?ii oeeeee aoee aeyaeaii a 70%
niinoa?aaeaiue (28 aeiiie), c ieo a 32.5% aeiaaeeia (13 aeiiie) iaea
iinoea iaaeinoaoiinoue ethoa?iiai? oace oeeeeo. Aiiaoeyoeiy,
iia’ycaia c ia?nenoaioei?th i ao?aci?th c?ieiai oieieoea,
aeyaeaia a 20% aeiaaeeia (8 aeiiie). A 10% niinoa?aaeaiue (4 aeiiee)
niinoa?iaaeanue caaaeueia aiiiooieoeiy y?/ieeia (ia?nenoaioeiy i
ao?aciy iac?ieeo oieieoeia). A o?aoie a?oii, aea i?iaiaeeee
oa?iieaooa?icaoeith y?/ieeia iiae /an eaia?ineiii?, iaoeyoi?ii
oeeeee niinoa?iaaeenue a 77.5% aeiaaeeia (31 aeiiea). Iaaeinoaoiinoue
ethoa?iiai? oace oeeeeo aoea aeyaeaia a 42.5% aeiaaeeia (17
aeiiie). A iioeo aeiaaeeao niinoa?iaaeenue aiiaoeyoi?ii oeeeee c
ia?nenoaioei?th i ao?aci?th c?ieeo i iac?ieeo oieieoeia.

Iiney eeeiiaeaeii? ?acaeoei? y?/ieeia caaaaioieee 13 aeiiie
(32.5%), (3 iiney aeiaeaoeiai? ai?iiiaeueii? ei?aeoei?). O o?ueio
iaoei?ioie niinoa?iaaeanue caa?ica ia?a?eaaiiy aaaioiinoi a ?icii no?iee
(68 oeaeaeiia). C ieo a iaeiiio aeiaaeeo ianooiea ieiiaieueiee
aeeeaeaiue i a iaeiiio aeiaaeeo (2.5%) aoea iicaiaoeiaa aaaioiinoue.
Iiney eaia?ineiii/ii? aeiaoa?iieiaaoeyoei? y?/ieeia c 30 aeiiie,
yei ciaoiaeeeeny iiae niinoa?aaeaiiyi, caaaaioiiee 14 (46.7%), a oiio
/enei 4 iiney aeiaeaoeiai? ai?iiiaeueii? oa?aii?. O?e iaoei?ioee
aoee ainiioaeiciaaii c i?eaiaeo caa?ice ia?a?eaaiiy aaaioiinoi. O
iaeii?? aeiiee aoei aeaa ieiiaieueii aeeeaeii a 6-8 oeaeaeiia
aaaioiinoi. Iiney oa?iieaooa?ecaoei? y?/ieeia c 29 aeiiie, yei
ciaoiaeeeeny iiae niinoa?aaeaiiyi, caaaaioiiee 17 (58.6%), a oiio
/enei 5 iiney aeiaeaoeiai? ai?iiiaeueii? oa?aii?. 4 aeiiee aoee
ainiioaeiciaaii c i?eaiaeo caa?ice ia?a?eaaiiy aaaioiinoi. ?icii
iineyiia?aoeieii a?oie ia aiae?iciyeenue o ieaii oneeaaeiaiue, yei
aeieeee i?e aaaioiinoi.

Ii?iaiyeueia ioeiiea ?acoeueoaoia iieacaea, ui iiney eaia?ineiii/ii?
AeOE i OE y?/ieeia /anoioa aaaioiinoi i ?icaeoeo iineyiia?aoeieieo
niaeie ia aiae?iciyeany (?0.05). Iiney eaia?ineiii/ii? OE y?/ieeia
/anoioa aaaioiinoi aoea a 2 ?ace aeuith iiae iiney E? (?0.05).
*anoioa ?icaeoeo iineyiia?aoeieieo niaeie iiney OE aeyaeeanue ieae/ith
iiae iiney E? (?0.05). Iiaeia c?iaeoe aeniiaie, ui eaia?ineiii/ii
iia?aoei? (AeOE i OE) ?iaiicia/ii iaoiaee iiaeoeoei? iaoeyoei? o
aeiiie c NIEss. Aeoiaey/e c aeuaaeeeaaeaiiai eaia?ineiii/io OE
y?/ieeia iiaeia aaaaeaoe aieueo ia?niaeoeaiei iaoiaeii eieoaaiiy
aeiiie c NIEss oa iaieiaeiinoth.

Oi?o?ai/ia iiaeoeoeiy iaoeyoei? ? iaoiaaiaoe/ii iaoiiaeaiei iaoiaeii
eieoaaiiy aeiiie c NIEss, ineieueee aiia iiceoeaii aieeaa? ia noai
nenoaie aiiioic-y?/ieee oa i?ecaiaeeoue aei aiaeiiaeaiiy iaoeyoi?ieo
oeeeeia. Ia aeeaey/enue ia ?ecee ?icaeoeo niaeeiaiai i?ioeano,
oi?o?ai/ia eieoaaiiy iiaeia iacaaoe iaoiaeii aeai?o aeey iaoei?ioie c
NIEss, ?acenoaioieo aei eeiiioaio. Ia?aaaaa iiaeiia aiaeaeaaaoeny
eaia?ineiii/iei iia?aoeiyi, ineieueee aiie ? iaio iiaaceaieie a ieaii
?icaeoeo niaeie i aeineoue aoaeoeaii aeey aiaeiiaeaiiy
iaoeyoi?ieo oeeeeia oa ianoaiiy aaaioiinoi.

A E N I I A E E

1. Aeiaaiinoeea neiae?iio iieieinoicieo y?/ieeia oneeaaeiaia a ca’yceo
ic iieiii?oiinoth i aaoa?iaaiiinoth i?e/ei caoai?thaaiiy i ia?iaeeei
ii?aeiaiiyi c iioeie oaeoi?aie iaieiaeiinoi (niaeeiaee i?ioean — 70%,
aaiioaeueiee aiaeiiao?iic — 24.2%, oia?iiiiia iaoee — 5.8%, einoe
y?/ieeia — 9.2%), ui aei aeayei? ii?e iaoiiaeth? iaaaea/i
eiina?aaoeaii? oa?aii?.

2. Eaia?ineiiiy — oea aenieiiioi?iaoeaiee iaoiae aeiaaiinoeee NIEss,
aea? iiaeeeainoue aeyaeoe ii?aeiaio iaoieiaith aaiioaeie i i?aaiia
iaeiai oaco. ? iaeaieueo ia?niaeoeaiei iaoiaeii iiaeoeoei? iaoeyoei? o
aeiiie c NIEss oa iaieiaeiinoth.

3. O oai?eo c NIEss niinoa?iaa?oueny ye aiiiieaciy (26.9%) i ao?ioiy
(19.2%), oae i aiia?ieaciy (19.2%) i iieiie (21.2%)

aiaeiiao?ith. O ca’yceo c oeei ainoa?ineiiiy, c ianooiiith aiiini?th i
ainoieiai/iei aeineiaeaeaiiyi iaoa?iaeo, iiaeiia aeeth/aoeny a
i?ia?aio ianoaaeaiiy aeiiie c NIEss aeey nai?/anii? aeiaaiinoeee ciii a
oeueiio i?aaii-iioaii.

4. I?e NIEss ii?ooaiee ooieoeiiiaeueiee ca’ycie a nenoaii
aiiioic-y?/ieee. O aieueoinoi aeiiie (95%) niinoa?iaa?oueny
aiiiooieoeiy y?/ieeia (i?eaii/aiiy noa?i?aeiaaiaco i

oieieoeiaaiaco) ia oiii aiaeiiniiai iiaeaeuaiiy ooieoeiiiaeueii?
aeoeaiinoi aaeaiiaiiioico (iiaeaeuaiiy aiinoo aiiaaeio?iiiiia a
e?iai). O aeeiaiioei aiaenooii oeeeei/ii ciiie eiioeaio?aoei? EA, ONA, A
i I. O ethoa?iiao oaco oeeeeo eiioeaio?aoeiy I ia iiaeaeuo?oueny.

5. Oi?o?ai/ia eieoaaiiy ? iaoiaaiaoe/ii iaoiiaeaiei i
aoaeoeaiei iaoiaeii iiaeoeoei? iaoeyoei? o aeiiie c NIEss i
iaieiaeiinoth. Iaeii/anii c oi?o?ai/iith iiaeoeoei?th iaoeyoei?

iaaea?oueny iiaeeeainoue ei?aaoaaoe iioi oaeoi?e iaieiaeiinoi.
Ii?iaiyeueia ioeiiea ?icieo aeaeia oi?o?ai/ii? iiaeoeoei? iaoeyoei? o
aeiiie c NIEss i iaieiaeiinoth, iieacaea ia?aaaao eaia?ineiii? c
canoinoaaiiyi oa?iieaooa?ecaoei? ia?aae eaia?ioiii?th i eeeiiaeaeiith
?acaeoei?th y?/ieeia. Iiney inoaiiuei? ?icaeoie niaeeiaiai i?ioeano
niinoa?iaa?oueny /anoioa, a /anoioa ianoaiiy aaaioiinoi a 2 ?ace ?iaeoa
i neeaea 32.5%.

6. ?icii aeaee oi?o?ai/ii? iiaeoeoei? iaoeyoei? i?ecaiaeyoue aei
iaeaioe/ieo c?ooaiue ai?iiiaeueiiai i?ioieth. Ciiith?oueny
eiioeaio?aoeiy a e?iai EA i O, ii?iaeico?oueny ooieoeiiiaeueiee
ca’ycie o nenoaii aiiioic-y?/ieee (a 80-85%) aeiaaeeia.

Aiaeiiaeththoueny oeeeei/ii ciiie aiiaaeio?iiiiia A i I a aeeiaiioei, c
iieii EA, ONA i A a i?aiaoeyoi?iee ia?iiae i c iiaeaeuaiiyi I a
ethoaiiiao oaco oeeeeo. O 67.5-77.5% aeiaaeeia ii?iaeico?oueny
oieieoeiaaiac.

7. A?aoiaoth/e iaioo o?aaiaoe/iinoue eaia?ineiii/iiai
ao?o/aiiy ii?yae c aenieith aoaeoeaiinoth iaoiaeo i iiceoeaiei
aieeaii eiai ia ooieoeith nenoaie aiiioic-y?/ieee, eiai neiae
?aeiiaaeoaaoe aeey oe?ieiai ai?iaaaeaeaiiy i?e eieoaaiii NIEss.

I?AEOE*II ?AEIIAIAeAOeI?

1. ?aeiiaiaeiaaii aeiieai c neiae?iiii iieieinoicieo y?/ieeia i
iaieiaeiinoth, ?acenoaioiei aei eeiiioaio, i?iaiaeeoe aeiaeaoeiai
aia?aoii i ai?iiiaeueii aeineiaeaeaiiy c iaoith iiaeoaa?aeaeaiiy
aeiaaiico i aeyaeaiiy iioeo i?e/ei ii?aeiaii? iaieiaeiinoi.

2. AEiieai c neiae?iiii iieieinoicieo y?/ieeia iaiaoiaeii
i?iaiaeeoe ainoa?ineiiith c aiiini?th aiaeiiao?ith i ainoieiai/ia
aeineiaeaeaiiy iaoa?iaeo, ineieueee aiie neeaaeathoue a?oio aenieiai
?eceeo ii ?icaeoeo aiia?ieanoe/ieo i?ioeania aiaeiiao?ith.

3. Aeiaaaeaii, ui eaia?ineiii/iee iaoiae aeineiaeaeaiiy ?
iaeaieueo iioi?iaoeaiei i?e aeiaaiinoeoei neiae?iio iieieinoicieo
y?/ieeia, i iaeii/anii aea? iiaeeeainoue aeyaeoe iioi i?e/eie
iaieiaeiinoi.

4. ?aeiiaiaeiaaii c iaoith iiaeoeoei? iaoeyoei? o aeiiie c NIEss i
iaieiaeiinoth oe?iei canoiniaoaaoe eaia?ineiii/io
oa?iieaooa?ecaoeith y?/ieeia.

5. Iieacaii, ui ?icii aeaee oi?o?ai/ii? iiaeoeoei? iaoeyoei?
i?ecaiaeyoue aei iaeaioe/ieo c?ooaiue ai?iiiaeueiiai i?ioieth,
ni?eythoue ii?iaeicaoei? ooieoeiiiaeueiiai ca’yceo a nenoaii
aiiioic-y?/ieee.

NIENIE ?IAIO, IIOAEIEIAAIEO II OAII AeENA?OAOeI?

1. Oi?o?ai/ia eieoaaiiy neiae?iio iieieinoicieo y?/ieeia //
Iaaeiao?iy, aeooa?noai i aiiaeieiaiy. 1998.- ?4.- N.97-98, (Niiaaao.
Iaaithoa E.I.).

2. Aeei?enoaiiy no/anieo oaoiieiaie o aeiaaiinoeoei oa eieoaaiii
ii?aeiaieo oi?i iaieiaeiinoi//Eeiii/ia oi?o?aiy. -1998. -?4. — N.
33-35, (Niiaaao. Iaaithoa E.I., Aaein I.I., Eiiae?aothe A.E., Iaiaiiea
A.).

3. Canoinoaaiiy oi?o?ai/ii? aiaeineiii? i?e eieoaaiii iaieiaeiinoi
// Oe?a?inueei iaaee/ii ainoi. — 1998. — Oii 2. — ?1-2. — N. 57-58,
(Niiaaao. Iaaithoa E.I., Aaein I.I., Iineia/aiei O.I.).

4. No/anii iaoiaee aeiaaiinoeee iaaeiiooaaiiy aaaioiinoi
// Iaaeiiooaaiiy aaaioiinoi: Cai?iee iaoeiaeo i?aoeue. — Ee?a, 1997.
— N. 152-154, (Niiaaao. Iaaithoa E.I., Aaein I.I., ?aeoa I.I.).

5. Iaaeiiooaaiiy aaaioiinoi o aeiiie iiney ?aaaieioaoei?
?ai?iaeoeoeaii? ooieoei?//Iaaeiiooaaiiy aaaioiinoi: Cai?iee
iaoeiaeo i?aoeue.- Ee?a,1997.-N. 154-156, (Niiaaao. Iaaithoa E.I.,
Aeoaaiei I.Ae., ?aeoa I.I.).

6. Aoia?aoi/ia oa oaieiaicieia ioeiiea noaio iaoeiaeo o?oa o
aeiiie c ii?ooaiiyi ?ai?iaeoeoeaii? ooieoei? // 4-e ui?i/iee
cai?iee Oe?a?inueei? anioeiaoei? eiea?ia OAeIA. E?eaee ?ia, 1997. — N.
112-113, (Niiaaao. Iaaithoa E.I., ?aeoa I.I., Eiiae?aothe A.E., ?aciieia
I.I.).

7. Neiae?ii aeniaaeaiiy y?/ieeia o aeiiie ?ai?iaeoeoeaiiai aieo
// O c’?cae aeooa?ia-aiiaeieiaia Oe?a?ie. Oace aeiiiaiaeae, Iaeana,
1996. — N. 45, (Niiaaao. Aaein I.I., Coaaeiia I.I.).

IA?AEIE NEI?I*AIUe

NIEss — neiae?ii iieieinoicieo y?/ieeia

OOAe — oanoe ooieoeiiiaeueii? aeiaaiinoeee

E? — eeeiiaeaeia ?acaeoeiy

AeOE — aeiaoa?iieiaaoeyoeiy

OE — oa?iieaooa?icaoeiy

EA — ethoa?iicoth/ee ai?iii

ONA — oieieoeinoeioethth/ee ai?iii

I?E — i?ieaeoei

A — ano?aaeiie

I — i?iaanoa?ii

O — oanoinoa?ii

E — ei?oicie

17-EN — 17 eaoinoa?iiaee

EN — eaia?ineiiiy

OCAe — oeueo?acaoeiaa aeineiaeaeaiiy

Eeth/iai neiaa: neiae?ii iieieinoicieo y?/ieeia, iaieiaeiinoue,
iiaeoeoeiy iaoeyoei?, eeeiiaeaeia ?acaeoeiy, eaia?ineiiiy,
aiiaaeio?iiiie, noaoaai ai?iiie.

Eeth/aaua neiaa: neiae?ii iieeeenoiciuo ye/ieeia, aanieiaeea,
eiaeoeoeey iaoeyoeee, eeeiiaeaeiay ?acaeoeey, eaia?ineiiey,
aiiaaeio?iieiu, iieiaua ai?iiiu.

Key words: polycystic ovary syndrom, infertility, induction of
ovulation, wedge resection, laparoscopy, gonadotropins, sex hormones.

Aeiiyi A.C. O?aaeeoeieii i no/anii iaoiaee oi?o?ai/ii? iiaeoeoei?
iaoeyoei? o aeiiie c neiae?iiii iieieinoicieo y?/ieeia. — ?oeiien.

Aeena?oaoeiy ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca oaoii 14.00.01 — aeooa?noai oa aiiaeieiaiy. — Iinoeooo iaaeiao?i?,
aeooa?noaa oa aiiaeieiai? AII Oe?a?ie, Ee?a, 1998.

Aeena?oaoeiy i?enay/aia oi?o?ai/iiio iaoiaeo eieoaaiiy oai?eo c
neiae?iiii iieieinoicieo y?/ieeia (NIEss) i iaieiaeiinoth. Aea/aii
iniaeeainoi ii?oi-ooieoeiiiaeueiiai noaio aioo?ioiio noaoaaeo
i?aaiia i ooieoeiiiaeueiee noai nenoaie aiiioic-y?/ieee o aeaiiai
eiioeiaaioo aei i iiney canoinoaaiiy ?iciiiaiioieo aeaeia
oi?o?ai/ii? iiaeoeoei? iaoeyoei?. Anoaiiaeaia aeniea iioi?iaoeaiinoue
aiaeineiii/ieo iaoiaeia o aeiaaiinoeoei NIEss o ii?aeiaiii c iioeie
oaeoi?aie iaieiaeiinoi. I?iaaaeaia ii?iaiyeueia ioeiiea
?acoeueoaoia o?aaeeoeieieo (eeeiiaeaeia ?acaeoeiy y?/ieeia iiae /an
eaia?ioiii?) i no/anieo (aeiaoa?iieiaaoeyoeiy i oa?iieaooa?ecaoeiy
y?/ieeia iiae /an eaia?ineiii?) iaoiaeia oi?o?ai/ii? iiaeoeoei?
iaoeyoei? i?e aeaiie iaoieiai?. Aiaeia?aaeaia aoaeoeaiinoue
eaia?ineiii/ieo iia?aoeie, aeaaii?e?iiee aieea ia ooieoeith
aiiioica?ii-y?/ieeiai? nenoaie. ?aeiiaiaeiaaii oai?ei c NIEss i
iaieiaeiinoth iiney aac?acoeueoaoiiai eiina?aaoeaiiai
eieoaaiiy i?iaiaeeoe eaia?ineiiith c iiaeoeoei?th iaoeyoei? i
iaeii/aniith oi?o?ai/iith ei?aeoei?th ii?aeiaieo oaeoi?ia iaieiaeiinoi.

Aeiiyi A.C. O?aaeeoeeiiiua e nia?aiaiiua iaoiaeu oe?o?ae/aneie
eiaeoeoeee iaoeyoeee o aeaiuei n neiae?iiii iieeeenoiciuo
ye/ieeia. — ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/?iie noaiaie eaiaeeaeaoa
iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.00.01 — aeooa?noai e
aeiaeieiaey. — Einoeooo iaaeeao?ee, aeooa?noaa e aeiaeieiaee AII
Oe?aeiu, Eeaa, 1998.

?aaioa iinayuaia oe?o?ae/aneiio iaoiaeo ea/aiey aieueiuo n
neiae?iiii iieeeenoiciuo ye/ieeia (NIEss) e aanieiaeeai. Eco/aiu
iniaaiiinoe ii?oi-ooieoeeiiaeueiiai ninoiyiey aioo?aiieo iieiauo
i?aaiia e ooieoeeiiaeueiia ninoiyiea nenoaiu aeiioec-ye/ieee o
aeaiiiai eiioeiaaioa aei e iinea i?eiaiaiey ?aciuo aeaeia
oe?o?ae/aneie eiaeoeoeee iaoeyoeee. Onoaiiaeaia aunieay
eioi?iaoeaiinoue yiaeineiie/aneeo iaoiaeia a aeeaaiinoeea NIEss a
ni/aoaiee n ae?oaeie oaeoi?aie aanieiaeey. I?iaaaeaia n?aaieoaeueiay
ioeaiea ?acoeueoaoia o?aaeeoeeiiiuo (eeeiiaeaeiay ?acaeoeey ye/ieeia
i?e eaia?ioiiee) e nia?aiaiiuo (aeeaoa?iieiaaoeyoeey e
oa?iieaooa?ecaoeey ye/ieeia i?e eaia?ineiiee) iaoiaeia
oe?o?ae/aneie eiaeoeoeee iaoeyoeee i?e aeaiiie iaoieiaee. Iieacaia
yooaeoeaiinoue eaia?ineiie/aneeo iia?aoeee, aeaaii?eyoiia

aicaeaenoaea ia ooieoeeth aeiioeca?ii ye/ieeiaie nenoaiu. ?aeiiaiaeiaaii
aieueiui n NIEss e aanieiaeeai iinea aac?acoeueoaoeaiiai
eiina?aaoeaiiai ea/aiey i?iaiaeeoue eaia?ineiieth n eiaeoeoeeae
iaoeyoeee e iaeiia?aiaiiie oe?o?ae/aneie ei??aeoeeae ni/aoaiiuo oaeoi?ia
aanieiaeey.

Hakobian A.Z. Traditional and contemporary methods of surgical
induction of ovulation in POS patients. Manuscript.

Thesis for scientific degree of candidate of medical sciences by
speciality 14.00.01 — Obstetrics and Gynaecology. Institute of
Pediatrics, Obstetrics and Gynaecology, Academy of Medical Sciences of
Ukraine, Kiev, 1998.

The work is dedicated to surgical method of treatment of patients
with polycystic ovaries and infertility. Morphofunctional
state of inner genitals and functional condition of hypophysis-ovary
system was investigated before and after different kinds of
surgical induction of ovulation in given category of patients. High
informativity of endoscopic diagnosis was established in cases of
combination of PCOS with other infertility factors. The effectivity
and favourable influence of laparoscopic operations on
hypophysis-ovarian system functioning was shown. In cases of
ineffective nonsurgical treatment of PCOS we recommend to perform
laparoscopy for induction of ovulation and correction of coexisting
infertility factors at the same time.

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