1

?INOEOOO O?IEIA?? OA IAO?IEIA??

AII OE?A?IE

EAAeITHE ?INOENEAA ?AAAIIAE*

OAeE 616.61-003.7-007.21-085:8373

AEEI?ENOAIIss AENO?AEI?II?AEUeII? E?OIO?EIN??

B E?EOAAII? IAO?IE?O?ACO ?AeEII? IE?EE

14.01.06 – o?ieia?y

AAOI?AOA?AO

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a — 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a ?inoeooo? o?ieia?? oa iao?ieia?? AII Oe?a?ie.

Iaoeiaee ea??aiee:

aeieoi? iaaee/ieo iaoe, i?ioani? Aecth?ae Aaea??e Naiaiiae/, caa?aeoaa/
a?aeae?eo na/ieai’yii? oai?iae ?inoeoooo o?ieia?? oa iao?ieia?? AII
Oe?a?ie.

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Etheueei Ieaen?e Ieaen?eiae/,
caa?aeoaa/ eaoaae?e o?ieia?? Caii??cueeiai ?inoeoooo oaeineiiaeaiiy
e?ea??a;

aeieoi? iaaee/ieo iaoe, i?ioani? Iaiai?i Aieiaeeie? ?icoiieeiae/,
caa?aeoaa/ eaoaae?e o?ieia?? Eoaainueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.

I?ia?aeia onoaiiaa: Iaeanueeee aea?aeaaiee iaaee/iee oi?aa?neoao.

Caoeno a?aeaoaeaoueny “ 16 ” eenoiiaaea 1999 ?. i 1330 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee ( Ae 26.615.01 ) i?e ?inoeooo?
o?ieia?? oa iao?ieia?? AII Oe?a?ie, ca aae?anith: 04053, i. Ee?a, aoe.
TH.Eioethaeinueeiai, 9-A.

C aeena?oaoe??th iiaeii iciaeiieoenue o a?ae?ioaoe? ?inoeoooo o?ieia??
oa iao?ieia?? AII Oe?a?ie ca aae?anith: 04053, i. Ee?a, aoe.
TH.Eioethaeinueeiai, 9-A.

Aaoi?aoa?ao ?ic?neaiee “ 14 ” aeiaoiy 1999 ?ieo.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe
Aieei I.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie

E?eoaaiiy iao?ie?o?aco ?aeeii? ie?ee ? iaei??th c iaea?eueo neeaaeieo
i?iaeai a o?ieia??. A Oe?a?i? niinoa??aa?oueny ae?ia?aeia ca?eueoaiiy
?iciianthaeaeaiino? na/ieai’yii? oai?iae. Iao?ie?o?ac iin?aea? ae?oaa
i?noea a no?oeoo?? caoai?thaaiino? oai?iaaie ie?ie ? na/iaea?aeieo
oeyo?a, o?ao? — a no?oeoo?? i?e/ei nia?o?, /aoaa?oa-na?aae i?e/ei
?iaae?aeiino? aiane?aeie o?ieia?/ii? iaoieia?? (Aic?aiia I.O., 1998).
Ui??/ii aeeiio?oueny iiiaae 2000 iao?aeoii?e. E?euee?noue oeeo iia?aoe?e
ca inoaii? 10 ?ie?a ca?eueoeeanue a 1,2 ?ace (Iaaeiaa E.I., 1997).
Na/ieai’yia oai?iaa neeaaea? 28,6 % o ?iciiae?e? oai?eo c ?aeeiith
ie?eith a caeaaeiino? a?ae i?e/ei iao?aeoii??. *anoioa ?aoeeaeea?a i?e
iao?ie?o?ac? ?aeeii? ie?ee aeinyaa? 28-56 % (Iaaeiaa E.I., 1991).

Oe?iea ?iciianthaeaeai?noue na/ieai’yii? oai?iae, iaaecia/ai?noue
ao?ieia?? oa iaoiaaiaco, aaeeea /anoioa ?aoeeaeeaoaaiiy, neeaaei?noue
o??o?a?/ieo ao?o/aiue ia ?aeei?e ie?oe? — ana oea iaoiiaeth?
aeooaeuei?noue iiooeo oeyo?a oaeineiiaeaiiy e?eoaaiiy oe??? iaoieia??.

Aei a?aee?eooy aeno?aei?ii?aeueii? e?oio?ein?? oaeoeea e?eoaaiiy oai?eo
c ?aeeiith ie?eith caeaaeaea a?ae o?eaaeino? caoai?thaaiiy, oa?aeoa?a
iano?oeoe??, iayaiino? oneeaaeiaiue. Eiina?aaoeaia e?eoaaiiy aeeth/aei
aeei?enoaiiy aioeaaeoa??aeueieo i?aia?ao?a, ca?eueoaiiy ae?o?aco oeyoii
aaeeaaiiy ??aeeie oa ae?o?aoee?a, iineeaiiy o?ce/ii? aeoeaiino?
(Eieiaeia ?.N., 1990), a oaeiae ia?i?aeueia aaeeaaiiy e?oie?oe/ieo
i?aia?ao?a (Aecth?ae A.N., 1987).

sseui i?aenoaa ia naiino?eia a?aeoiaeaeaiiy eaiaiy aai eiai ?ic/aiaiiy
ia aoei, oi a caeaaeiino? a?ae iieiaeaiiy ? ?ici???a eiie?aiaioa
i?iaiaeeeinue o??o?a?/ia aai ?ino?oiaioaeueia eiai aeaeaeaiiy. No?iee
iia?aoe??, ia’?i o??o?a?/iiai ao?o/aiiy, oa?aeoa? ia?aae- oa
i?neyiia?aoe?eii? oa?ai?? aecia/aeenue noaiii oai?iai, eieae?caoe??th
eaiaiy oa eiai ?ici??aie, iayai?noth oneeaaeiaiue, ooieoe?iiaeueiei
noaiii ie?ee (Eaae??? O.?., 1993).

A?aee?eooy ? oe?iea ai?iaaaeaeaiiy a i?aeoeeo aeno?aei?ii?aeueii?
oaea?ii-oaeeueiai? e?oio?ein?? (AOOE) i?eaaei aei aeiei??iieo ci?i a
e?eoaaii? na/ieai’yii? oai?iae (Chaussy C.G., 1982, Preminger G.M.,
1995). Ia aeoieo aaaaoueio aaoi??a iayai?noue eiie?aiaioa a ?aeei?e
ie?oe? ? iieacaiiyi aei AOOE (Aaiiiaiei A.?., 1994; Aecth?ae A.N., 1994;
Etheueei I.A., 1993). Iiceoeai? ?acoeueoaoe iaea?aeai? i?e e?eoaaii?
ei?aeiaeaeiiai iao?ie?o?aco ?aeeii? ie?ee (Aecth?ae A.N.,1996; Streem
S.B.,1993). Ii?aeiaiiy aeno?aei?ii?aeueii? e?oio?ein?? c e?oie?cii
a?aee?eei iia? ia?niaeoeae (Aic?aiia I.O.,1994). AOOE ? aoaeoeaiei,
iaeio?aaiaoe/iei iaoiaeii e?eoaaiiy, ui ia i?eaiaeeoue aei iia??oaiiy
ooieoe?? ?aeeii? ie?ee (O?eioa O.I.,1996; Karlsen S.J.,1991).

A oie aea /an iia?aeiiey?oueny i?i iaaaoeaiee aieea oaea?ieo oaeeue ia
ii?oieia?/ii-ooieoe?iiaeueiee noai ia?aioeie ie?ee (Aa?aiiee N.?.,1997;
Marsellan F.J.,1988; Liedl B.,1989). O?aaia ie?ee i?ae /an e?oio?ein??,
niiioaiiee oa?aeoa? a?aeoiaeaeaiiy o?aaiaio?a eaiaiy iiaeooue i?ecaanoe
aei na?eicieo oneeaaeaiue, oaeeo ye aaiaoiia, aino?ee i?aeiiao?eo
?aeeii? ie?ee, aio??y (Aecth?ae A.N.,1994). Aeei?enoaiiy
aeno?aei?ii?aeueii? oaea?ii-oaeeueiai? e?oio?ein?? a e?eoaaii? oai?eo
iao?ie?o?acii ?aeeii? ie?ee aeeeeea? iaaaci?aenoaaio iaa?aaei?noue. Ia
aecia/ai? iiaeeeaino? oeueiai iaoiaea, iieacaiiy ? i?ioeiieacaiiy,
?aoe?iiaeueia iaoiaeeea i?iaaaeaiiy AOOE, oaeoeea aaaeaiiy oai?eo a
i?neyiia?aoe?eiiio ia??iae?, i?io?eaeoeea oneeaaeiaiue o oai?eo c
?aeeiith ie?eith.

Oiio aea/aiiy iniaeeainoae aeei?enoaiiy aeno?aei?ii?aeueii? e?oio?ein??
o oai?eo iao?ie?o?acii ?aeeii? ie?ee ia? aaeeea iaoeiaa ? i?aeoe/ia
cia/aiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie

Aeena?oaoe?eia ?iaioa ? o?aaiaioii iaoeiai-aeine?aeii? oaie,
caoaa?aeaeaii? AeEIO, iiia? aea?aeaaii? ?a?no?aoe?? 0198U001636.

Iaoa aeine?aeaeaiiy:

iie?ioeoe ye?noue e?eoaaiiy oai?eo iao?ie?o?acii ?aeeii? ie?ee oeyoii
?ic?iaee i?eioeei?a iioeiaeueiiai aeei?enoaiiy aeno?aei?ii?aeueii?
oaea?ii-oaeeueiai? e?oio?ein??.

Caaea/? aeine?aeaeaiiy:

1. Aecia/eoe iieacaiiy ? i?ioeiieacaiiy aei aeno?aei?ii?aeueii?
e?oio?ein?? eaiai?a ?aeeii? ie?ee.

2. ?ic?iaeoe iioeiaeueio iaoiaeeeo e?oio?ein??, aaaeaiiy ia?aae- ?
i?neyiia?aoe?eiiai ia??iae?a.

3. Aea/eoe aoaeoeai?noue, iaeaeeae/? oa a?aeaeaeai? ?acoeueoaoe
aeei?enoaiiy AOOE a e?eoaaii? iao?ie?o?aco ?aeeii? ie?ee.

4. Aea/eoe ci?ie ooieoe?iiaeueiiai noaio ?aeeii? ie?ee aei ? i?ney
e?oio?ein??.

5. I?iaanoe aiae?c oneeaaeiaiue, ?ic?iaeoe caoiaee ?o onoiaiiy ?
i?io?eaeoeee.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

Aia?oa eiiieaenii aea/aii oa?aeoa? aieeao oaea?ieo oaeeue ia
ooieoe?iiaeueiee noai ?aeeii? ie?ee a iaeaeeae/ee ? a?aeaeaeaiee i?ney
AOOE ia??iaee. Anoaiiaeaii, ui AOOE i?eaiaeeoue aei cieaeaiiy
eeoai/eiai? o?eueo?aoe??, iia??oaiiy nae?aoi?ii-aene?aoi?ieo i?ioean?a
oa i?e?ioee?eoeyoe?? a ia?o? 3 aeiae i?ney AOOE. Aea oe? ci?ie cai?ioi?,
? aaea /a?ac 1 i?nyoeue i?ney iia?aoe?? a?aeaoaa?oueny cia/ia iie?ioaiiy
ooieoe?? ie?ee, ca?eueoo?oueny (ia 23 %) ?? ooieoe?iiaeueiee ?aca?a. O
a?aeaeaeaiee (aei 5 ?ie?a) ia??iae ooieoe?y ie?ee noaa?e?co?oueny,
caa??aa?oueny iie?ioaiiy aene?aoe??.

Oaeineiiaeaia oaoi?ea e?oio?ein?? a caeaaeiino? a?ae eieae?caoe?? oa
?ici???a eiie?aiaioa. Anoaiiaeaii, ui i?e ?icoaooaaii? eaiaiy a /aoa/eao
ie?ee aia?a?y ?iioeuen?a ia? aooe i?i?iaeueiith (aei 17 eA), o ienoe? —
17-18 eA, a na/iaiae? i?eionoei? iaeneiaeuei? ?aaeeie. I?e ?ici??ao
eiie?aiaioa a?eueoa 1,5 ni aeioe?eueii ?oeioaaoe eai?iue o aeae?eueea
naain?a, a ia aeei?enoiaoaaoe aei?noe? (c iai?oaith a?eueoa 18 eA)
?aaeeie e?oio?ein??.

?ic?iaeaia ?aoe?iiaeueia oaeoeea aaaeaiiy ia?aae- ? i?neyiia?aoe?eiiai
ia??iae?a, yea aeeth/a? iaia’yceiaa e?eoaaiiy eaeueeoeueiciiai
i?aeiiao?eoo ? anoaiiaeaiiy noaioo i?e ?ici??ao eaiaiy a?eueoa 1,5 ni
aei AOOE; iiaiaeeiiee eiio?ieue ca ae?o?acii i?ney e?oio?ein?? ? iaaaeia
a?aeiiaeaiiy ianaaeo na/? i?e iano?oeoe?? na/iaeo oeyo?a o?aaiaioaie
eiie?aiaioa.

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

Aeeiiaia aeine?aeaeaiiy aeicaieeei iaa?oiooaaoe i?eioeeie
?aoe?iiaeueiiai aeei?enoaiiy AOOE o oai?eo c ?aeeiith ie?eith.

Aecia/ai? e?eoa??? a?aeai?o oai?eo ia iao?ie?o?ac ?aeeii? ie?ee aeey
e?eoaaiiy iaoiaeii aeno?aei?ii?aeueii? e?oio?ein??. Anoaiiaeaii, ui
iieacaiiyi aei AOOE o oai?eo c ?aeeiith ie?eith ? iayai?noue o ie?oe?
aai na/iaiae? eiie?aiaioa ?ici??ii aei 2,5 ni, yeee i?eaiaeeoue aai
iiaea i?eaanoe aei ii?ooaiiy o?iaeeiai?ee; i?ioeiieacaiiyi – aino?ee
/aai caaino?aiiy o?ii?/iiai/ i?aeiiao?eo, iayai?noue iooeeie ie?ee aai
na/iaiaeo, ii?ooaiiy caeaoiino? e?ia? aei cai?oaiiy, ui ia i?aeaea?oueny
ei?aeoe??.

?ic?iaeaia iaoiaeeea e?oio?ei?? o oai?eo c ?aeeiith ie?eith a
caeaaeiino? a?ae ?ici??o ? eieae?caoe?? eiie?aiaioa.

Cai?iiiiiaaii iii?oi??ia ca noaiii oai?eo i?ney AOOE c o?aooaaiiyi
?acoeueoao?a caaaeueiiee?i?/ieo, ?aioaaiieia?/ieo, oeueo?acaoeiaeo ?
a?io?i?/ieo aeine?aeaeaiue.

?ic?iaeaii ia?ae?e caoiae?a i?io?eaeoeee oneeaaeiaiue e?oio?ein??.

Iniaenoee aianie caeiaoaa/a

?aeay aeena?oaoe?eii? ?iaioe cai?iiiiiaaia iaoeiaei ea??aieeii.
Caeiaoaa/aa? iaeaaeeoue aecia/aiiy caaea/, aaeaeaaoieo iao?
aeena?oaoe?eii? ?iaioe, oa iaoiaeieia?/ii? iniiae ?? aeeiiaiiy. A?aea??,
ianoaaeaiiy ? e?eoaaiiy oai?eo ia iao?ie?o?ac ?aeeii? ie?ee aei ? i?ney
e?oio?ein?? i?iaiaeeeenue aaoi?ii naiino?eii. AOOE aeeiioaaeenue ye
naiino?eii, oae ? c iaoeiaei ea??aieeii. ?ioa?i?eoaoe?y caeiaooeo
?acoeueoao?a, iaoeiaeo iieiaeaiue oa aeniiae?a aeeiioaaeenue ?acii c
iaoeiaei ea??aieeii. ?aae?ieia?/i? oa a?io?i?/i? aeine?aeaeaiiy
i?iaaaeaii ni?eueii c oao?aoeyie a?aeiia?aeiiai i?io?eth.

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

Iniiai? iieiaeaiiy aeena?oaoe?? aeiiia?aeaeeny ia iaoeiai-i?aeoe/iee
eiioa?aioe?? ?inoeoooo o?ieia?? oa iao?ieia?? (1993), ia VII Ieaioi?
I?aae?iiy Oe?a?inueeiai oiaa?enoaa o?ieia?a (Ee?a, 1995), ia II
eiioa?aioe?? o?ieia?a Eacaonoaia (Aeiaoe, 1995), ia VIII Ieaioi?
Anioe?aoe?? o?ieia?a Oe?a?ie (O?oneaaaoeue, 1998). Aeena?oaoe?eia ?iaioa
ai?iaiaaia ia iaoeiai-i?aeoe/i?e eiioa?aioe?? ?inoeoooo o?ieia?? oa
iao?ieia?? (1999).

Ioae?eaoe??

Ca oaiith aeena?oaoe?? iioae?eiaaii 13 iaoeiaeo ?ia?o, c yeeo 3 — o
iaoeiaeo oaoiaeo aeaeaiiyo o aeaeyae? aeo?iaeueieo noaoae.

No?oeoo?a ? ianya ?iaioe

Aeena?oaoe?eia ?iaioa neeaaea?oueny ?c anooio, iaeyaeo e?oa?aoo?e, 4
?icae?e?a aeanieo aeine?aeaeaiue, aeniiae?a, nieneo aeei?enoaieo
aeaea?ae yeee aeeth/a? 232 ?iaioe ( 98 a?o/eciyieo oa 134 ca?oa?aeieo
aaoi??a). Aeena?oaoe?th aeeeaaeaii ia 140 noi??ieao iaoeiiieno,
?ethno?iaaii 25 ?enoieaie oa 7 oaaeeoeyie.

INIIAIEE CI?NO

Iaoa??aee, iaoiaee ? ianya i?iaaaeaieo aeine?aeaeaiue

A ?iaio? i?iaaaeaii aiae?c ?acoeueoao?a e?eoaaiiy 143 oai?eo
iao?ie?o?acii ?aeeii? ie?ee. *ieia?e?a aoei 69/48%/, ae?iie- 74 /52%/.
A?e iaoe?aio?a a?ae 26 aei 74 ?ie?a, na?aaei?e a?e 502,6 ?ie?a. ?aeeio
i?aao ie?eo iaee 72 oai?eo, ?aeeio e?ao -71 oai?ee. 50 /35%/ oai?eo iaee
?aoeeaeeai? eaiai?. ?ici??e eiie?aiaio?a a?ae 0,6 aei 4,3 ni, a
na?aaeiueiio 2,00,2 ni; o 14 /9,8%/ aoee ei?aeiiiae?ai? eaiai?, o 23
/16%/ -aaaaoi/enaeuei? eaiai?. 82 /57%/ oai?ei aoei aeeiiaii
aeno?aei?ii?aeueio oaea?ii-oaeeueiao e?oio?ein?th, 61 /43%/- a?aee?eoa
o??o?a?/ia ao?o/aiiy.

AOOE i?iaiaeeee ia e?oio?eioi?? MPL-9000 “Dornier” /I?ia//eia/, yeee
aeei?enoiao? aeaeo?ia?ae?aae?/iee i?eioeei aaia?aoe?? oaea?ieo oaeeue ?
ia? oeueo?acaoeiao oa ?aioaaiieia?/io nenoaie eieaoe?? eiie?aiaioa.

An? oai?? i?ioiaeeee eiiieaenia ianoaaeaiiy, yea aeeth/aei
caaaeueiiee?i?/i?, eaai?aoi?i?, ?aioaaiieia?/i?, oeue?acaoeiaa oa
?aae?ieia?/i? aeine?aeaeaiiy. A noaio ianoaaeaiiy aoiaeeei: aea/aiiy
aiaiiaco, ee?i?/iee iaeyae, caaaeuei? aiae?ce e?ia? oa na/?, a?io?i?/i?
aiae?ce e?ia? /aecia/aiiy e?aaoeieio, na/iaeie, oeoe?o, aeaeo?ie?o?a,
a?e??oa?ia, a?eeiaeo o?aeoe?e/, ee??ain-oanoe /eeoai/eiaa o?eueo?aoe?y
oa eaiaeueoeaaa ?aaani?aoe?y/, eiaaoeia?aia, o?ainii?o nieae,
iiaiaeeiiee ae?o?ac, i?e?ia?ieia?/ia aeine?aeaeaiiy na/? c
aioea?ioeeia?aiith. ?aioaaiieia?/ia ianoaaeaiiy neeaaeaeinue c
iaeyaeiai? oa aene?aoi?ii? o?ia?ao??, i?e iaiao?aeiino? aeiiiaithaaeinue
?ao?ia?aaeiith o?aoa?ii?aeia?ao??th. Oeueo?acaoeiaa aeine?aeaeaiiy
i?iaiaeeeinue ia aia?ao? “Brul & Kjer” /Aeai?y/ c iaia’yceiaei
neaioaaiiyi ie?ee a o?ueio i?iaeoe?yo. ?aae?iioee?aei? iaoiaee aeeth/aee
?aae?i?cioiiio ?aiia?ao?th c 131?-a?io?aiii, aeeiai?/io eiii’thoa?io
iao?inoeeio?a?ao?th c 131?-a?io?aiii ? 99mOn-AeOIA, c aecia/aiiyi
eeoai/eiai? o?eueo?ao?? oa aoaeoeaiiai ie?eiaiai ieaciiia?ao; iai?yio
aia?iiao?inoeeio?a?ao?th. Aeine?aeaeaiiy i?iaiaeeeinue ia aaia-eaia??
“Nucleotron” /Aieaiae?y/.

Ia?iaeo ?acoeueoao?a i?iaaaeaieo aeine?aeaeaiue cae?enithaaee c
aeei?enoaiiyi caaaeueiii?eeiyoeo iaoiae?a noaoenoe/ii? ia?iaee aeaieo ia
eiii’thoa?? AAI-AO c ?ioaa?iaaiei iaeaoii “QPRO” oa noaoenoe/iei iaeaoii
“Statgraf”.

?acoeueoaoe aeanieo aeine?aeaeaiue.

Aea/aiiy ?acoeueoao?a e?eoaaiiy 82 oai?eo, yeei aoei aeeiiaii
aeno?aei?ii?aeueio oaea?ii-oaeeueiao e?oio?ein?th iieacaei, ui aaaeeeaei
oaeoi?ii, yeee iaoiiaeth? oni?o oa?ai?? ? ?aoaeueiee a?aea?? oai?eo,
/?oea aecia/aiiy iieacaiue ? i?ioeiieacaiue aei oeueiai iaoiaea
e?eoaaiiy. Iieacaiiyi aei AOOE aoea iayai?noue o ie?oe? aai na/iaiae?
eiie?aiaioo ?ici??ii aei 2,5 ni, yeee i?eaiaeea, aai i?a iioaioe?eii
i?eaanoe aei ii?ooaiiy o?iaeeiai?ee. Aaaaea?ii ca aeioe?eueia aeae?eyoe
eaiai? ?aeeii? ie?ee ?ici??ii aei ? iiiaae 1,5 ni. I?e AOOE-iiiioa?ai??
eaiai?a ?ici??ii iiiaae 1,5 ni cia/ii c?inoa? e?euee?noue oneeaaeiaiue,
iaoiiaeaieo iano?oeoe??th o?aaiaioaie eaiaiy na/iaeo oeyo?a /ie?eia?
eieueee, caaino?aiiy i?aeiiao?eoo, ie?ai- oa aio??y/, ui iio?aao?
iaa?aeeeaaeieo ao?o/aiue /eaoaoa?ecaoe?y na/iaiaea, anoaiiaeaiiy noaioo,
o?aoa?ie?oiaeno?aeoe?y, ia?eooaiia iao?inoii?y/. I?ioeiieacaiiyi aei
AOOE ? aino?ee /aai caaino?aiiy o?ii?/iiai/ i?aeiiao?eo, iayai?noue
iooeeie ie?ee aai na/iaiaea, ii?ooaiiy cai?oaiiy e?ia?, ui ia
i?aeaea?oueny ei?aeoe??.

Ia?aaeiia?aoe?eia ianoaaeaiiy aeyaeei oae? ?acoeueoaoe. Cieaeaiiy
aaiiaeia?io e?ia? aei 1092 a/e a?aei?/aii o 11 /13%/ oai?eo, eaeeioeeoic
aoa i?aeaeuaiee o 8 /10%/ oai?eo aei 121,5 o109/e. Iieacieee e?aaoeieio
oa na/iaeie ne?iaaoee e?ia? aoee i?aeaeuaieie o 12 /15%/ oai?eo aei
0,1720,1 iiieue/e ? 13,11,2 iiieue/e a?aeiia?aeii. Ci?ie a caaaeueiiio
aiae?c? na/? aeyaeai? o 70 /88%/ oai?eo. ?ino o?eiieoeueoo?e iaea?aeaii
o 29 /35%/ oai?eo. Ia i?aenoaa? o?ia?ao?? oa OCAe aecia/ai? ?ici??e
eaiai?a: 0,6-2,5 ni, a na?aaeiueiio 1,40,2 ni. 5 /6%/ oai?eo iaee 2
eaiai?, 1 /1%/ oai?ee –3 eaiai?. Eieae?caoe?y eiie?aiaio?a: o ienoe?
ie?ee –65 /80%/, o /aoa/eao – 14 /17%/, o aa?oi?e o?aoei? na/iaiaea- 3
/3%/ aeiaaeee. ?aae?i?cioiiia ?aiia?ao?y aoea aeeiiaia 40 oai?ei,
aeeiai?/ia iao?inoeeio?a?ao?y c aia?iiao?inoeeio?a?ao??th 31 oai?iio.
?acoeueoaoe iaaaaeai? a oaaeeoeyo ? 1, 2.

Oaaeeoey ?1.

Iieacieee ?aae?i?cioiiii? ?aiia?ao?? /??A/ o oai?eo iao?ie?o?acii
?aeeii? ie?ee aei ? i?ney AOOE.

IieacieeeAei I?ney AOOEAOOE3 aeiae3 i?nyoe?1 ??e3 ?iee5 ?ie?aO
iaen, oa.4,00,53,80,43,70,33,70,33,80,44,00,4O 1/2,
oa.221,8352,2*120,7*100,8*111,0*121,0*A,
?ii/n845,2925,1934,5914,6943,7933,5IA,
%663,1753,0*553,5*543,3553,1553,5AII,
ie/oa4212651328*50225*468244802847421

Oaaeeoey ?2.

Iieacieee aeeiai?/ii? iao?inoeeio?a?ao?? o oai?eo

iao?ie?o?acii ?aeeii? ie?ee aei ? i?ney e?oio?ein??.

iieacieeeaei AOOEi?ney AOOE3 aeiae1 i?nyoeue1??e3 ?iee5?ie?aOiaen,
oa4,5±0,37,8±0,5*5,0±0,44,3±0,44,5±0,54,5±0,4T1/2,
oa48±3,672±4,1*29±3,0*32±3,1*34±4,0*35±3,8*EO,
ie/oa46±2,138±2,257±2,8*58±3,5*56±3,2*55±3,1*O?I,
%47±2,640±2,058±2,8*60±3,3*58±2,1*58±2,4*Oa,
n8,2±0,38,0±0,26,5±0,6*7,2±0,67,0±0,56,8±0,5O1/2aai.,n18±1,121±1,317±1,2
18±1,317±1,820±1,4IAAA,
%36±1,927±1,7*34±2,126±2,9*30±3,126±3,0*I?ei?oea. *?<0,05. Aiae?c ?aii- oa noeeio?a?ai aeyaea iii??ia cieaeaiiy nae?aoi?ii-aene?aoi?ieo i?ioean?a o ie?oe? i?e caa?aaeaii? ooieoe?iiaeueiiai ?aca?ao ie?ee. Oai?ei c ?ici??aie eiie?aiaioa a?eueoa 1,5 ni a ia?aaeiia?aoe?eiiio ia??iae? anoaiiaethaaany noaio. An?i oai?ei c eaeueeoeueiciei i?aeiiao?eoii iaia’yceiai i?iaiaeeeanue aioeaaeoa??aeueia oa?ai?y ca?aeii aioea?ioeeia?aie. 58 /71%/ oai?ei i?iaaaeaii 1 naain e?oio?ein??, 20 /24%/ -2 naaine, 4 /5%/ -3 naaine; na?aaeiy e?euee?noue AOOE o iaeiiai oai?iai- 1,30,12. O?eaae?noue iaeiiai naaino AOOE 30-40 oaeeei. A 81 oai?iai e?oio?ein?y aeeiioaaeinue i?ae eiio?ieai oeueo?acaoeo, a 1 oai?iai c eaiaiai aa?oiuei? o?aoeie na/iaiaea- i?ae ?aioaai-eiio?ieai. AOOE i?iaiaeeeanue a?ae aioo??oiueiaaiiie aianoac??e /oaioai?e 0,005% 4,0-6,0 ie + aiaeuea?i 50% 2,0-4,0 ie + ae?iaae?ie 1% 1,0 ie/. Oaeee aeae aianoac?? caaacia/o? aaeaeaaoia ciaaieaiiy ? caa??aa? eiioaeo c oai?ei. Oea aeicaiey? iniaai ?c ca?eueoaiith aeeoaeueiith aeneo?n??th ie?ee naiia?eueii ?aaoethaaoe aeeaeio aeeoaiiy, ui ciaioo? ?ooeea?noue ie?ee ? ni?ey? a?eueo oi/i?e oieone?iaoe? eaiaiy. Oneeaaeiaiue i?ae /an e?oio?ein?? ia aoei. Aeac?ioaa?aoe?y eiie?aiaioa aeeiioaaeinue i?e iai?oc? ia aeaeo?iae? 16-18 eA. E?euee?noue oaea?ieo oaeeue ia 1 naain 500-2100, a na?aaeiueiio 1800. O an?o oai?eo aeinyaiooa caaeia?eueia o?aaiaioaoe?y eiie?aiaioa. Iaea?eueo a?aeiia?aeaeueiei aoaiii a e?eoaaii? oai?eo iao?ie?o?acii ?aeeii? ie?ee ? i?neyiia?aoe?eiee ia??iae, a yeiio oai?ee iio?aao? iino?eiiai aeeiai?/iiai iaaeyaeo. O 67 /82%/ oai?eo o?aaiaioe eaiaiy a?ae?eoee naiino?eii, aac aeiaeaoeiaeo i?ecia/aiue oa aiaeio?ieia?/ieo iai?ioeyoe?e. Aaeeeiai cia/aiiy o oai?eo c ?aeeiith ie?eith iaa eiio?ieue ca ae?o?acii. O 11 /13%/ oai?eo, aiane?aeie iaoo?aoe?? o?aaiaioaie eaiaiy na/iaeo oeyo?a aeieeea ie?ao??y, a ca’yceo c /ei aoea i?iaaaeaia eaoaoa?ecaoe?y na/iaiaeo. 1 /1%/ oai?iio c e?oiiei /0,6 ni/ o?aaiaioii eaiaiy ieaeiuei? o?aoeie na/iaiaeo aoea i?iaaaeaia o?aoa?ie?oiaeno?aeoe?y. A iaei??? oai?i? ia o?aoth aeiao i?ney e?oio?ein?? ?icaeany aino?ee aiinoaiaoiciee i?aeiiao?eo, ui aeeeeeaei iaiao?aei?noue iaaaeiiai o??o?a?/iiai ao?o/aiiy – ?aa?c?? oa ae?aioaaiiy ie?ee. 5 /6%/ oai?ei c na/ieeneeie eaiaiyie i?ney AOOE i?iaiaeeany aeno?aeiee e?oie?c c aeei?enoaiiyi i?aia?aoo “Ienie?o”. O an?o iaoe?aio?a aoei aeinyaiooi iiaia ?ic/eiaiiy o?aaiaio?a eaiaiy. I?e iaoneeaaeiaiiio ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo oai?? aeienoaaeenue c ee?i?ee ia 4-7 aeaiue. A na?aaeiueiio oai?? ia?aaoaaee ia e?aeeo 102,3 aei?a. Ia iiiaio aeienee c ee?i?ee ca aeaieie ?aioaaiieia?/iiai oa oeueo?acaoeiaiai aeine?aeaeaiue eiie?aiaioe ia aeciaaaeenue o 69 /84%/ oai?eo, 11 /13%/ oai?eo iaee o?aaiaioe eaiaiy ?ici??ii aei 2 ii, ye? ia caoeiaeaeaee ianaaeo na/? ? iaee oaiaeaioe?th aei naiino?eiiai a?aeoiaeaeaiiy. 3 /3%/ oai?ei c o?aaiaioaie o?aoieo eiie?aiaio?a aoea i?ecia/aia oeeo?aoioa?ai?y. Eiio?ieuei? eaai?aoi?i? ianoaaeaiiy, ui i?iaiaeeeenue a ?aiiueiio i?neyiia?aoe?eiiio ia??iae? aeyaeee iacia/ia cieaeaiiy aaiiaeia?io e?ia? /ia 2 a/e/ oa i?aeaeuaiiy OIA /ia 4 ii/aiae./. A aiae?c? na/? a?aei?/aeinue i?aeaeuaiiy ci?noo a?eea ia 0,3 a/e, aaiaoo??y, i?aeaeuaiiy e?eueeino? ai?oae?th oa nieae /?<0,05/. E?aaoeiei ne?iaaoee e?ia? ciaiooaaany a na?aaeueiio ia 0,012 iiieue/e ? noaiiaea 0,1070,021 iiieue/e. O 8 /10%/ oai?eo iaei i?noea i?aeaeuaiiy e?aaoeieio aei 0,2 iiieue/e. Iaeyaeiaa o?ia?ao?y oa OCAe aeeiioaaeenue ia o?ao?e aeaiue i?ney AOOE an?i oai?ei. O 16 /20%/ oai?eo aoea aeyaeaia “eai’yia aei??aeea” a na/iaiae?. 33 /40%/ oai?eo iaee ?icoe?aiiy /aoa/eiai-ieneiai? nenoaie. *a?ac 3 i?nyoe? i?ney AOOE ci?i a caaaeueiiee?i?/ieo aeine?aeaeaiiyo ii??aiyii c aeiiia?aoe?eieie ia io?eiaii. Ca aeaieie o?ia?ao?? oa OCAe o 77 /94%/ oai?eo ia aeyaeaii eiie?aiaio?a a na/iaeo oeyoao. O 5 /6%/ oai?eo aoee aeyaeai? aoi-iiceoeai? aeeth/aiiy a ieaei?e /aoa/oe? ?ici??ii aei 4 ii c ia/?oeith aeonoe/iie o?iith. Noai ia?aioeie oa ii?iaeieiii? nenoaie ia a?ae??ciyany a?ae aeiiia?aoe?eiiai. I?e eiio?ieueieo ianoaaeaiiyo /a?ac 1-5 ?ie?a i?ney AOOE niinoa??aaeanue noaa?e?caoe?y iieaciee?a eaai?aoi?ieo aeine?aeaeaiue. Ia i?aenoaa? ?aioaaiieia?/iiai oa oeueo?acaoeiaiai aeine?aeaeaiue o 2 /2%/ oai?eo /a?ac 5 ?ie?a i?ney AOOE aeyaeaii ?aoeeaeeai? eaiai? ?ici??ii 0,8 ni oa 1,2 ni, o ca’yceo c /ei aoee i?iaaaeai? iiaoi?i? AOOE. Ci?i a no?oeoo?? ie?ee, noai? ia?aioeie oa /aoa/eiai-ieneiai? nenoaie ia niinoa??aaeinue. Aiae?c ?acoeueoao?a e?eoaaiiy oai?eo iao?ie?o?acii ?aeeii? ie?ee c aeei?enoaiiyi aeno?aei?ii?aeueii? oaea?ii-oaeeueai? e?oio?ein?? aeicaieea iaa?oiooaaoe caoiaee ii i?io?eaeoeoe? oneeaaeiaiue i?ney AOOE: 1)?aoaeueiee a?aea?? oai?eo ca?aeii iieacaiue ? i?ioeiieacaiue. 2) I?iaaaeaiiy aioeaaeoa??aeueii? oa?ai?? oai?ei o?ii?/iei i?aeiiao?eoii aei ? i?ney AOOE ca?aeii c ?acoeueoaoaie aaeoa??ieia?/iiai aeine?aeaeaiiy na/?. 3)Iiia?aaei? anoaiiaeaiiy noaioo i?e eiie?aiaioao ?ici??ii a?eueoa 1,5 ni. 4) E?oio?ein?y iiaeiia i?iaiaeeoenue a aa?aaeeeaiio ?aaeei? c iai?oaith aei 18 eA. I?e AOOE eiie?aiaio?a ?ici??ii a?eueoa 1,5 ni aeioe?eueii ?icae?eeoe aeac?ioaa?aoe?th eaiaiy ia 2-3 naaine, a ia aeei?enoiaoaaoe aei?noe? ?aaeeie e?oio?ein??. 5) A i?neyiia?aoe?eiiio ia??iae? iio??aai iiaiaeeiiee eiio?ieue ca ae?o?acii. A ?ac? aeieeiaiiy ie?ao??? i?e a?aenooiino? aoaeoo iaaeeeaiaioicii? oa?ai?? ia i?ioyc? 6 aiaeei, a i?e aio??? – iaaaeii iaiao?aeii eaoaoa?ecoaaoe na/iaiae, aai ae?aioaaoe ie?eo ioieoe?eiith iao?inoiiith. 6) Aeieeiaiiy aino?iai i?aeiiao?eoo i?ney AOOE iio?aao? iaa?aeeeaaeiiai iaae?eiiai ae?aioaaiiy ?aeeii? ie?ee, ?ioaineaii? aioeaaeoa??aeueii?, i?ioecaiaeueii? oa?ai??. Iniaeeaiai cia/aiiy a ?iaio? ie i?eae?eyee aea/aiith ooieoe?iiaeueiiai noaio ?aeeii? ie?ee. Ca aeaieie ee??ain- oano?a, aecia/aieo a?io?i?/iei iaoiaeii, eeoai/eiaa o?eueo?aoe?y a ia?oee aeaiue i?ney AOOE ciaioeeanue ia 9%, ia 10 aeiao ca?eueoeeanue ia 7,5% ii??aiyii c aeiiia?aoe?eiei ??aiai. Aiiaeaeueoiio oeae iieaciee nooo?ai ia ci?ithaaany. Eaiaeueoeaaa ?aaani?aoe?y aiaee a ?aiiueiio oa a?aeaeaeaiiio i?ney AOOE ia??iaeao noaoenoe/ii ae?ia?aeii ia ci?ithaaeanue. Aiae?c ?acoeueoao?a ?aae?i?cioiiii? ?aiia?ao?? iieacaa /aeea. oaae. ?1/, ui ia 3 aeaiue i?ney AOOE aeinoia??ii iia??oeany /an iaa?aaeaaaeaiiy ?aae?ioa?ii?aia?aoo /T1/2/ ia 58%, ca?eueoeany aoaeoeaiee ie?eiaee ieaciiia?a /AII/ ia 22% oa iieaciee A?ioa?a /IA/ ia 14%. Iie?auaeenue iieacieee /ano iaeneiaeueiiai iaeiie/aiiy ?cioiia / O iaen / oa aiie?ooaea ?aiia?aie /A/. *a?ac 3 i?nyoe? i?ney e?oio?ein?? niinoa??aaeinue cia/ia iie?auaiiy /ia 44%/ /ano iai?aaeaaaeaiiy ?cioiia oa iieacieea A?ioa?a /?<0,05/. Oaeei /eiii, a?aeaoeanue noaoenoe/ii i?aeoaa?aeaeaia ii?iae?caoe?y aene?aoi?ii? ooieoe?? ie?ee. Iieacieee O iaen , A, AII nooo?aeo ci?i ia caciaee. I?e i?iaaaeaii? ye?nii? oa e?euee?nii? ioe?iee ?acoeueoao?a ??A, i?iaaaeaii? o a?aeaeaeaiiio ia??iae? / /a?ac 1-5 ?ie?a/ anoaiiaeaii, ui iieacieee ooieoe?iiaeueiiai noaio ?aeeii? ie?ee noaoenoe/ii ia a?ae??ciythoueny a?ae io?eiaieo /a?ac 3 i?nyoe? i?ney AOOE. Oaeei /eiii, ?acoeueoaoe ?aae?i?cioiiiie ?aiia?ao?? na?ae/aoue, ui oai?? iao?ie?o?acii ?aeeii? ie?ee iathoue ci?ie a ooieoe?iiaeueiiio noai? ie?ee, ye? aeyaeythoueny a iiaeiaaeaii? /aniaeo iieaciee?a, ui a?aeaeaathoue nae?aoi?ii-aene?aoi?i? i?ioeane. Niinoa??aa?oueny cieaeaiiy aiie?ooaee ?aiia?ao?/ii? e?eai?. sseui eai?iue ii?ooo? a?aeoie na/? c ie?ee, oi a caeaaeiino? a?ae nooiaiy aeieo ia?ii aai iiaeiaaeaiiy /ano iai?aaeaaaeaiiy ?cioiia, aai ?aiia?aio aeno?aeiiai oeio c iaeii/aniei ca?eueoaiiyi iieacieea A?ioa?a. Aoaeoeaiee ie?eiaee ieaciiia?a ?aeeii? ie?ee ia aeinyaa? noia?iiai ??aiy aeaio ie?ie. Ca?eueoaiiy aoaeoeaiiai ie?eiaiai ieaciiia?ao oa iia??oaiiy aene?aoe??, ye? niinoa??aathoueny a ?aiiueiio i?ney AOOE ia??iae?, ? ?acoeueoaoii ae?? ia ie?eiao ia?aio?io oieiaeo /oaea?ieo/ oaeeue ? ii?ooaiiy a?aeoieo na/? aiane?aeie iano?oeoe?? na/iaeo oeyo?a o?aaiaioaie eiie?aiaioa. Oe? ci?ie cai?ioi?. Aei o?aoueiai i?nyoey i?ney AOOE ooieoe?y iie?auo?oueny ii??aiyii c aeiiia?aoe?eiei ia??iaeii, ui iiynith?oueny ca?eueiaiiyi ie?ee ? na/iaeo oeyo?a a?ae eaiai?a. Aiiaeaeueoiio ooieoe?iiaeueiee noai ie?ee nooo?ai ia ci?ith?oueny. Ca aeaieie aeeiai?/ii? eiii’thoa?ii? iao?inoeeio?a?ao?? c aia?iiao?inoeeio?a?ao??th /aeea. oaae. ?2/ aeyaeaii, ui ia o?ao?e aeaiue i?ney AOOE a?aei?/aeinue noaoenoe/ii aeinoia??ia iiaeiaaeaiiy /ano iaeneiaeueiiai iaeiie/aiiy ?cioiio ia 73% ? ia??iaeo iai?aaeaaaeaiiy ?aae?ioa?ii?aia?aoo ia 50%. Cieceeenue iieacieee eeoai/eiai? o?eueo?aoe?? /EO/ oa ooieoe?iiaeueiiai ?aca?ao ie?ee /O?I/. A aia?ioac? niinoa??aaeinue cieaeaiiy ia 25% /?<0,05/ iieacieea aoaeoeaiino? aaiiciiai a?aeoieo /IAAA/. *a?ac 1 i?nyoeue i?ney e?oio?ein?? iaei i?noea noaoenoe/ii aeinoia??ia iie?auaiiy ?yaeo iieaciee?a: O1/2 ciaioeany ia 40%, EO ca?eueoeeanue ia 24%, O?I ca?eueoeany ia 23%. A aia?ioaco ciaioeany /an a?oa??aeueiiai i?eoieo /Oa/ ia 21%. O a?aeaeaeaiiio ia??iae? i?ney AOOE caa??aeinue iie?auaiiy iieaciee?a O1/2, EO, O?I. Aoaeoeai?noue aaiiciiai a?aeoieo /a?ac 5 ?ie?a ciaioeeanue ia 28% / ?<0,05/. I?e ii??aiyii? iieaciee?a noeeio?a?ao?? /a?ac 1 i?nyoeue ? /a?ac 1-5 ?ie?a i?ney AOOE ia a?aei?/a?oueny noaoenoe/ii? ??cieoe?. Aiae?c ?acoeueoao?a aeeiai?/ii? eiii’thoa?ii? iao?inoeeio?a?ao?? c iai?yiith aia?iiao?inoeeio?a?ao??th aeiaiaeeoue, ui ooieoe?iiaeueiee noai ?aeeii? ie?ee o oai?eo na/ieai’yiith oai?iaith oa?aeoa?eco?oueny oiia?eueiaiiyi aene?aoi?ieo i?ioean?a, cieaeaiiyi ooieoe?iiaeueiiai ?aca?ao a i?e. Niinoa??aa?oueny ii?ooaiiy i?e?ioee?eoeyoe??, yea aeyaey?oueny iia??oaiiyi aaiiciiai a?aeoieo. Ia o?aoth aeiao i?ney AOOE aiane?aeie no?ana ia?aioeie ie?ee a ?acoeueoao? ae?? oaea?ieo oaeeue oa iaoo?aoe?? na/iaeo oeyo?a o?aaiaioaie eaiaiy a?aei?/a?oueny cia/ia ii?ooaiiy ooieoe?iiaeueiiai noaio ie?ee, ui aeyaey?oueny cieaeaiiyi eeoai/eiai? o?eueo?aoe??, iia??oaiiyi nae?aoi?ieo ? aene?aoi?ieo i?ioean?a oa i?e?ioee?eoeyoe??. *a?ac 1 i?nyoeue i?ney e?oio?ein?? a?aeaoaa?oueny cia/ia iie?auaiiy nae?aoi?ii-aene?aoi?ii? ooieoe?? ie?ee, ca?eueoo?oueny ?? ooieoe?iiaeueiee ?aca?a. I?e oeueiio iieacieee ?aae?iioee?aeiiai noaio ie?ee e?au? ca aeiiia?aoe?ei?. O a?aeaeaeaiiio ia??iae? a?aeaoaa?oueny noaa?e?caoe?y ooieoe?? ie?ee. Caa??aa?oueny iie?auaiiy aene?aoe?? oa eeoai/eiai? o?eueo?aoe??, oiae? ye noai e?iaiia?ao ie?ee nooo?ai ia ci?ith?oueny. A?aee?eoa o??o?a?/ia ao?o/aiiy aoei aeeiiaii 61 oai?iio iao?ie?o?acii ?aeeii? ie?ee. 38 /62%/ iaoe?aio?a iaee ei?aeiiiae?ai? eaiai? ?ici??aie 2,0-4,3 ni, o 10 /16%/ aoee aaaaoi/enaeuei? /2-5/ eaiai?, 4 /7%/ iaee eenoe ?aeeii? ie?ee ?ici??aie 2-6 ni; a 5 /8%/ aeiaaeeao na/ieai’yia oai?iaa oneeaaeithaaeanue aiinoaiaoiciei i?aeiiao?eoii, a 9 /15%/- a?ae?iiao?icii, a 5 /8%/- aio???th. Oai?ei i?ae aiaeio?aoaaeueiei ia?eicii aoee aeeiiai? oae? iia?aoeai? ao?o/aiiy: i?aeie?oioii?y- 41 /67%/, i?aeiiao?ie?oioii?y- 8 /13%/, aiao?io?/ia iao?ie?oioii?y- 6 /10%/, i?aeie?oioii?y c ieanoeeith ieneiai-na/iaiaeiiai naaiaioo- 6 /10%/ aeiaaee?a. An? iia?aoe?? cae?i/oaaeenue iaeeaaeaiiyi iao?inoiie. Ia?aa?a i?neyiia?aoe?eiiai ia??iaeo noi?iaiaeaeoaaany iiieaeaiiyi aaiiaeiaeio e?ia? ia 13±1,5a/e ii??aiyii c aeiiia?aoe?eiei ??aiai o an?o oai?eo, ie?eiaith iaaeinoaoi?noth c i?aeaeuaiiyi e?aaoeieio ne?iaaoee e?ia? a?ae 0,151 iiieue/e aei 0,7 iiieue/e, a na?aaeiueiio aei 0,287±0,03 iiieue/e o 55 /90%/ oai?eo (?<0,05). O 44 /72%/ oai?eo niinoa??aaeinue caaino?aiiy o?ii?/iiai i?aeiiao?eoo. An?i oai?ei i?iaiaeeeanue ?ioaineaia ?iooc?eia, aeac?ioieneeaoe?eia, aioeaaeoa??aeueia oa?ai?y. Iao?inoiie aeaeaeyeenue ia 10-21 aeaiue i?ney iia?aoe??. Na?aaei?e oa?i?i ia?aaoaaiiy oai?iai ia e?aeeo noaiiaea 32±3,1 aeiy. *a?ac 1 i?nyoeue i?ney iia?aoe?? an?i oai?ei aeeiioaaeinue OCAe ? o?ia?ao?y. Aeyaeaii ?ac?aeoaeueiee eai?iue a ieaei?e /aoa/oe? ie?ee ?ici??ii 0,6 ni o 1 oai?iai. I?e aiae?c? ?acoeueoao?a ??A iaea?eueo? ci?ie cacia/ai? o iieacieea O1/2 /ciaioeany ia 28%/, ui na?ae/eoue i?i iie?auaiiy aene?aoi?ieo i?ioean?a /?<0,05/. Iieacieee eeoai/eiai? o?eueo?aoe?? oa eaiaeueoeaai? ?aaani?aoe?? noaoenoe/ii ae?ia?aeii ia ci?ieeenue. I?e eiio?ieueiiio ianoaaeaii? /a?ac 1-5 ??ee i?ney iia?aoe?? aoei aeyaeaii ?aoeeaeeai? eaiai? ?ici??aie 0,7-1,2ni o 3 /5%/ oai?eo. Iioe?aiiy /aoa/eiai-ieneiai? nenoaie, yea niinoa??aaeinue o oai?eo c ei?aeiiiae?aieie eaiaiyie aei iia?aoe??, caa??aeiny. Ooieoe?iiaeueiee noai ?aeeii? ie?ee ca aeaieie ??A oa ee??ain-oano?a noaoenoe/ii aeinoia??ii ia ci?ieany. A ?iaio? i?iaaaeaii ii??aiyiiy AOOE oa o??o?a?/iiai iaoiaeo e?eoaaiiy. Aeiaaaeaii, ui AOOE ? iaeio?aaiaoe/iei iaoiaeii, ii??aiyii c o??o?a?/iei ao?o/aiiyi. E?aaoeiei oa na/iaeia ne?iaaoee e?ia? i?ney iia?aoe?? i?aeaeuothoueny a na?aaeiueiio a?eueoa i?ae a 2 ?ace, oiae? ye i?ney AOOE oe? iieacieee noaoenoe/ii ae?ia?aeii ia ci?iththoueny. A?aeiiaeaiiy ooieoe?? ie?ee i?ney AOOE a?aeaoaa?oueny oaeae/a, i?e oeueiio ooieoe?iiaeueiee ?aca?a ie?ee c?inoa?. I?e ?ici??ao eaiaiy aei 1,5 ni ? a?aenooiino? ii?ooaiiy i?ioiaeeiino? aa?oi?o na/iaeo oeyo?a e?oio?ein?y aea? iaee?au? ?acoeueoaoe. I?e eaiaiyo a?eueoiai ?ici??o AOOE ? iaoiaeii aeai?o ? iio?aao? iiia?aaeiueiai anoaiiaeaiiy ae?aiaaea a ie?eo oeyoii eaoaoa?ecaoe??, noaiooaaiiy aai ioieoe?eii? iao?inoii??. I?e ei?aeiiiae?aieo ? aaaaoi/enaeueieo eaiaiyo, iniaeeai oneeaaeiaieo caaino?aiiyi i?aeiiao?eoa, aeioe?eueii aeeiiaiiy a?aee?eoiai o??o?a?/iiai ao?o/aiiy. Ii nooiaith ca?eueiaiiy na/iaeo oeyo?a a?ae eiie?aiaio?a iaeaeaa iaoiaee ? aoaeoeaieie. Ae?ia?aei?noue aeieeiaiiy ?aoeeaeeaieo eaiai?a ia a?ae??ciy?oueny i?e ii??aiyii? iaio iaoiae?a. O ineoieia?/iiio aniaeo? AOOE ia? ia?aaaao ia?aae a?aee?eoith iia?aoe??th. Oai?? i?ney AOOE cia/ii iaioa (a na?aaeiueiio a 3 ?ace) ia?aaoaathoue o noaoe?ia??, a ieo oaeae/a a?aeiiaeth?oueny i?aoeacaeaoi?noue, ui ia? aaeeea aeiiii?/ia ? nioe?aeueia cia/aiiy. AENIIAEE 1. Aeno?aei?ii?aeueia oaea?ii-oaeeueiaa e?oio?ein?y - aoaeoeaiee ? iaeio?aaiaoe/iee iaoiae aeaeaeaiiy eaiai?a c na/iaeo oeyo?a o oai?eo c ?aeeiith ie?eith. 2. Iieacaiiyi aei AOOE i?e iao?ie?o?ac? ?aeeii? ie?ee ? iayai?noue a na/iaeo oeyoao eaiaiy ?ici??ii aei 2,5 ni, yeee i?eaiaeeoue, aai iiaea iioaioe?eii i?eaanoe aei ii?ooaiiy o?iaeeiai?ee; i?ioeiieacaiiyi – aino?ee (aai caaino?aiiy o?ii?/iiai) i?aeiiao?eo, iayai?noue iooeeie ie?ee aai na/iaiaeo, ii?ooaiiy cai?oaiiy e?ia? , ui ia i?aeaea?oueny ei?aeoe??. 3. Iioeiaeueieie oiiaaie aeno?aei?ii?aeueii? e?oio?ein?? ia aia?ao? MPL-9000 “Dornier” oai?ei eaiaiyie ?aeeii? ie?ee ? iai?oaa 16-17 eA, i?e 1500-1700 oaea?ieo ?iioeuen?a ia naain, ui caaacia/o? i?i?iaeueio o?aaio ie?ee. Ii iieacaiiyi iiaoi?iee naain e?eoaaiiy o oe??? eaoaai??? oai?eo aaaeaii i?iaiaeeoe ia ?ai?oa ye /a?ac 10 ae?a. 4. Aoaeoeai?noue e?oio?ein?? eaiai?a ?aeeii? ie?ee iaoiiaeaia ?ici??aie eiie?aiaioa aei 1,5 ni, i?e iaeiiio naain? e?eoaaiiy (71% aeiaaee?a); nai?/aniei ? iiaiei ca?eueiaiiyi a?ae o?aaiaio?a eiie?aiaioa (/a?ac 10 ae?a - 84%, /a?ac 3 i?nyoe?- 94% oai?eo ); a?aenooi?noth oneeaaeiaiue, iaoiiaeaieo ii?ooaiiyi o?iaeeiai?ee oa caaino?aiiyi i?aeiiao?eoo a 82% oai?eo; iaaaeeeei a?aenioeii (2%) ?aoeeaeeaiiai eaiaiaooai?aiiy i?e oa?i?i? niinoa?aaeaiiy 5 ?ie?a. 5. I?io?eaeoeea oneeaaeiaiue e?oio?ein?? aaco?oueny ia /?oeeo iieacaiiyo aei AOOE, ?aoaeuei?e ia?aaeiia?aoe?ei?e i?aeaioiaoe?, yea neeaaea?oueny c aaeaeaaoiiai e?eoaaiiy eaeueeoeueiciiai i?aeiiao?eoo oa iiia?aaeiueiai ae?aioaaiiy na/iaeo oeyo?a ca aeiiiiiaith eaoao?a, noaioa aai ioieoe?eii? iao?inoiie i?e eaiaiyo ?ici??ii a?eueoa 1,5 ni. 6. Ci?ie ooieoe?iiaeueiiai noaio ie?ee i?ney e?oio?ein?? iathoue aeenoee?eoeyoi?iee oa?aeoa? ? ? cai?ioi?ie. Oae, ia 3 aeiao ca?eueoo?oueny aoaeoeaiee ie?eiaee ieaciiia?a ia 22%, /an iaeneiaeueiiai iaeiie/aiiy ?aae?ioa?ii?aia?aoo – ia 73%, /an iai?aaeaaaeaiiy ?aae?ioa?ii?aia?aoo – ia 50%; iia??oo?oueny eeoai/eiaa o?eueo?aoe?y ia 17% oa aoaeoeai?noue aaiiciiai a?aeoieo ia 25%. Aea aaea /a?ac 1 i?nyoeue /an iai?aaeaaaeaiiy ?cioiia iie?auo?oueny ia 40 %, eeoai/eiaa o?eueo?aoe?y ca?eueoo?oueny ia 24% ii??aiyii c aeiiia?aoe?eiei ??aiai. AOOE ia i?ecaiaeeoue aei iia??oaiiy ooieoe?? ?aeeii? ie?ee o a?aeaeaeaiiio ia??iae?. 7. Nai?/ania canoinoaaiiy aeno?aei?ii?aeueii? e?oio?ein?? aeicaiey? oieeiooe aaaeeeo oneeaaeiaiue na/ieai’yii? oai?iae ?aeeii? ie?ee oa o?aaiaoe/ieo o??o?a?/ieo ao?o/aiue, ui ni?ey? iiaeiaaeaiith nioe?aeueii? aeoeaiino? oe??? eaoaai??? oai?eo. Iaoe?aioe c ?aeeiith ie?eith iio?aaothoue iino?eiiai aeeniaina?iiai iaaeyaeo. I?aeoe/i? ?aeiiaiaeaoe?? · AOOE-iiiioa?ai?th o oai?eo iao?ie?o?acii ?aeeii? ie?ee aeioe?eueii i?iaiaeeoe i?e ?ici??ao eiie?aiaioa aei 1,5 ni. · E?oio?ein?y eiie?aiaio?a ?ici??aie iiiaae 1,5 ni iio?aao? iiia?aaeiueiai ae?aioaaiiy ie?ee oeyoii noaiooaaiiy aai ia?eooaiii? iao?inoii??. · AOOE o oai?eo c ?aeeiith ie?eith iiaeiia i?iaiaeeoenue i?e iai?oc? aei 18 eA, e?euee?noue oaea?ieo ?iioeuen?a ia 1 naain- aei 2000. · AOOE eaiai?a ?ici??ii a?eueoa 1,5 ni aeioe?eueii i?iaiaeeoe o aeae?eueea naain?a, ia aeei?enoiaoth/e aei?noe? ?aaeeie e?oio?ein??. · Aeei?enoaiiy a?aee?eoiai o??o?a?/iiai ao?o/aiiy aeioe?eueia aeey aeaeaeaiiy ei?aeiiiae?aieo eaiai?a, i?e caaino?aii? eaeueeoeueiciiai i?aeiiao?eoo. Nienie iioae?eiaaieo i?aoeue ca oaiith aeena?oaoe?? 1. Eaaeithe ?.?. Aeei?enoaiiy aeno?aei?ii?aeueii? oaea?ii-oaeeueiai? e?oio?ein?? /AOOE/ a e?eoaaii? oai?eo ia iao?ie?o?ac ?aeeii? ie?ee // O?ieia?y.- 1997.- ?1.- N.16-18. 2. Eaaeithe ?.?. Ci?ie ooieoe?iiaeueiiai noaio ?aeeii? ie?ee i?ney aeno?aei?ii?aeueii? e?oio?ein?? // Oe?. iaae. /aniien.- 1998.- ?5.- N.136-137. 3. Eaaeithe ?.?., Aecth?ae A.N., Aic?aiia N.I. Ii??aiyiiy aoaeoeaiino? canoinoaaiiy o??o?a?/iiai aeaeaeaiiy eaiai?a oa aeno?aei?ii?aeueii? e?oio?ein?? a e?eoaaii? oai?eo ia iao?ie?o?ac ?aeeii? ie?ee // Oe?. iaae. /aniien.- 1999.- ?2.- N.147-149. 4. Aecth?ae A.N., Aic?aiia N.I., Eaaeithe ?.?., Aeie/aiei A.?., Oa?aiaoa A.I. Ooieoe?iiaeueiee noai ?aeeii? ie?ee i?ney aeno?aei?ii?aeueii? e?oio?ein?? // I?aoe? VII Ieaioio iaoeiaiai oiaa?enoaa o?ieia?a Oe?a?ie: Oac.aeii.-Ee?a, 1993.- N.83-84 5. Aecth?ae A.N., Aic?aiia N.I., Eaaeithe ?.?., Aeie/aiei A.?., Oa?aiaoa A.I. E?oio?ein?y a e?eoaaii? na/ieai’yii? oai?iae ?aeeii? ie?ee // Aeenoaioeeiiiay eeoio?einey a ea/aiee ii/a- e aeae/aeaiaiiie aieacie: Nai?iee iao/iuo o?oaeia.- Aeiai?iiao?iane, 1994.- N.22-23. 6. Aecth?ae A.N., Aic?aiia N.I., Eaaeithe ?.?., Aeie/aiei A.?., Naaoi?eia I.A., Eaioeianueeee I.?. I?io?eaeoeea oneeaaeiaiue aeno?aei?ii?aeueii? e?oio?ein?? o oai?eo ia iao?ie?o?ac ?aeeii? ie?ee // Aeenoaioeeiiiay eeoio?einey a ea/aiee ii/a- e aeae/aeaiaiiie aieacie: Nai?iee iao/iuo o?oaeia.- Aeiai?iiao?iane, 1994.- N.90-91. 7. Aecth?ae A.N., AEaeoianueea I.?., *a?iaiei A.A., Ia?oii/oe I.A., Eaaeithe ?.?. Iaoao?eaeoeea i?ney aeno?aei?ii?aeueii? oaea?ii-oaeeueiai? e?oio?ein?? // Aeenoaioeeiiiay eeoio?einey a ea/aiee ii/a- e aeae/aeaiaiiie aieacie: Nai?iee iao/iuo o?oaeia.- Aeiai?iiao?iane, 1994.- N.94-95. 8. Aic?aiia I.O., Aecth?ae A.N., *a?iaiei A.A., Iaae/aiei I.ss., Aiae?a?a A.I., Eaaeithe ?.?. A?aeaeaeai? ?acoeueoaoe eiia?iiaaiiai e?eoaaiiy oai?eo ia na/ieeneee iao?ie?o?ac // O?oaeu XXIX iaae?aaeiiaeueiie iao/.-i?aeo. eiio. o?ieiaia.-Aeiai?iiao?iane, 1995.- N.31-32. 9. Eaaeithe ?.A. No?oeoo?ii-ooieoeeiiaeueiia ninoiyiea aaeeinoaaiiie ii/ee iinea yeno?aei?ii?aeueiie eeoio?einee // Aeooaeueiua aii?inu o?i-aiae?ieiaee: Iaoa?. II eiio. o?ieiaia Eacaonoaia.- Aeiaou, 1995.- N.55-56. 10. O?eioa O.I., Aecth?ae A.N., Eaaeithe ?.?., Caaa?oe ss.?. ?aae?iioee?aeia ae?aaiinoeea ooieoe?? ?aeeii? ie?ee o oai?eo ia na/ieai’yio oai?iao a ?acoeueoao? ae?? oaea?ii-oaeeueai? e?oio?ein?? // Aai?oio?i?aae?ieia?y: Iaoa?. ?ani. iaoe.-i?aeo. eiio.- Euea?a, 1996.- N.81-82. 11. Aecth?ae A.N., Aeie/aiei A.E., Eaaeithe ?.A., Nainae A.E., Aieeia A.I. Yeno?aei?ii?aeueiay eeoio?einey a ea/aiee ei?aeeiaeaeiiai iao?ieeoeaca // Aeooaeuei? i?iaeaie iaa?aeeeaaeii? o??o?a?? i?aai?a /a?aaii? ii?iaeieie oa o?iaai?oaeueiiai o?aeoo: Iaoa?. ?ani. iaoe.-i?aeo. eiio.- Ee?a, 1996.- N.128-129. 12. Aiceaiia A.O., Aecth?ae A.N., Aiceaiia N.A., Eaaeithe ?.A. Iao iiuo eeoio?einee a ea/aiee ii/aeaiaiiie aieacie // I?aoe? VIII Ieaioio anioe?aoe?? o?ieia?a Oe?a?ie.- Ee?a, 1998.- N.24-26. 13. Eaaeithe ?.?., ?iiaiaiei A.A. Aieea AOOE ia ooieoe?iiaeueiee noai ?aeeii? ie?ee // I?aoe? VIII Ieaioio anioe?aoe?? o?ieia?a Oe?a?ie.- Ee?a, 1998.- N.64-65. Aiioaoe?y Eaaeithe ?.?. Aeei?enoaiiy aeno?aei?ii?aeueii? e?oio?ein?? a e?eoaaii? iao?ie?o?aco ?aeeii? ie?ee.- ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.06 – o?ieia?y.- ?inoeooo o?ieia?? oa iao?ieia?? AII Oe?a?ie, Ee?a, 1999. Aeena?oaoe?y i?enay/aia iie?ioaiith e?eoaaiiy iao?ie?o?aca o oai?eo c ?aeeiith ie?eith oeyoii iioeiaeueiiai aeei?enoaiiy aeno?aei?ii?aeueii? oaea?ii-oaeeueiai? e?oio?ein?? /AOOE/. Aecia/ai? iieacaiiy ? i?ioeiieacaiiy, ?ic?iaeaia ?aoe?iiaeueia iaoiaeeea e?oio?ein??. Aiae?c ?acoeueoao?a aeicaieea iaa?oiooaaoe caoiaee ii i?io?eaeoeoe? oneeaaeiaiue i?ney AOOE. Ii??aiyiiy e?oio?ein?? oa a?aee?eoiai o??o?a?/iiai ao?o/aiiy aeiaaei i?ei?eoaoi?noue AOOE a e?eoaaii? iao?ie?o?aca ?aeeii? ie?ee. Eeth/ia? neiaa: iao?ie?o?ac, ?aeeia ie?ea, aeno?aei?ii?aeueia e?oio?ein?y. Aiiioaoeey. Eaaeithe ?.A. I?eiaiaiea yeno?aei?ii?aeueiie eeoio?einee a ea/aiee iao?ieeoeaca aaeeinoaaiiie ii/ee.- ?oeiienue. Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe 14.01.06 – o?ieiaey. – Einoeooo o?ieiaee e iao?ieiaee AII Oe?aeiu, Eeaa, 1999. Aeenna?oaoeey iinayuaia oeo/oaieth ea/aiey iao?ieeoeaca o aieueiuo n aaeeinoaaiiie ii/eie ioo?i iioeiaeueiiai i?eiaiaiey yeno?aei?ii?aeueiie oaea?ii-aieiiaie eeoio?einee /YOAE/. Ii?aaeaeaiu iieacaiey e eeoio?einee: iaee/ea a ii/aauo iooyo eaiiy ?acia?ii aei 2,5 ni, eioi?ue i?eaiaeeo eee iioaioeeaeueii iiaeao i?eaanoe e ia?ooaieth o?iaeeiaieee; e i?ioeaiiieacaiey: ino?ue /eee iaino?aiea o?iie/aneiai/ ieaeiiao?eo, iiooieue ii/ee eee ii/aoi/ieea, ia?ooaiea naa?ouaaaiinoe e?iae, ia iiaeaeathuaany ei??aeoeee. ?ac?aaioaia ?aoeeiiaeueiay iaoiaeeea eeoio?einee, eioi?ay i?aaeoniao?eaaao uaaeyuee ?aaeei YOAE n iai?yaeaieai aei 18 eA e eiee/anoaii oaea?iuo eiioeuenia aei 2000 ia 1 naain, ?ac?ooaiea eaiiae ?acia?aie aieaa 1,5 ni a ianeieueei naainia. Aiaeec ?acoeueoaoia iicaieee iainiiaaoue ia?ii?eyoey ii i?ioeeaeoeea ineiaeiaiee iinea YOAE, a iniiaa eioi?uo eaaeeo aaeaeaaoiia ea/aiea eaeueeoeaciiai ieaeiiao?eoa, i?aaeaa?eoaeueiia ae?aie?iaaiea ii/aauo iooae eaoao?ii, noaioii eee ioieoeeiiiie iao?inoiiie i?e eaiiyo ?acia?ii aieaa 1,5 ni, iacaiaaeeeoaeueiia ainnoaiiaeaiea o?iaeeiaieee i?e iaoo?aoeee o?aaiaioaie eaiiy ii/aauaiaeyueo iooae. Eciaiaiey ooieoeeiiaeueiiai ninoiyiey aaeeinoaaiiie ii/ee iinea yeno?aei?ii?aeueiie oaea?ii-aieiiaie eeoio?einee eiatho aeenoee?eoeyoi?iue oa?aeoa? e yaeythony ia?aoeiuie. Ia 3 nooee iinea YOAE oaaee/eaaaony yoaeoeaiee ii/a/iue ieaciioie ia 22%, a?aiy iaeneiaeueiiai iaeiieaiey ?aaeeioa?ii?aia?aoa – ia 73%, a?aiy iieoauaaaeaiey ?aaeeioa?ii?aia?aoa – ia 50%; nieaeaaony eeoai/eiaay oeeueo?aoeey ia 17% e yoaeoeaiinoue aaiiciiai iooiea ia 25%. Iaeiaei oaea /a?ac 1 ianyoe a?aiy iieoauaaaeaiey ?aaeeioa?ii?aia?aoa oeo/oaaony ia 40%, eeoai/eiaay oeeueo?aoeey aic?anoaao ia 24% ii n?aaiaieth n aeiiia?aoeeiiiui o?iaiai. YOAE ia i?eaiaeeo e oooaeoaieth ooieoeee aaeeinoaaiiie ii/ee a ioaeaeaiiii /aei 5 eao/ ia?eiaea. N?aaiaiea eeoio?einee e ioe?uoiai oe?o?ae/aneiai aiaoaoaeuenoaa naeaeaoaeuenoaoao i i?ei?eoaoiinoe YOAE a ea/aiee iao?ieeoeaca aaeeinoaaiiie ii/ee. Naiaa?aiaiiia i?eiaiaiea yeno?aei?ii?aeueiie eeoio?einee iicaieyao ecaaaeaoue oyaeaeuo ineiaeiaiee ii/aeaiaiiie aieacie e o?aaiaoe/iuo oe?o?ae/aneeo iia?aoeee. Aieueiua iao?ieeoeacii aaeeinoaaiiie ii/ee ioaeaeathony a iinoiyiiii aeeniaina?iii iaaethaeaiee. Eeth/aaua neiaa: iao?ieeoeac, aaeeinoaaiiay ii/ea, yeno?aei?ii?aeueiay eeoio?einey. Summary Ladnyuk R.Ye. Extracorporeal lithotripsy used in treating nephrolithiasis of a single kidney.- Manuscript. Dissertation for the scientific degree of Candidate of Medical Sciences on speciality 14.01.06 – Urology.- Institute of Urology & Nephrology of the AMS of Ukraine, Kyiv, 1999. The Dissertation is devoted to the improvement of treatment of nephrolithiasis in patients having a single kidney by way of optimal usage of extracorporeal shock wave lithotripsy /ESWL/. The work defines the indications and counterindications and develops the rational methods of lithotripsy. The analysis of the results allows to substantiate the measures on prophylactics against complications after ESWL. The comparison between lithotripsy and open surgical intervention suggests ESWL priority in treating nephrolithiasis in a single kidney. Key words: nephrolithiasis, a single kidney, extracorporeal lithotripsy.

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