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

IAOe?IIAEUeIEE IAAeE*IEE OI?AA?NEOAO ?iai? I.I.AIAIIIEUeOess

OOAAEIA Na?a?e Ieoaeeiae/

OAeE 616.31.089:616.321.089-006

Ceiye?ni? iooeeie ?ioiaiai a?aeae?eo aeioee

(oeyoe i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy

? ?ic?iaea iiaeo ooieoe?iiaeueii-caa??aath/eo o??o?a?/ieo ao?o/aiue)

14.01.22 — noiiaoieia?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

aeieoi?a iaaee/ieo iaoe

Ee?a — 1998

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oe?a?inueeiio iaoeiai-aeine?aeiiio ?inoeooo? iieieia??
oa ?aae?ieia??.

Iaoeia? eiinoeueoaioe:

Caneoaeaiee ae?y/ iaoee ? oaoi?ee, aeieoi? iaaee/ieo iaoe, i?ioani?
I?ioeee Aieiaeeie? Naiaiiae/, Oe?a?inueeee Iaoeiai-aeine?aeiee ?inoeooo
iieieia?? ? ?aae?ieia?? IIC Oe?a?ie, caa?aeoth/ee a?aeae?eaiiyi «Iooeei
aieiae, oe? ? iiaeeo?eoth/eo iaoiae?a e?eoaaiiy».

Io?oe?ei? iiiiaioe:

Aeieoi? iaaee/ieo iaoe, i?ioani? Iae?ae/ Ieaa ?aaaiiae/, caa?aeoth/ee
eaoaae?ith o??o?a?/ii? noiiaoieia??, Aei?i?iiao?ianueei? aea?aeaaii?
iaaee/ii? aeaaeai?? IIC Oe?a?ie;

Aeieoi? iaaee/ieo iaoe, i?ioani? Oa?ueeia Eaiiiae Aieoi?iae/,
caa?aeoth/ee eaoaae?ith aeeoy/i? o??o?a?/ii? noiiaoieia??
Iaoe?iiaeueiiai iaaee/iiai oi?aa?neoaoo ?i. I.I.Aiaiiieueoey IIC
Oe?a?ie;

Aeieoi? iaaee/ieo iaoe, Eoea/ A?a?i A’y/aneaaiae/, caa?aeoth/ee
a?aeae?eii EI?-iieieia?? Ee?anueeiai IAe? ioiea?eiaieia??
?i.I.N.Eieii?e/aiea IIC Oe?a?ie.

I?ia?aeia onoaiiaa:

Oe?a?inueea iaaee/ia noiiaoieia?/ia aeaaeai?y IIC Oe?a?ie, eaoaae?e
o??o?a?/ii? noiiaoieia?? oa iieieia??, i.Iieoaaa.

Caoeno a?aeaoaeaoueny » 29 » ea?oiy 1999 ?. i 13-30 aiaeei? ia
can?aeaii? niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.003.03 Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i. I.I.Aiaiiieueoey ca aae?anith: 252057,
i.Ee?a-57, aoe.Ciieia?/ia, 1, noiiaoieia?/iee ei?ion.

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Iaoe?iiaeueiiai
iaaee/iiai oi?aa?neoaoo ?i. I.I.Aiaiiieueoey ca aae?anith: i.Ee?a,
aoe.Ciieia?/ia, 1, noiiaoieia?/iee ei?ion.

Aaoi?aoa?ao ?ic?neaii » 24 » a?oaeiy 1998 ?.

A/aiee nae?aoa?

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

eaiaeeaeao iaaee/ieo iaoe, aeioeaio ss.I.A?oianueeee

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue aeine?aeaeaiiy. Ceiye?ni? iooeeie ?ioiaiai a?aeae?eo
aeioee neeaaeathoue 10 — 11% a?aeiinii on?o aeiaaee?a ceiye?nieo iooeei
aieiae ? oe? (ca aeiyoeii iooeei i/ae oa aieiaiiai iiceo) ? 55% a?ae
/enea iooeei aeioee. A Oe?a?i? i?iaiico?ia aeeiai?ea no?oeoo?e
caoai?thaaiino? ia ceiye?ni? iooeeie aeaco? ia ca?eueoaiiy /anoee
aeiaaee?a ?aeo ii?iaeieie ?ioa ? aeioee c 2,6% a 1990 aei 4,2% a 2000
?ioe? (A.I.Aenaeue, A.A.Aeaie?ei, 1992). Ia i?ioyc? 1989 — 1996 ?ie?a
iieacieee nia?oiino? a?ae ceiye?nieo iiaiooai?aiue ii?iaeieie ?ioa,
aeioee, eiioioe/ii? oa e?iaioai?ii? oeaieie oaeiae iaee oaiaeaioe?th
aei ca?eueoaiiy. Iaeiae noaoenoe/i? aeai? o ca?oao IIOe ?AII o
eieeoiueiio N?N? ? Oe?a?inueeiai IAe? iieieia?? ? ?aae?ieia?? ii Oe?a?i?
o 1982 — 1996 ?ieao i?eaiaeeeenue aeey ii?iaeieie ?ioa oa aeioee aac
aeae?eaiiy ?o a?aeae?e?a, o ca’yceo c /ei ioe?iea caoai?thaaiino?,
nia?oiino? ? o?eaaeino? aeeooy i?e iooeeiao ?ioiaeioee oo?oaeiaia, a oe?
iieacieee iio?aaothoue niaoe?aeueiiai aea/aiiy ? ooi/iaiiy. Ieoaiiy
e?eoaaiiy oai?eo ?aeii ?ioiaeioee ?ac?iaeai? iaaeinoaoiuei, a
aoaeoeai?noue e?eoaaiiy ? iieacieee aeaeeaaiiy caeeoathoueny iecueeeie.
I?aeoe/ii an? oai?? ia ?ae ?ioiaeioee iai?aaeythoueny ia i?iiaiaao
oa?ai?th, aea ca aeaiith oaeoeeith e?eoaaiiy ia i?ioyc? ia?oiai ?ieo,
i?ney anoaiiaeaiiy ae?aaiico, aeia 40 — 50% iaoe??io?a, a iieacieee
i’yoe??/iiai aeaeeaaiiy ia ia?aaeuothoue 30 — 40% (A.N. I?ioeee ?
ni?aaao., 1991, 1993; A.E. Ia/an, 1996; A.A.Oaioaeue, 1997). Aeai?
i?i iaoanoacoaaiiy ? ?aoeeaeeaoaaiiy ?aeo iaaiaeyoueny o?eueee a aeayeeo
?iaioao (A.N.Iaieueoeiaa, 1984; A.E.Ia/an, A.E.Ethaaaa, 1988; A.E.Ia/an,
1996; A.Maran, 1988). A oie aea /an i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy
oai?eo ia ?ae ?ioiaeioee iaiiaeeeaa aac ?icaeoeo iiaeo iaoiae?a
iiaeeo?eiaaii? i?iiaiaai? oa?ai??, yea iieyaa? o a?ia?o?aeoe?iioaaii?
aeic ii?ii?ithaaiiy, eieaeueii? IA* a?ia?oa?i??, aea ? i?e i?iaaaeaii?
aeaieo iaoiaeee o o?aoeie oai?eo a?aecia/a?oueny ?aae?i?acenoaioi?noue
iooeei, a a ?yae? aeiaaee?a i?ia?anoaaiiy caoai?thaaiiy
(A.A.Aeeiaae/on, 1989; A.A.Aieei ? ni?aaao., 1995; A.A. Aieaeiaaiei ?
ni?aaao., 1997). O ca’yceo c iaaeinoaoiueith aoaeoeai?noth i?iiaiaai?
oa?ai?? aaaeeeaa cia/aiiy iaaoea ?ic?iaea eiia?iiaaieo ? eiiieaenieo
iaoiaeee, ui aeeth/athoue o??o?a?/i? ao?o/aiiy. Iia?aoeaiiai e?eoaaiiy
iio?aaothoue aeecueei 60% oai?eo ia ?ae ?ioiaeioee. Iaeiae iia?aoe??
i?iaiaeyoueny eeoue o 10 — 12% iaoe??io?a o aeayeeo niaoe?ae?ciaaieo
ee?i?eao.

C iaeiiai aieo oea iia’ycaii c aaeeeith e?euee?noth caiouaieo oi?i
?aeo, ui ia?aaeuo? 70%. Aea a?eueo nooo?aei oaeoi?ii ? neeaaei?noue ?
o?aaiaoe/i?noue iia?aoe??, yea o ?yae? aeiaaee?a i?ecaiaeeoue aei
ae?aaeaiiai einiaoe/iiai aeaoaeoo, ii?ooaiiy aeoo eiaoaiiy oa iiae.
Oiio iaiao?aeia ?ic?iaea iiaeo ooieoe?iiaeueii-caa??aath/eo o??o?a?/ieo
ao?o/aiue. E??i oiai, iecueea aoaeoeai?noue iia?aoeaieo ao?o/aiue aaaaoi
a /iio iia’ycaia c a?aenooi?noth /?oei ?ic?iaeaieo ?aeiiaiaeaoe?e ?
iieacaiue uiaei ?o canoinoaaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie. ?aaioo aeeiiaii a iaaeao ieaiiai?
IAe? a?aeae?eaiiy «Iooeei aieiae, oe? ? iiaeeo?eoth/eo iaoiae?a
e?eoaaiiy «Oe?a?inueeiai iaoeiai-aeine?aeiiai ?inoeoooo iieieia?? ?
?aae?ieia?? IIC Oe?a?ie (N aea?aeaaii? ?a?no?aoe?? oaie «?ic?iaea
eiiieaeniiai iaoiaeo e?eoaaiiy ceiye?nieo iooeei aieiae ? oe?» — 0188.
0050544, i?ioieie ? 7 a?ae 12.05.94).

Iaoa ?aaioe. Iie?aueoe ?acoeueoaoe e?eoaaiiy oai?eo ia ?ae ?ioiaeioee
oeyoii ?ic?iaee iiaeo iaoiae?a o??o?a?/ieo ao?o/aiue ? iieacaiue
aei ?o canoinoaaiiy i?e eiia?iiaai?e oa?ai??.

Caaea/? aeine?aeaeaiiy:

1. Aea/eoe caoai?thaai?noue, nia?oi?noue ? iniaeeaino? ia?aa?ao oai?iae
i?e ?aeia? ?ioiaeioee.

2. Aea/eoe aoaeoeai?noue no/anii canoinoaoaaieo o??o?a?/ieo ao?o/aiue a
ieai? eiia?iiaaiiai e?eoaaiiy oai?eo ?aeii ?ioiaeioee a caeaaeiino?
a?ae noaae??, eieae?caoe?? ? a?noieia?/ii? no?oeoo?e iooeeie.

3. ?ic?iaeoe oiiia?aoi-aiaoii?/ii iaa?oiooaai? iaoiaee iia?aoe?e i?e
?aeia? ?ioiaeioee (iia?aoeaiee aeinooi, iaoiaeeeo aeaeaeaiiy iooeeie ?
a?aeiiaeaiiy i?neyiia?aoe?eiiai aeaoaeoo).

4. ?ic?iaeoe iieace aei eiia?iiaaiiai iaoiaeo e?eoaaiiy oai?eo ia ?ae
?ioiaeioee, ui aeeth/a? ia?aaeiia?aoe?eio i?iiaiaao oa?ai?th ?
ooieoeiiiaeueii-caa??aath/? ?aaeeeaeuei? o??o?a?/i? ao?o/aiiy, c
o?aooaaiiyi noaae??, eieae?caoe??, a?noieia?/ii? no?oeoo?e ?
?aae?i/ooeeaino? iooeei.

5. Aea/eoe a?aeaeaeai? ?acoeueoaoe eiia?iiaaiiai e?eoaaiiy oai?eo ia
?ae ?ioiaeioee, ui aeeth/a? ?ic?iaeai? o??o?a?/i? ao?o/aiiy, ii??aiyoe
eiai aoaeoeai?noue c ?acoeueoaoaie i?e no/anieo niiniaao iica?ioiaeo
iia?aoe?e ? iiaeeo?eiaaii? i?iiaiaai? oa?ai?? (a?ia?o?aeoe?iioaaiiy
aeic ii?ii?ithaaiiy, eieaeueia IA*-a?ia?oa?i?y).

6. ?ic?iaeoe i?aeoe/i? ?aeiiaiaeaoe?? uiaei i?iaaaeaiiy eiia?iiaaiiai
e?eoaaiiy, yea aeeth/a? ia?aaeiia?aoe?eio i?iiaiaao oa?ai?th ?
i?iiiiiaai? iaoiaee o??o?a?/ieo ao?o/aiue o oai?eo ceiye?nieie
iooeeiaie ?ioiaeioee.

Iaoeiaa iiaecia.

1. Aia?oa anoaiiaeaii cia/aiiy i’yc?a aieiai? no?iee aeioee i?e ??
?acaeoe??, ye aaaeeeaiai eiiiainaoi?iiai oaeoi?a, ui aeicaiey?
a?aeiiaethaaoe ooieoe?th eiaoaiiy.

2. Aia?oa ?ic?iaeaii iiaee oiiia?aoi-aiaoii?/ii iaa?oioiaaiee niin?a
i?iaaaeaiiy o??o?a?/iiai ao?o/aiiy, ui caaacia/o? iioeiaeueiee aeinooi
aei ?ioiaeioee, ?aaeeeaeueia aeaeaeaiiy iooeeie, caa?aaeaiiy ooieoe??
aeioee ? oni?oio ?aaa?e?oaoe?th oai?eo a i?neyiia?aoe?eiiio ia??iae?.

3. ?ic?iaeai? iieacaiiy aeey canoinoaaiiy eiia?iiaaiiai iaoiaeo
e?eoaaiiy oai?eo ?aeii ?ioiaiai a?aeae?eo aeioee, yeee aeeth/a?
ia?aaeiia?aoe?eio i?iiaiaao oa?ai?th ? ?aaeeeaeuei?,
ooieoe?iiaeueii-caa?aaath/? niiniae o??o?a?/ieo ao?o/aiue, ye?
i?iaiaeeeenue c o?aooaaiiyi noaae?? eieae?caoe??, a?noieia?/ii?
no?oeoo?e ? ?aae?i/ooeeaino? iooeeie.

4. ?ic?iaeai? iia? niiniae ieanoeee i?neyiia?aoe?eieo aeaoaeo?a
?ioiaeioee c canoinoaaiiyi a?oa??ae?ciaaiiai neeciai-i’yciaiai eeaioy c?
uiee ia noaeeii?e i?aeoe?, ui aeeth/a? u?/io a?oa??th.

5. ?ic?iaeaiee niin?a ieanoeee i’yeiai i?aeiaa?iiy ? aieiai? no?iee
aeioee c aeei?enoaiiyi oe??yii-i’yciaiai eeaioy ia
a?oaeeiii-eeth/e/ii-nineiaiio i’yc?.

6. Anoaiiaeaii, ui na?aae canoiniaoaaieo a oaia??oi?e /an iiaeeo?eiaaieo
niinia?a i?iiaiaai? oa?ai?? oai?eo ?aeii ?ioiaeioee iaea?eueo
aoaeoeai? iaoiaeeee a?ia?o?aeoe?iioaaiiy aeic ii?ii?iaiiy ? eieaeueii?
IA* — a?ia?oa?i??.

I?aeoe/ia cia/aiiy ?iaioe.

1. Iaoiaeeea eiia?iiaaiiai e?eoaaiiy, ui aeeth/a? iia? niiniae
o??o?a?/ieo ao?o/aiue, aeicaieeea iie?aueoe a?aeaeaeai? ?acoeueoaoe
e?eoaaiiy ia 16% ? cieceoe e?euee?noue ?aoeeaeea?a iooeei ia 10%.

2. ?ic?iaeai? iieacaiiy aei cai?iiiiiaaiiai o??o?a?/iiai ? i?iiaiaaiai
iaoiae?a e?eoaaiiy oai?eo ?aeii ?ioiaiai a?aeae?eo aeioee c o?aooaaiiyi
noaae??, eieae?caoe??, a?noieia?/ii? aoaeiae ? ?aae?i/ooeeaino? iooeeie
aeicaieeee aeae?aoe iioeiaeueio oaeoeeo oa?ai?? ? aeinyaaoe i’yoe??/iiai
aeaeeaaiiy o 50% oai?eo c ?aae?i?acenoaioieie oi?iaie ?aeo.

3. Iiaee iia?aoeaiee aeinooi aei iooeei ?ioiaiai a?aeae?eo aeioee
caaacia/ea ?aaeeeaeuei?noue iia?aoe?? ? einiaoe/i?noue
iineyiia?aoeieiiai ?oaoey.

4. Iaoiae ooieoe?iiaeueii-caa?iaath/i? ?acaeoe?? aieiai? no?iee aeioee
aeicaieea i?e ?aaeeeaeueiiio aeaeaeaii? iooeeie caa??aaoe
aaeaioaoe?ei? iiaeeeaino? i’yc?a aeioee ? ai?oaiue.

5. Iaoiae ieanoeee a?oa??ae?ciaaiei neeciai — i’yciaei eeaioai c? uiee
ia noaeeii?e i?aeoe?, ui aeeth/a? u?/io a?oa??th, aeicaieea cae?eaaoe
i?neyiia?aoe?ei? aeaoaeoe ?ioiaeioee ?ici??ii aei 4 — 6 ni.

6. Iiaeeo?eiaaiee oe??yii-i’yciaee eeaiioue ia
a?oaeeiii-eeth/e/ii-nineiaiio i’yci aeicaieea aoaeoeaii a?aeiiaethaaoe
i?neyiia?aoe?ei? aeaoaeoe i’yeiai i?aeiaa?iiy ? aieiai? no?iee aeioee.

7. ?acoeueoaoe aeine?aeaeaiue ai?iaaaeaeaii a i?aeoe/io ?iaioo
a?aeae?eaiue «Iooeei aieiae ? oe?» A?iieoeueeiai iaeaniiai iieieia?/iiai
aeeniaina?o, «Uaeaiii-eeoeaai? o??o?a??» A?iieoeueei? iaeanii? ee?i?/ii?
e?ea?i? ?i. I.?.Ie?iaiaa, ia eaoaae?ao iieieia??, EI?-oai?ia
A?iieoeueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo, eaoaae?ao
o??o?a?/ii? noiiaoieia?? Oe?a?inueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo ?i.I.I.Aiaiiieueoey (i.Ee?a), Euea?anueeiai aea?aeaaiiai
iaaee/iiai oi?aa?neoaoo, Iaeanueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo.

Iniaenoee aianie caeiaoaa/a a iaea?aeaii? iaoeiaeo ?acoeueoao?a. C 531
oai?eo ceiye?nieie iooeeiaie ?ioiaeioee, ye? niinoa??aaeenue o
A?iieoeueeiio iaeaniiio iieieia?/iiio aeeniaina??, aaciina?aaeiuei
aaoi?ii aoei i?iaaaeaii e?eoaaiiy 156 iaoe??io?a. Aaoi?ii
cai?iiiiiaaii i?iaaaeaiiy ooieoe?iiaeueii-caa??aath/eo iia?aoe?e ?
iieacaii cia/aiiy caa?aaeaiiy i’yc?a aieiai? no?iee aeioee i?e ??
?acaeoe?? ye eiiiainaoi?iiai oaeoi?a, ui aeicaiey? a?aeiiaethaaoe
ooieoe?th eiaoaiiy. An? iia? o??o?a?/i? ao?o/aiiy a ae?eyioe? ?ioiaiai
a?aeae?eo aeioee ?ic?iaeai? ? aeeiiai? aaoi?ii naiino?eii.
O?i?ii?iiaiaaa oa?ai?y i?iaiaeeeanue aaoi?ii ni?eueii ?c
ni?a?ia?oieeaie ?aae?ieia?/iiai (caa., e?ea? aeui? eaoaai???
A.A.Uo?nueeee) ? o?i?ioa?aiaaoe/iiai (caa., e?ea? aeui? eaoaai???
E.A.Ei?ieueiaa) a?aeae?eaiue. Aaoi?ii i?iaaaeaia ioe?iea a?aeaeaeaieo
?acoeueoao?a e?eoaaiiy 384 oai?eo ?aeii ?ioiaeioee, ye?
niinoa??aaeenue o a?aeae?eaii? «Iooeei aieiae ? oe? ?1» Iieieia?/iiai
iaoeiaiai oeaio?o ?AII (i.Iineaa) — caa?aeoth/ee, ae.i.i., i?io.
A.A.Oaioaeue. I?iaaaeaia oaeiae ioe?iea a?aeaeaeaieo ?acoeueoao?a
e?eoaaiiy 121 oai?iai ?aeii ?ioiaeioee, ye? niinoa??aaeenue o
a?aeae?eaii? «Iooeei aieiae, oe? ? iiaeeo?eiaaieo iaoiae?a e?eoaaiiy»
Oe?a?inueeiai IAe? iieieia?? ? ?aae?ieia?? (i.Ee?a) — caa?aeoth/ee,
ae.i.i., i?io. A.N.I?ioeee. ?ic?aooiee iieaciee?a aeaeeaaiiy ?
aecia/aiiy ?o ?ica?aeiinoae i?iaaaeai? aaoi?ii ni?eueii c i?ia?aeiei
iaoeiaei i?aoe?aieeii a?aeae?eo iaoeiaeo iniia i?aai?caoe?? i?ioe?aeiai?
ai?ioueae Oe?a?inueeiai IAe? iieieia?? ? ?aae?ieia?? (i. Ee?a)
e.i.i.I.I.E?ueoeiith.

Ai?iaaoe?y. Iaoa??aee ?iaioe iia?aeiieai? ia IX c’?cae? iieieia?a
Oe?a?ie (A?iieoey, 1995), I c’?cae? iieieia?a NIA (Iineaa, 1996), ia
eiioa?aioe?yo iaeaniiai oiaa?enoaa noiiaoieia?a (A?iieoey, 1995, 1996,
1997), eiioa?aioe?yo noiiaoieia?a Oe?a?ie (Iaeana, 1997, 1998). XIV
Ia’aaeiaii? iaoeiai iaaeeei-oaoii/ii? eiioa?aioei? c iiaeia?iaeiith
o/anoth (Ee?a,1996), Iiaeia?iaeiiio neiiicioi? «I?eioeeie i?iii?oei?,
neiao?i?, no?oeoo?ii? aa?iiii? i iaoaiaoe/iiai iiaeaethaaiiy a
ii?oieiai?» (Aiiieoey, 1996), iaoeiai-i?aeo. eiioa?aioei? «Aeooaeueii
ieoaiiy iaaeeoeeie» (Aiiieoey, 1997).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 30 ae?oeiaaieo
?ia?o, a oiio /ene? iiiia?ao?y — 1 (naiino?eia), a oaoiaeo ia??iaee/ieo
aeaeaiiyo, ?aeiiaiaeiaaieo AAE Oe?a?ie, — 16 noaoae (c ieo 15 —
naiino?eieo), iaoaioe — 2, iiene aei iaoaio?a — 2, a iaoa??aeao
iaoeiaeo c’?cae?a oa eiioa?aioe?e — 6 (c ieo 5 naiino?eieo),
iaoiaee/ieo ?aeiiaiaeaoe?e, caoa. IIC Oe?a?ie — 1, o/aiaeo i?aen?aiee?a
— 2 (iaeaeaa naiino?ei?).

Ianya ? no?oeoo?a aeena?oaoe??. Aeena?oaoe?eia ?iaioa aeeeaaeaia ia 305
noi??ieao iaoeiiieno ? neeaaea?ony ?c anooio, 10 ?icae?e?a aeanieo
aeine?aeaeaiue, aeniiae?a ? nieneo e?oa?aoo?e. Aeena?oaoe?y
?ethno?iaaia 39 iaethieaie oa 90 oaaeeoeyie. Nienie e?oa?aoo?e aeeth/a?
197 a?o/eciyieo ? 273 ca?oa?aeieo aeaea?ae.

IAOA??AE OA IAOIAeE AeINE?AeAEAIIss

1. Caaaeuei? a?aeiiino? i?i oai?eo ceiye?nieie iooeeiaie ?ioiaeioee

Ca iaoa??aeaie A?iieoeueeiai iaeaniiai iieieia?/iiai
aeeniaina?o, Oe?a?inueeiai IAe?I?, IIOe ?in?enueei? Aeaaeai?? iaae/ieo
iaoe n 1982 ?ieo ii 1995 ??e iaie aoee aea/ai? ?acoeueoaoe e?eoaaiiy
1036 oai?eo ceiye?nieie iooeeiaie ?ioiaeioee. Ca aenoieia?/iith
no?oeoo?ith ?iciiae?e aoa: ?ae neeciai? iaieiiee — 911 (87.9%), iaeeo
neeiieo caeic — 32 (3.1%), e?ioi- e ?aoeeoeina?eiie — 84 (8.1%),
??aee?ni? aeaee iooeei caeicenoi?, i?aiaioiooai?thth/i? ? niieo/ii?
oeaieie — 9 (0.9%) aeiaaee?a. Ceiye?ni? iiaiooai?aiiy ?ioiaeioee a?ae
caaaeueiiai /enea iooeei aieiae oa oe? neeaee 11.2%, aeioee — 55.7%.
Na?aae oai?eo ia ?ae neeciai? iaieiiee ? iaeeo neeiieo caeic ?ioiaeioee
(anueiai 943) /ieia?e?a aoei 865 (91.7%), ae?iie — 78 (8.3%). Ca aeaieie
A?iieoeueeiai iaeaniiai iieieia?/iiai aeeniaina?o /enei caiouaieo oi?i
?aeo III — IV noaae?e neeaei 67.4%, a c o?aooaaiiyi aiaeia?/ieo
iieaciee?a ee?i?e Iineae ? Ee?aa — 78%. ?iciiae?e oai?eo ia ?ae
?ioiaeioee ca noaae?yie ? nenoaiith TNM aoa: c I noaaei?th – 37(4.0%),
II – 162 (18.0%), III – 438 (48.0%), IV – 274 (30.0%); O1 — 61 (6.7%),
O2 — 368 (40.4%), O3 — 362 (39.7%), O4 — 120 (13.2%); N0 – 381
(41.0%), N1 — 283 (31.1%), N2 — 115 (12.6%), N3 — 132 (14.5%).
Anueiai aac iaoanoac?a aoa 381 oai?ee (41,8%). A na?aae 712 oai?eo, c
III — IV noaae?yie ?aeo ?ioiaeioee, 181 (25,4%) aoee aac iaoanoac?a.
?aa?iia?i? iaoanoace aoee o 530 iaoe??io?a (58.2%). A?aeaeaeai?
iaoanoace i?e ia?aeiiiio ianoaaeaii? aeyaeai? o 28 oai?eo (3.1%),
i?e /iio, 10.7% iaoe??ioia aoee aac ?aa?iia?ieo iaoanoac?a.
A?noiiaoieia?/ia no?oeoo?a iooeei aea/aia o 589 oai?eo. O 322
iaoe??io?a ae?aaiic ?aeo aoa onoaiiaeaiee aac aecia/aiiy nooiaith
aeeoa?aioe?thaaiiy. An? oai?? aoee ?acae?eai? ia aea? a?oie: ia?oo
neeaee iaoe??ioe c aenieiaeeoa?aioe?eiaaieie, ae?oao – iecueei- ?
iaaeeoa?aioe?eiaaieie oi?iaie ?aeo (oaae.1).

Oaaeeoey 1

A?noieiai/ia no?oeoo?a iooeei ?ioiaeioee

A?noieia?/ia

no?oeoo?a E i e a e ? c a oe ? y Anueiai

Ei??iue yceea I?aeiaa.

ieiaeaeeee I?aeiaa?ii?

aeoaeee I’yea

i?aeiaa?iiy Caaeiy no?iea aeioee

Aenieiaeeoa-?aioe?eiaaiee ?ae 184

73,6 % 121

58,7 % 56

74,7 % 35

78,0 % 10

76,9 % 406

68,9 %

Iecueei-? iaaeeoa?ai-oe?eiaaiee ?ae 66

26,4 % 85

41,3 % 19

25,3 % 10

22,0 % 3

23,1 % 183

31,1 %

?acii 250

100 % 206

100 % 75

100 % 45

100 % 13

100 % 589

100 %

Oaeei /eiii, /enei aenieiaeeoa?aioe?eiaaieo oi?i ?aeo ??cieo a?aeae?e?a
?ioiaeioee a?aeiineony aei iecueei- ? iaae?oa?aioee?iaaiiei oi?iai ?aeo
ye 2:1, 3:1 (o na?aaeiueiio 2.8:1).

2. Iaoiaee aeine?aeaeaiiy

Aeey ioe?iee ?ici???a oa oi?ie c?inoaiiy iooeeie canoiniaoaaee
iaeyaeaiiy oa iaeueiaoe?th. Iaeyaeaiiy i?iaiaeeee iaoiaeaie i?yii? oa
iai?yii? oa?eiaineii??, a oaeiae o?a?iaiaeineii??. ?icoe?ithth/e oi?io
?inoo iooeeie, aeae?eyee 3 aeaee: ae?aceiaee, ae?aceiai-?io?eueo?aoeaiee
e aecio?oiee.

Aei aioo?ioiuei?ioiaeo ?acaeoeie iaeiiai c aiaeaeieia ?ioiaeioee ie
aiaeianee iia?aoei?, yei i?iaiaeeeenue aac ?icni/aiiy ieaeiuei? aoae i
ieaeiuei? uaeaie (aioo?ioiuei?ioiaei aeinooiii). Aei eiiaiiiaaieo
iia?aoeie aoee aiaeianaii oi?o?ai/ii ao?o/aiiy, yei neeaaeaeenue c
aeaeaeaiiy o?aaeaiiai aiaeaeieo ?ioiaeioee, inoaioii??, aai ?acaeoe??
ieaeiuei? uaeaie, aeeiiaieo iica?ioiaei aeinooiii. A?oio oai?eo c
?icoe?aiei oi?o?ai/iei ao?o/aiiyi neeaee iaoei?ioe, yeei aeeiiaii
iia?aoe??, yei neeaaeaeenue c iaeiiiiiaioiiai aeaeaeaiiy ia?aeiii?
iooeeie i eeioeiaeie oa eiioaoe/ieo aoceia oe?. ?aoeeaeeaaie aaaaeaee
aiaeiiaeaiiy ?inoo iooeeie /a?ac ?ie iiney i?iaaaeaiiy eo?no
?aaeeeaeueii? oa?ai?? ? eeiii/ii aeciaiiai aeeieiaoaaiiy.

Ia’?eoeaiee aoaeo e?eoaaiiy i?e a??ia?aeii iaci??ieo iooeeiao
eeaneo?eoaaee ii ?aeiiaiaeaoe?? AIC (1978) oaeei /eiii:

1. Iiaiee aoaeo. Iiaia cieeiaiiy an?o iciae caoai?thaaiiy, a
e?aeiueiio ?ac? ia 4 oeaei?.

2. *anoeiaee aoaeo. Ciaioaiiy iooeeiiiai ooai?aiiy ia 50% ?
a?eueoa, a e?aeiueiio aeiaaeeo ia 4 oeaei?.

3. Aac aoaeoa. A?aenooi?noue iayaieo ci?i c aieo iooeeie, a
e?aeiueiio ?ac? ia i?ioyc? 4 oeaei?a. Aei oe??? a?oie a?aeiineoueny
oaeiae noaa?e?caoe?y i?ioeano, eiee iooeeia ciaioeeanue iaio i?ae ia
50%, aai ca?eueoeeanue iaio i?ae ia 25%.

4. I?ia?anoaaiiy. Iiyaa aoaeue-yeeo iiaeo, ui ?ai?o ia
niinoa??aaeenue, ina?aaee?a aai ca?eueoaiiy ?nioth/eo iooeei ia 25 ?
a?eueoa a?aenioe?a.

Aeey oa?aeoa?enoeee caaaeueiiai noaio oai?iai aei ? i?ney
e?eoaaiiy canoiniaoaaee 5 — aaeueio oeaeo, ui ? iiaeeo?eaoe??th 10 — e
aaeueii? oeaee Ea?iianueeiai (N.G.Zubrod et al.,1960).

A?aeaeaeai? ?acoeueoaoe e?eoaaiiy ceiye?nieo iooeei ?ioiaeioee aea/aee
oeyoii ianoaaeaiiy oai?eo i?e eiio?ieueiiio iaeyae? a iie?ee?i?oe?,
a oaeiae ia iniia? aeia?aeie iieieia?/ieo caeeaae?a, niia?uaiiy
aae?anieo ath?i, io?eiaieo o a?aeiia?aeue ia caieo i?aiaoiaea?aeae?e?a.
A?aeaeaeai? ?acoeueoaoe aea/ai? ia 31 a?oaeiy 1995 ?ieo. Noaoenoe/iee
aiae?c io?eiaieo ?acoeueoao?a iieyaaa a ia/eneaii? iieaciee?a aeaeeaaiiy
iaoiaeii iiaoaeiae oaaeeoeue aeiaeeooy (Bergson-Gage,1950). Oaaeeoe?
aeiaeeooy neeaaeaee oeyoii ?iciiae?eo oai?eo eiaeiiai ?ieo i?e
iyoe??/iiio niinoa?aaeaii?. Iio?i o oe? oaaeeoe? aiineee iieacieee
aeaeeooy ? ?o iiieeee aeey eiaeiiio ?ieo niinoa?aaeaiiy. Iiieeea
iieacieea aeaeeooy ?ic?aoiaoaaeanue ca oi?ioeith A?eiaoaea (1926).
Noaoenoe/ia ioe?iea aoaeoo e?eoaaiiy i?iaiaeeeanue iaie oeyoii
aecia/aiiy iieacieea a?aeiia?aeiino? O2 I??niia. An? ?ic?aooiee
i?iaiaeeeenue ia eiii’thoa?? ca aeiiiiiaith aeaeo?iiieo oaaeeoeue
Supercalc 5.

Iniiai? ?acoeueoaoe aeine?aeaeaiiy

1. Caoai?thaai?noue, nia?oi?noue ? iniaeeaino? ee?i?ee i?e ?aeia?
?ioiaeioee

Aeyaeaii, ui ca 10 ?ie?a a ia??iae c 1982 ii 1991 ?iee o A?iieoeuee?e
iaeano? a?aecia/aany cia/iee ??no caoai?thaaiiino? ia ?ae ?ioiaeioee (a
3.3 ?ace) ? nia?oiino? (a 2.6 ?ace). Iaea?eueo ?ioaineaii ?inea
caoai?thaai?noue ia ?ae ieaaeaeee?a — a 3,8 ?ace, a nia?oi?noue — na?aae
oai?eo ia ?ae ei?aiy yceea ? i?aeiaa?iieo aeoaeie — a 4.0 ? 4.2 ?ace
(oaae. 2,3).

Oaaeeoey 2

Caoai?thaai?noue ia ?ae ?ioiaeioee ia 100 000 ianaeaiiy ca ?ieaie

(a aan. /eneao ? % iii)

Eieae?caoe?y ?iee niinoa?aaeaiue

1982 1983 1984 1985 1986 1987 1988 1989 1990 1991

Ei??iue yceea 6

0,35 12

0,6 12

0,60 19

0,97 13

0,72 34

1,75 30

1,55 28

1,45 15

0,83 17

0,89

I?aeiaa?ii?

ieaaeaeeee 10

0,50 13

0,65 21

1,06 19

0,97 12

0,61 22

1,13 22

1,13 22

1,14 27

1,40 36

1,88

I?aeiaa?ii?

aeoaeee 2

0,10 3

0,15 2

0,10 5

0,25 6

0,31 2

0,10 3

0,15 10

0,51 12

0,62 8

0,47

I’yea

i?aeiaa?iiy 4

0,15 2

0,10 — — 2

0,10 —

3

0,15 7

0,36 6

0,31 7

0,36

?ioiaeioea 22

1,09 30

1,50 35

1,76 43

2,18 33

1,69 58

2,98 58

2,99 67

3,47 60

3,11 68

3,55

Oaaeeoey 3

Nia?oi?noue oai?eo ia ?ae ?ioiaeioee ia 100 000 ianaeaiiy ca ?ieaie

(a aan. /eneao ? %iii)

Eieae?caoe?y ?iee niinoa?aaeaiue

1982 1983 1984 1985 1986 1987 1988 1989 1990 1991

Ei??iue yceea 6

0,30 9

0,45 7

0,35 9

0,46 18

0,92 21

1,08 25

1,29 21

1,08 18

0,93 23

1,2

I?aeiaa?ii?

ieaaeaeeee 14

0,70 13

0,65 11

0,55 16

0,81 19

0,97 16

0,82 20

1,03 21

1,09 22

1,14 25

1,31

I?aeiaa?ii?

aeoaeee 2

0,10 3

0,15 — 4

0,20 4

0,20 3

0,15 2

0,10 5

0,26 7

0,36 8

0,42

I’yea

i?aeiaa?iiy 1

0,05 1

0,05 3

0,15 — — 2

0,10 — 2

0,10 6

0,31 6

0,36

?ioiaeioea 23

1,14 26

1,3 21

1,06 29

1,47 41

2,1 55

2,82 52

2,68 56

2,9 48

2,49 56

2,92

A 1994 ?ioe? caoai?thaai?noue ia ?ae ?ioiaeioee aeinyaea iaeneiaeueiiai
??aiy ? neeaea 4,6% 000 (89 /ieia?e). Canoinoaaiiy ?ac?iaeaieo iaie
i?aeoe/ieo ?aeiiaiaeaoe?e ii aaeineiiaeaiith oaeoeee eiiieaeniiai
e?eoaaiiy oai?eo ?aeii ?ioiaeioee ? aeeoa?aioe?aeuei?e ae?aaiinoeoe?
i?eaaei aei cieaeaiiy nia?oiino? a 1994 ?ioe? a 1.4 — 1.5 ?ace a
ii??aiyii? c aeaieie 1987 — 1991 ?ie?a.

Na?aae aeyaeaieo iaie iniaeeainoae ee?i?ee ?aeo ?ioiaeioee ne?ae
a?aecia/eoe oaea:

a ae?eyioe? ?ioiaiai a?aeae?eo aeioee ?ici??e iooeei a?eueoith i??ith
aieeaathoue ia iia??oaiiy i?iaiico caoai?thaaiiy, i?ae ?aa?iia?ia
iaoanoacoaaiiy;

i?e ?aoeeaeeaao ?aeo a?aecia/a?oueny ci?uaiiy eieae?caoe?? iooeei a
non?aei? iaeano?, ui iiaea i?ecaiaeeoe aei iiieeeiai? ci?ie ae?aaiico;

i?e i?i?inoaii? iooeeie a iai?yieo eaoa?aeueiiai e?eeiaeaeiiai i’yco
iaeiei c ia?oeo neiioii?a iooeeiii? eiio?aeoo?e ? ii?ooaiiy aieiaeo
?oo?a ieaeiuei? uaeaie;

na?aaei?e oa?i?i anoaiiaeaiiy ae?aaiico ?aeo ?ioiaeioee neeaaea?
4.0(0.9 iinyoey, i?e/iio, iaea?eueo neeaaeiith ? ae?aaiinoeea ii/aoeiaeo
oi?i ?aeo ei?aiy yceea oa caaeiuei? no?iee aeioee.

2. Eiia?iiaaiee iaoiae e?eoaaiiy oai?eo ia ?ae neeciai? iaieiiee
?ioiaeioee

Eiia?iiaaia e?eoaaiiy aoei i?iaaaeaii 112 oai?ei ?aeii neeciai? iaieiiee
?ioiaeioee. E?eoaaiiy oe??? a?oie iaoe??io?a iieyaaei o i?iaaaeaii?
ia?aaeiia?aoe?eii? i?iiaiaai? oa?ai?? a noia?i?e ina?aaeeia?e aeic?
a?ae 30 aei 40 A? ? iia?aoeaiiio ao?o/aii?, aeeiiaiiio ia iici?oa 8
oeaei?a i?ney ii?ii?ithaaiiy. *enei aeiaaee?a eiia?iiaaiiai e?eoaaiiy
neeaei i?e ?aeia? ei?aiy yceea -14.8%, i?aeiaa?iieo ieaaeaeee?a —
14.0%, i?aeiaa?iieo aeoaeie — 8.0%, i’yeiai i?aeiaa?iiy — 13.0% ? aeey
an?o iaeanoae ?ioiaeioee — 13.3%. Eiia?iiaaiiai e?eoaaiiy oai?eo ia ?ae
caaeiuei? no?iee aeioee ia i?iaiaeeee.

Na?aae 112 aeiaaee?a eiia?iiaaiiai e?eoaaiiy ?aeo ?ioiaeioee oai?? ia
?ae ei?aiy yceea neeaee 50 %, i?aeiaa?iieo ieaaeaee?a — 33%,
i?aeiaa?iieo aeoaeie – 8.9%, i’yeiai i?aeiaa?iiy – 8.1%. Iaea?eueo
/anoi eiia?iiaaia e?eoaaiiy i?iaiaeeee a III noaae?? ?aeo (61.7%), II —
22.3% ? i?e ?ici??ao iooeeie a?aeiia?aeieie O2 — 58%, O3 — 29.5%. Aac
?aa?iia?ieo iaoanoac?a aoei 59 oai?eo (52.7%), a c iaoanoacaie: N1 —
44 (39.3%), N2 — 7 (6.3%) ? N3 — 2 (1.7%) a?aeiia?aeii.

Iaie aoee aeae?eai? 3 aeaee iia?aoeaieo ao?o/aiue ia ia?aeiiiio
ina?aaeeo (oaae.4): e??iaeano?oeoe?y — 46 oai?eo (41.0%),
aioo?ioiuei?ioiaa ?acaeoeiy iaeiiai c aiaeaeieia ?ioiaeioee – 31
(27.7%), eiiaiiiaaii (c aeei?enoaiiyi iica?ioiaiai aeinooia) – 35
(31.3%).

Oaaeeoey 4

Aeaee iia?aoe?e ia ia?aeiiiio ina?aaeeo i?e ?aeia? ?ioiaeioee

Eieae?caoe?y Aeaee iia?aoe?e Anueiai, (%)

Aioo??oiuei-?ioiaa ?acaeoe?y Eiia?iiaaia E??iaeano?oeoe?y

Ei??iue yceea 24 (21,4 %) 23 (20,5 %) 9 (8,1 %) 56 (50,8%)

I?aeiaa?ii? ieaaeae. 2 (1,8 %) 5 (4,4 %) 30 (26,8 %) 37 (33,0%)

I?aeiaa?iii aeoaeee — 7 (6,4 %) 3 (2,6 %) 10 (9,0%)

I’yea i?aeiaa?iiy 5 (4,4 %) — 4 (3,5 %) 9 (8,0%)

?acii (%) 31 (27,7 %) 35 (31,3 %) 46 (41,0 %) 112 (100%)

?aoeeaeeae iooeei (oaae.5) aoee aeyaeai? o 34 oai?eo (30,4%), a
oiio /ene? i?e ?aeia? ei?aiy yceea — 21 (37.5%), i?aeiaa?iieo
ieaaeaeee?a — 9 (24.3%), ia?aaei?o i?aeiaa?iieo aeoaeie — 2 (20.0%),
i’yeiai i?aeiaa?iiy — 2 (22.2%). *ano?oa cono??/aeenue ?aoeeaeeae iooeei
i?ney iia?aoe?e, aeeiiaieo aioo??oiuei?ioiaei aeinooiii — 12 (38.7%) ?
aeaui ??aeoa i?ney e??iaeano?oeoe?e — 13 (28.3%), eiia?iiaaieo
iia?aoeaieo ao?o/aiue — 9 (25.7%).

Oaaeeoey 5

?aoeeaeeae, aeyaeai? i?e ??cieo aeaeao iia?aoe?e ia ia?aeiiiio ina?aaeeo

i?e ?aeia? ?ioiaeioee

Eieae?caoe?y Aeaee iia?aoe?e Anueiai

Aioo??oiuei-?ioiaa ?acaeoe?y ?aoee-aeeae Eiia?iiaaia ?aoee-aeeae
E??iaeano?oeoe?y ?aoee-aeeae Anueiai ?aoee-

aeeae

Ei??iue yceea 24 11

45,8% 23 6

26,1% 9 4

44,4% 56 21

37,5%

I?aeiaa?ii? ieaaeaeeee 2 — 5 2

40,0% 30 7

23,3% 37 9

24,3%

I?aeiaa?ii? aeoaeee — — 7 1

14,3% 3 1

33,3% 10 2

20,0%

I’yea

i?aeiaa?iiy 5 1

20.0% — — 4 1

25% 9 2

22.2%

?acii 31 12

38,7% 35 9

25,7% 46 13

28,3% 112 34

30.4%

I?ney i?iaaaeaiiy eiia?iiaaiiai e?eoaaiiy oai?eo ia ?ae ?ioiaeioee
a?eueoa /anoeia ?aoeeaeea?a c’yaey?oueny a no?iee aei aeaio ?ie?a,
i?e/iio /a?ac ??e – 47,1%, 2 – 38,2% (oaae.6). Na?aae 34 oai?eo c
aeyaeaieie ?aoeeaeeaaie ?aeo ?ioiaeioee na?aaeiy o?eaae?noue
aac?aoeeaeeaiiai ia??iaeo neeaea 1.8 ( 0.1 iinyoey. Oaeei /eiii,
eiia?iiaaiee iaoiae e?eoaaiiy aoa canoiniaaiee o 13.3% oai?eo, i?e/iio
iaea?eueo aaaaoi/enaeueio a?oio neeaee iaoe??ioe, ui no?aaeaeathoue ia
?ae ei?aiy yceea ? i?aeiaa?iieo ieaaeaeee?a (83%).

Oaaeeoey 6

No?iee iiyae ?aoeeaeea?a i?e eiia?iiaaiiio e?eoaaii? oai?eo ia ?ae

?ioiaeioee

Eieae?caoe?y ?iee niinoa?aaeaiue

1 2 3 4 5 Anueiai

Ei??iue yceea 6

28,6% 11

52,4% 1

4,8% 2

9,4% 1

4,8% 21

100%

I?aeiaa?i.

ieaaeae. 7

77,8% 1

11,1% 1

11,1% — — 9

100%

I?aeiaa?i.

aeoaeee 1

50% 1

50% — — — 2

100%

I’yea i?aeiaa?iiy 2

100% — — — — 2

100%

?acii 16

47,1% 13

38,2% 2

5,9% 2

5,9% 1

2,9% 34

100%

I?ei?oea: ?ioa?aaee /ano (?iee) iiaeai? a cia/aiiyo: 1- ??e i?ney
cae?i/aiiy e?eoaaiiy, 2 — /a?ac aeaa ? o.ae.

I’yoe??/ia aeaeeaaiiy oai?eo ia ?ae neeciai? iaieiiee ?ioiaeioee, ui
e?eoaaeenue eiia?iiaaiei iaoiaeii, neeaei 34,1 ( 4,7%. Iaea?eueo aenieee
iieaciee aeaeeaaiiy aoa na?aae oai?eo ia ?ae i?aeiaa?iieo aeoaeie ?
i?aeiaa?iiy (p < 0.05), iaea?eueo iecueeee - i?aeiaa?iieo ieaaeaeee?a (?<0.05) (oaae. 7). Oaaeeoey 7 A?aeaeaeai? ?acoeueoaoe e?eoaaiiy oai?eo eiia?iiaaiei iaoiaeii i?e ?aeia? ?ioiaeioee a caeaaeiino? a?ae eieae?caoe?? ? noaae?? caoai?thaaiiy (5-e ??/ia aeaeeaaiiy) Eieae?caoe?y Noaae?y ? ?? ??? IV I-IV Ei??iue yceea IAe 36.1(13.9% 41.2(8.7% IAe 44.4(6.8% I?aeiaa?iii ieaaeaeeee 100.0(90.2% 16.6(11.1% 11.1(6.8% IAe 15.4(6.4% I?aeiaa?iii aeoaeee IAe IAe IAe IAe 58.7(15.9% I’yea i?aeiaa?iiy IAe IAe IAe IAe 49.5(18.2% ?acii 63.5(21.1% 37.9(10.6% 30.2(5.7% 28.8(16.2% 34.1(4.7% IAe- iaaeinoaoiuei aeaieo 3.Eiia?iiaaia e?eoaaiiy oai?eo ia ?ae iaeeo neeiieo caeic Ceiye?ni? iooeeie iaeeo neeiieo caeic aeyaeai? o 32 oai?eo, ui neeaei 3.1% a?ae caaaeueiiai /enea iaoe??io?a (1036). Iaea?eueo /anoi cono??/aany ?ae ei?aiy yceea (62.5%). A?ae /enea aeiaaee?a eiaeiiai c a?aeae?e?a ?ioiaeioee ceiye?ni? iooeeie iaeeo neeiieo caeic i?aeiaa?iieo ieaaeaeee?a neeaee 1.1%, ei?aiy yceea - 4.7%, i’yeiai i?aeiaa?iiy - 10.8%. Ca a?noieia?/iith no?oeoo?ith aaeaiiea?oe?iiie neeaee 20.0%, ioeiai?aea?ii?aeiee ?ae - 35.0%, aaeaiieinoiciee ?ae - 45.0%. Oe? iooeeie iae/ano?oa aeyaeyeenue o ae?iie (59.4%). Na?aaei?e a?e oai?eo ciaoiaeeany a iaaeao 41-46 ?ie?a. Eiia?iiaaiee iaoiae e?eoaaiiy aoa i?iaaaeaiee o 22 (68.8%) oai?eo. Iniiaiei iia?aoeaiei iaoiaeii ? aeaeo?i?acaeoe?y /anoee ?ioiaeioee c ieanoeeith aeaoaeoo 20 (90.9%), ??aeoa canoiniaoaaeanue e??iaeano?oeoe?y - 2 (9.1%). Iieacaiee i’yo??/iiai aeaeeaaiiy neeaa 86.4 + 7.2%. I?e o?i?ii?iiaiaaiio e?eoaaii? (10 oai?eo - 31.2%) iieaciee 5-oe ??/iiai aeaeeaaiiy neeaa 40.0 + 15.4%. Iaoanoacoaaiiy oa?aeoa?ii ia?o ca ana aeey aaeaiieinoiciiai ?aeo (38.8%) ? c oeeo 7 aeiaaee?a aoee 3 ?aa?iia?ieo ? 4 a?aeaeaeaieo iaoanoace. Iaoanoac?a i?e aaeaiiea?oe?iii? ? ioeiai?aea?ii?aeiiio ?aoe? ia aeyaeaii. ?aoeeaeeae aeyaeai? o 12 (37.5%) oai?eo, ?c ieo 4 (33.4%) i?e ioeiai?aea?ii?aeiiio ?aeia? ? 8 (66.6%) - i?e oeee?iae?ii?. I?e ?aeia? iaeeo neeiieo caeic ?ioiaeioee iieaciee 5-oe??/iiai aeaeeaaiiy neeaa – (71.6 + 8.0)%. Ia iniia? aiae?co aaciina?aaei?o oa a?aeaeaeaieo ?acoeueoao?a o??o?a?/ieo ao?o/aiue, ui i?iaiaeyoueny i?e eiia?iiaaiiio e?eoaaii?, aoee ?ic?iaeai? iieacaiiy aei ?o canoinoaaiiy: o??o?a?/ia ao?o/aiiy iieacaia ye aoai eiia?iiaaiiai iaoiaeo e?eoaaiiy o oai?eo aenieiaeeoa?aioe?eiaaieie oi?iaie ?aeo c eieae?caoe??th iooeeie ei?aiy yceea, ia?aaeiuei? i?aeiaa?iii? aeoaeee ? i’yeiai i?aeiaa?iiy i?e ??-??? noaae?? ? aeayeeo oi?iao ?V noaae??, a oaeiae i?e ?aeia? iaeeo neeiieo caeic I - III noaae?e. I?iaaaeaiiy iia?aoeaieo ao?o/aiue i?e ?aeia? i?aeiaa?iieo ieaaeaeee?a iaaoaeoeaii. 4. ?ic?iaea iiaeo iia?aoeaieo ao?o/aiue i?e ?aeia? ?ioiaeioee I?e eiia?iiaaieo iia?aoe?yo c i?eaiaeo ceiye?nieo iooeei ?ioiaeioee ooai?th?oueny aeaoaeo ?ioiaeioeiaiai no?ieoa?a, ui i?eaiaeeoue aei ii?ooaiiy ooieoe?? ii?iaeieie ?ioa ? aeioee (ia?o ca ana aeoo eiaoaiiy). Iaie aoee ?ac?iaeai? iia? ? oaeineiiaeai? a?aeii? aeaee eiia?iiaaieo iia?aoeaieo ao?o/aiue i?e iooeeiao ?ioiaiai a?aeae?eo aeioee (io?eiai? 2 iaoaioe ia aeiao?ae). A iniiao aeiaoiaeo aoei iieeaaeaii ooieoe?iiaeueii - caa??aath/? iaoiaee iia?aoe?e. Oaeineiiaeaiee aeinooi aei ?ioiaeioee iieyaa? o oi?ioaaii? eeaioy oeaiei ieaeiuei? o?aoeie iaee//y, oeyoii ?icn?/aiiy ieaeiuei? aoae, oe??e, i?aeai??aeaey, c i?ioeeaaeiiai a?ae iooeeie aieo ? i?iaaaeaii? ?ic??co ii aa?oi?e oeei?e neeaaeoe?, ui i?aeaeuo? aaeanoe/i?noue aeaeaeaiiy iooeeie aeioee, iieaaoo? i?iaaaeaiiy oanoe?aeueii-oooey?iiai aen?/aiiy ee?oeiaeie ? e?ioaoe/iiai aia?aoo oe?, aea? e?auee einiaoe/iee aoaeo (iae. 1). Iaie oaeiae aoee ?ac?iaeai? uaaey/? aeaee inoaioii?e ? ?acaeoe?e ieaeiuei? uaeaie. Iiaeeo?eiaaia inoaioii?y ieaeiuei? uaeaie aeeth/a? a naaa ?acaeoe?th ia?aaeiueiai a?aeae?eo ?? a?eee, ui caaacia/o? aacia?a?ai?noue ? caa?aaeaiiy ooieoe?? uaeaie oa oi?ioee iia?aoeaiee aeinooi aei aeioee. Iae.1 Iia?aoeaii aeinooie aei ?ioiaeioee, niinia ieanoeee aieiaii noiiee aeioee oa i’yeiai iiaeiaaiiiy 1 – ?ic?ic, ui iaeyiiao? iiaeai?iaeaey (i?iiiiiaaia iaoiaeeea). 2 – na?aaeeiiee ?ic?ic. 3 – aa?oeeaeueiee ?ic?ic o aeieyioei eooa ?ioa (A.E.Ethaaaa oa niiaaao., 1986). 4 – ?ic?ic Aa?aiaia. 5 – oei?ii-i’yciaee eeaiioue c eeaaeueiei i’ycii. I?e aiae?c? i?neyiia?aoe?eieo aeaoaeo?a, iaie aeyaeaii, ui i?e ?acaeoe?? i?aai?a ?ioiaeioee iniiaiei eiiiainaoi?iei oaeoi?ii, ui ia?aoeiaeaea? ci?uaiith ai?oai?, caaacia/o? i?aeeii aeioee ? aeo eiaoaiiy, ? i’yce oeeiae?ao?aaie ? aeao/a?aaia. A?aoiaoth/e aaeeea cia/aiiy a aeo? eiaoaiiy iaeiiai c eiai eiiiiiaio?a - iiaeeiio ai?oai? aeiaa?oo ? caoaeaiiy aeioee, iaie, aeey caa?aaeaiiy ? ?icaeoeo eiiiainaoi?ieo iiaeeeainoae ?ioiaeioee a i?neyiia?aoe?eiiio ia??iae?, cai?iiiiiaaii caa??aaoe oeeiaeioeiaee i’yc ?, ii iiaeeeaino?, oeeii?ae’yce/io oa aeai/a?aaio. Iaae?eiei i???ioe?ii aeey caa?aaeaiiy oeeiaeioeiaiai i’yco ? aeioeiai-iaaeai?oaiia neeaaeea. ?icoe?aiiy iaae ?acaeoe?? ca aeioeiai - iaaeai?oaiio neeaaeeo i?ecaiaeeoue aei no?eeiai ii?ooaiiy aeoo eiaoaiiy. I?eionoeiith iaaeath ? iniiaiith oiiaith ?acaeoe?? i?aai?a ?ioiaeioee, i?e eio??e caa??aa?oueny ooieoe?y eiaoaiiy, ? aen?/aiiy oeaiei iiia?aae a?ae aeioeiai - iaaeai?oaiii? neeaaeee ? caa?aaeaiiy oeeiaeioeiaiai i’yco. Oaeei /eiii, ooeoe?iiaeueii - caa??aath/a ?acaeoe?y ?ioiaeioee neeaaea?oueny c? caa?aaeaiiy i’yc?a oeeiae?ao?aaie, ui ? aaaeeeaei eiiiainaoi?iei oaeoi?ii a?aeiiaeaiiy aeoo eiaoaiiy (iae. 2). Aeaia iaoiaeeea iia?aoe?? aoea i?iaaaeaia i?e e?eoaaii? 14 oai?eo a?eii a?ae 43 aei 66 ?ie?a. Ca nenoaiith ONM ? noaae?yie caoai?thaaiue ?iciiae?e aoa oaeei: c iooeeiaie, ?ici??e yeeo a?aeiia?aeaee O2 - 4 oai?eo, O3 - 10; aac iaoanoac?a (N0 ) - 6, N1 - 6, N2 - 2, c III noaae??th - 12, IV - 2. A?noieia?/ii o 13 oai?eo aeyaeaii ieineiee?oeiiee c?iaia?eee ?ae ? 1 - iecueeiaeeoa?aioe?eiaaiee. A?aeaeaeai? iaoanoace noaee i?e/eiith nia?o? o aeaio oai?eo (o iaeiiai /a?ac ??e, o ae?oaiai /a?ac 2 ?iee). ?aoeeaeeae aoee aeyaeai? o 3 (21.4%) iaoe??io?a (1 /a?ac ??e ? 2 /a?ac 2 ?iee). Iaaii?iiy ?aie ? iaoe?i? i?inoiie ooai?eeenue o 2 oai?eo, i?e/iio iae?ic oeaiei o iaeiiai oai?iai aeeeeeaa neeueio a?iceaio e?iaioa/o c ciai?oiuei? niiii? a?oa???, eio?a aoei coieiaia oeyoii ia?aa’ycee inoaiiuei?. A?ae noiooiuei? iaoieia?? iiia?ee 2 oai?eo. A?aeaeaeai? ?acoeueoaoe e?eoaaiiy aoee i?inoaaeai? a no?iee a?ae 1 aei 5 ?ie?a. Ii??aiyiiy aeaieo iieaciee?a aeaeeaaiiy oai?eo aoei i?iaaaeaii c ?acoeueoaoaie e?eoaaiiy 13 iaoe??io?a c III - IV noaae?yie ?aeo (III - 10; IV - 3) a?eii a?ae 50 aei 62 ?ie?a, yeei i?iaaaeai? eiia?iiaai? iia?aoe?? ca a?aeiieie iaoiaeeeaie c aeei?enoaiiyi iica?ioiaiai aeinooio aei iooeeie ?ioiaeioee. Iae.2 Iineyiia?aoeieiee aeaoaeo ?ioiaeioee (c aieo ii?iaeieie aeioee) 1 – oeeiiiaeiaiee aiae?inoie. 2 – oeeiaeioeiaee i’yc. 3 – aeioeiai-iaaeai?oaiia neeaaeea. 4 – ?acaeiaaia aeieyiea ei?aiy yceea. 5 – ui/iee i’yc oa e?eei-ieaeiueiuaeaiiaee (ui/ii-aeioeiaee) oia c aeieyieith ?acaeiaaiiai aa?oiueiai noenea/a aeioee. 6 – i?iaeoeiy e?eeiiiaeiaiiai aiae?inoea eeeiiiiaeiaii? einoee. 7 – i?iaeoeiy noaeiaiaiai aiae?inoea ieaeiuei? uaeaie. Canoinoaaiiy ?ac?iaeaieo iaie eiia?iiaaieo iia?aoeaieo ao?o/aiue ia ?ioiaeiooe? (a ii?aeiaii? c ia?aaeiia?aoe?eiith i?iiaiaaith oa?ai??th) aeicaieeei io?eiaoe i’yoe??/ia aeaeeaaiiy o 50.0%oai?eo ? cieaeaiiy /enea ?aoeeaeea?a c 30.8% (i?e a?aeiieo aeaeao iia?aoe?e) aei 21.4 ? a?aenooi?noue iiaoi?iiai iaoanoacoaaiiy. I?e aeai?e iaoiaeeoe? iia?aoe?? ia a?aei?/aeinue no?eeiai ii?ooaiiy aeoo eiaoaiiy. Ciiaeiaa aiaeoaaiiy cae?enithaaee 12 - 16 ae?a, i?ney /iai oai?? ia?aoiaeeee ia naiino?eia oa?/oaaiiy. Oae ci?iaee ia 8 - 10 aeiao. I?neyiia?aoe?eiee ?oaaoeue aoa iaeiiii?oiei ? ia aeaoi?ioaaa ieaeith o?aoeio iaee//y. Ooai?ai? i?neyiia?aoe?ei? aeaoaeoe ?ioiaeioee, ye i?aaeei, iio?aaothoue iaeiiiiiaioii? ?aeiino?oeoe??, aeey /iai aeei?enoiaothoueny oeaieie yceea, neeciai? iaieiiee uiee, oe??yii-aee?iaee eeaiioue c oe?. Ieanoeea aeaieie iaoiaeaie a ?yae? aeiaaee?a aoaa? aaaeeith /a?ac iaiaaeaiiy ?ooeeaino? ia?ai?uaieo oeaiei, neeaaeii? eiio?ao?aoe?? aeaoaeoo ? eiaea ?ioiaeioee, eoaee eeaaeaoueny eeaiioue. Ii?ooaiiy e?iaiia?ao a eeaioyo ? iaei??th c aieiaieo i?e/ei ?o /anoeiaiai aai iiaiiai iae?ico. Oaeei /eiii, caa?aaeaiiy noaeeiiiai ?onea ? a?aeiiaeaiiy e?iaioieo ? iniiaiith oiiaith oni?oo ieanoeee. Iaie ?ac?iaeaiee niin?a ieanoeee aeaoaeo?a ?ioiaeioee ? aeia ii?iaeieie ?ioa, ui iieyaa? o aee?ithaaii? neeciai-aee?iaiai eeaioy c? uiee ia noaeeii?e i?aeoe?, ui aeeth/a? u?/io a?oa??th (iaoaio N 10891 io 18.12.95). Niin?a cae?enith?oueny ianooiiei /eiii. I?ae ia?eicii, i?e iaeneiaeueii a?aee?eoiio ?io?, aeaiia i?ae?oaeieie ?ic??caie, ui coiaeyoueny, aee?ith?oueny eeaiioue, ui aeeth/a? neeciao iaieiieo uiee, i?aeneeciaee oa? ? u?/iee i’yc. ?icii? eeaioy a iaea?eueoiio aei??? iiaea neeaaeaoe aei 4 - 5 naioeiao??a. A?ae aeenoaeueiiai e?ath eeaioy ?iaeoueny ai?eciioaeueiee ?ic??c /a?ac ?ao?iiiey?io iaeanoue aei na?aaeeie e?eeiaeaeii-ieaeiueiuaeaiii? neeaaeee ? aeaoaeoo ?ioiaeioee. E?a? neeciai? a?aei?aia?iaothoueny aeiaa?oo ? aeiieco ia a?aenoai? 0.5 - 1.0 ni, i?ney /iai i?iaiaeeoueny aeae?eaiiy u?/ii? a?oa??? ? aaie. I?e caoiieaii? iaeueoeyie oeaiei uiee c aieo oe??e ? ii?iaeieie ?ioa iiaeeeai aecia/eoe ioeuenaoe?th u?/ii? a?oa???, ui ? aeiaeaoeiaei i???ioe?ii ?? ciaoiaeaeaiey. Io?eiaiee a?oa??aeiciaaiee u?/iee neeciai-i’yciaee eeaiioue aeeaaea?oueny a iaeanoue aeaoaeoa ?ioiaeioee aai aeia ii?iaeieie ?ioa ? o?eno?oueny oaaie (iae. 3). Iae. 3 A?oa?iaeiciaaiee neeciai – i’yciaee eeaiioue uiee. 1 – Aa?oiueiuaeaiiaa a?oa?iy. 2 – Ui/ia a?oa?iy. 3 – A?oa?iaeiciaaiee neeciai – i’yciaee eeaiioue uiee, aeeth/ath/ee ui/io a?oa?ith. 4 – Aeaoaeo aieiai? noiiee aeioee iiney aeaeaeaiiy iooeeie. 5 – Iiaeiiaiiiee iiaaeaeee. 6 – Ia?aaeiy iiaeiaaiiia aeoaeea. 7 – I?eaooia i?ioiea (i?ioiea i?eaooii? caeice). Aeaia iaoiaeeea iaie aoea canoiniaaia o 6 oai?eo: c i?eaiaeo caeeoeiai? ?aeiai? iooeeie ?ao?iiiey?ii? iaeano? ? ia?aaeiuei? i?aeiaa?iii? aeoaeee (4) ? ?aoeeaeeao iooeeie (2). O an?o aeiaaeeao a?aei?/aii oni?oia i?eaeeaaiiy eeaioy. Iaei??th c neeaaeieo i?iaeai ieanoeee ? a?aeiiaeaiiy aeaoaeo?a i’yeiai i?aeiaa?iiy. Canoiniaoaaiee oe??yii-i’yciaee eeaiioue, c aeeth/aiiyi eeaaeueiiai i’yco, cai?uo?, ye i?aaeei, aeaoaeo aieiai? no?iee aeioee, ei?aiy yceea, ieaaeaeeeiai - yceeiai? ai?icaee ? aeia ii?iaeieie ?ioa. Aeey cae?eooy aeaoaeoo i?aeiaa?iieo aeoaeie ? i’yeiai i?aeiaa?iiy oe??e eeaioy, cae/aeii, ia aenoa/a?. C iaoith onoiaiiy oeueiai iaaeie?eo i?e oi?ioaaii? oe??yii-i’yciaiai eeaioy ia oe?, iaie aoei cai?iiiiiaaii aeeth/aoe a iueiai aeiaeaoeiao yceeiiiae?aio ae?eueieoeth oe??e o aa?oiueiciai?oiueiio a?aeae?e? (aeea. iae.1). A?aeiii, ui e?iaiia?a oe??e iaae eeaaeueiei i’ycii aeoiaeeoue ca eiai iaae?. Oaeei /eiii, iiaa?oiaaa /anoeia oe??yii - i’yciaiai eeaioy (oe??a c i?aeoe??yiith aee?iaith ee?oeiaeiith) iiaea ia?aaeuoaaoe i’yciao ye ca aeiaaeeiith, oae ? ca oe?eiith. Aeaiee oaeineiiaeaiee eeaiioue aoa canoiniaaiee iaie o 8 oai?eo, iia?iaaieo c i?eaiaeo ?aeo ia?aaeiuei? i?aeiaa?iii? aeoaeee (7) ? i?aeiaa?iiiai ieaaeaeeea (1). Oaeei /eiii, i?e oni?oiiio i?eaeeaeaii? anueiai oe??yii-i’yciaiai eeaioy oey aeiaeaoeiaa ae?eyiea oe??e aoaeoeaii cae?eaa? aeaoaeo i?aeiaa?iieo aeoaeie ? i’yeiai i?aeiaa?iiy. 5. O?i?ii?iiaiaaa oa?ai?y ceiye?nieo iooeei ?ioiaeioee O?i?ii?iiaiaaee iaoiae e?eoaaiiy aoa canoiniaaiee o 733 oai?eo (82,5%). Aeey ioe?iee aoaeoeaiino? e?eoaaiiy iaie aeae?eai? a?oie iaoe?aio?a, eio?ei canoiniaoaaee o?aeoe?iiiaaio ? a?ia?o?aeoe?iiiaaio i?iiaiaao oa?ai?th, a oaeiae ?o niieo/aiiy c IA*-a?ia?oa?i??th, aioo??oiueia?oa??aeueiith ? o?eaaeith aioo??oiueiaaiiith ?iooc?eiith o?i?ioa?ai??th. Aei o?aeoe?iiiaaieo aeae?a i?iiaiaai? oa?ai?? aoee a?aeianai? iaoiaee, ui canoiniaothoue iiae??aiai? aeice ii 2 A? a aeaiue 5 ?ac?a ia oeaeaeaiue o aeaeyae? ia?a?ea/anoiai aai ?icuaieaiiai eo?n?a oaeaaaiiaoa?ai??. Oei/aniaee ?ioa?aae i?ae aoaiaie ia ia?aaeuoaaa 2 - 3 oeaei?. Noia?ia ina?aaeeiaa aeica neeaea 60 - 70 A?. Iaoiaeeea a?ia?o?aeoe?iiiaaiiai ii?ii?iaiiy iieyaaea o ?acae?eaii? aeiaiai? aeice ia o?e o?aeoe?? ii 1 A? c ?ioa?aaeaie i?ae naainaie ii?ii?iaiiy 3 - 3.5 aiaeei. Aanue eo?n ii?ii?iaiiy ?icu?ieyany ia 3 aoaie c aeaioeaeiaaeie ia?a?aaie i?ae ieie. Noia?i? ina?aaeeia? aeice ia oeeo aoaiao neeaee 30, 30 ? 21 - 24 A?ae (NIAe 81 - 84 A?). O?eaaeo aioo??oiueiaaiio ?iooc?eio o?i?ioa?ai?th canoiniaoaaee ca oaeith noaiith: a ia?oee aeaiue aioo??oiueiaaiii iaeii?aciai ia oii? a?ia?a?ae?aoaoe?? aaiaeeee ieao?ae?ai ii 100 ia/i2 ? 5-ooi?o?aoe?e ii 1000 ia/i2/aeia c ia?oiai ii i’yoee aeaiue a aeaeyae? aacia?a?aii? 100 aiaeeiii? ?iooc??. ?ioa?aae i?ae eo?naie neeaaeaa 3 - 4 oeaei?. Eaoaoa? anoaiiaethaaee a i?aeeeth/e/io aai e?eoueiao aaie. 5-ooi?o?aoeee a aeic? 1000 ia/i2/aeia ?ic/eiyee a 400 ie o?c?ieia?/iiai ?ic/eio ? iiaeaaaee aacia?a?aii c iino?eiith oaeaee?noth ?iooc?? 16 - 17 ie/aiae. I?iaiaeeee 3 eo?ne OA?OO, i?ney /iai ii/eiaee i?iiaiaao oa?ai?th. Eieaeueio a?ia?oa?i?th iooeeie i?iaiaeeee a eiiieaen? c o?aeoe?iiiaaiith oaeaaaiaoa?ai??th (OAO). Aeenoaioe?eio OAO i?iaiaeeee ia aia?ao? "?ieon" a noaoe/iiio ?aaeei? c aeaio cono??/ieo iie?a, o?aeoe?eii ii 2 - 2.5 A? 5 ?ac?a a oeaeaeaiue. Noia?ia ina?aaeeiaa aeica ia I aoai? neeaea 20-30 A?. Aeaa ?ace a oeaeaeaiue, ii/eiath/e c o?aoueiai naaino ii?ii?iaiiy, /a?ac 20 oaeeei, aaciina?aaeiuei aei iooeeie, ia?aooii?aeueii aaiaeeee iaoio?aenao a aeic? 10 - 20 ia (noia?ii aei 80 - 100 ia ia eo?n e?eoaaiiy). C?aco i?ney o?i?ioa?ai?? ii/eiaee eieaeueio IA*-a?ia?oa?i?th ia aia?aoao "Ieio" aai "ssooa-3", ui ?iaeyoue ia /anoio? 460 Iaoe e 915 Iaoe. O?eaae?noue naaino a?ia?oa?i?? neeaaeaea 60 oaeeei, oaiia?aoo?a a iooeei? - 43 + 0.5Ni, caaaeueia /enei naain?a o?i?ioa?ai?? ? a?ia?oa?i?? - 4-5. Aeey i?iaaaeaiiy aioo??oiueia?oa??aeueii? o?i?ioa?ai?? canoiniaoaaee aeainoi?iiith eaoaoa?ecaoe?th yceeiaeo a?oa??e. O?i?ioa?ai?th i?iaiaeeee o?aeoe?eii 1 ?ac ia aeiao iaoio?aenaoii (eo?niaa aeica 100 - 150 ia). Iaeii/anii c eo?nii o?i?ioa?ai?? i?iaiaeeee o?aeoe?iiiaaio oaeaaaiiaoa?ai?th (NIAe - 65 - 70 A?). ?iciiae?e oai?eo a caeaaeiino? a?ae aeaeo o?i?ii?iiaiaaiai e?eoaaiiy ? noaae?? ?aeo ?ioiaeioee iaaaaeaii a oaae. 8. Oaaeeoey 8 ?iciiae?e oai?eo a caeaaeiino? a?ae aeaeo o?i?ii?iiaiaaiai e?eoaaiiy ? noaae?? ?aeo ?ioiaeioee Iaoiae Noaae?y ? ?? ??? IV I-IV O?aeoe?iiiaaia i?iiaiaaa oa?ai?y 25 124 256 123 528 +OA?OO - - 11 5 16 +A?ia?oa?i?y - - 17 14 31 +Aioo??oiuei a?oa??aeueia oa?ai?y - - 5 12 17 A?ia?o?aeoe?iiaaia i?iiaiaaa oa?ai?y 4 9 47 46 106 +OA?OO - 3 22 10 35 Anueiai 29 136 358 210 733 OA?OO - O?eaaea aioo??oiueiaaiia ?iooc?eia o?i?ioa?ai?y. Iieacieee 5-??/iiai aeaeeaaiiy oai?eo ciaoiaeeeenue a iaaeao 5.9 - 43.6%. O ca’yceo c oei, ui iaea?eueo iiaii ?acoeueoaoe e?eoaaiiy aoee i?inoaaeai? ia i?ioyc? o?ueio ?ie?a, ioe?iea aoaeoeaiino? oa?ai?? aoea i?iaaaeaia oeyoii ii??aiyiiy iieaciee?a o?e??/iiai aeaeeaiiy (oaae 9). ?acoeueoaoe e?eoaaiiy iaoiaeii o?aeoe?iiiaaii? i?iiaiaai? oa?ai?? noaoenoe/ii cia/eii iie?auothoueny i?e canoinoaaii? eieaeueii? IA* - a?ia?oa?i??, a oaeiae i?e a?ia?o?aeoe?iioaaii? aeic ii?ii?ithaaiiy (p < 0.05). Iaie ia aeyaeaii noaoenoe/ii cia/eieo a?aei?iiinoae iieaciee?a aeaeeaaiiy o oai?eo, ui e?eoaaeenue iaoiaeii i?iiaiaai? oa?ai?? ? ?? niieo/aiiy c o?eaaeith aioo??oiueiaaiiith ?iooc?eiith o?i?ioa?ai??th. Iaeiae, i?e canoinoaaii? OA?OO ? a?ia?o?aeoe?iiiaaii? i?iiaiaai? oa?ai?? aeey e?eoaaiiy oai?eo III noaae??th ?aeo a?aei?/a?oueny ca?eueoaiiy iieaciee?a aeaeeaaiiy aei 55,6 ( 17.7% ( p < 0.05),   III - IV noaae?yo - 40.0 ( 15.2% (p < 0.05) (ocaaaeueiaiee iieaciee), ui, iaiaaii, iia’ycaii ia?o ca ana, c aoaeoeai?noth a?ia?o?aeoe?iiiaaii? i?iiaiaai? oa?ai??. Noaie aioo??oiueia?oa??aeueii? o?i?ioa?ai??, iniiao yeeo neeaaea? iaoio?aenao, ne?ae aaaaeaoe iaeiaoaeoeaieie. Oaaeeoey 9 Iieacieee o?e??/iiai aeaeeaaiiy oai?eo ?aeii ?ioiaeioee a caeaaeiino? a?ae aeaeo e?eoaaiiy ? noaae?? caoai?thaaiiy Iaoiae Noaae?y *enei oai?eo ? ?? ??? ?V Anueiai O?aeoe?iiiaaia i?iiaiaaa oa?ai?y 32.0 (9.3% 28.5 ( 4.1% 15.8 ( 2.3% 9.4 ( 2.9% 18.2 ( 1.7% 528 +OA?OO - - 6.2 ( 5.4% 0 14.3 ( 5.3% 16 +A?ia?oa?i?y - - 58.8 ( 11.9% 23.8 ( 11.9% 43.4 ( 9.0% 31 +Aioo??oiuei-a?oa??aeueia oa?ai?y - - IAe 8.3 ( 7.9% 11.8 ( 7.8% 17 A?ia?o?aoe?iii-aaia i?iiaiaaa oa?ai?y 50.4 ( 14.7% 40.2 ( 7.7% 15.8 ( 5.7% 31.0 ( 4.8% 106 +OA?OO - IAe 55.6 ( 17.7% 0 40 ( 15.1% 35 Eiia?iiaaiee 84.6 ( 14.5% 54.1 ( 10.3% 38.6 ( 5.9% 33.2 ( 16.8% 45.6 ( 4.8% 112 IAe - iaaeinoaoiuei aeaieo. I?e aea/aii? caeaaeiino? aoaeoeaiino? o?aeoe?iiiaaii? i?iiaiaai? oa?ai?? a?ae a?noieia?/ii? aoaeiae iooeeie aeyaeaii, ui na?aae iecueeiaeeoa?aioe?eiaaieo oi?i ?aeo iieaciee i’yoe??/iiai aeaeeaaiiy iaea?eueo aenieee i?e e?ioiai?oae?ii? (43.8 ( 8.7%). Oaeei /eiii, i?e canoinoaaii? iaoiaeee eiia?iiaaiiai e?eoaaiiy, ui aeeth/a? o??o?a?/ia ao?o/aiiy, iiaeeo?eiaai? iaoiaee i?iiaiaai? oa?ai?? (a?ia?o?aeoe?iioaaiiy aeic ii?ii?ithaaiiy, eieaeueia IA*-a?ia?oa?i?y) o?ueio ? i’yoe??/ia aeaeeaaiiy oai?eo ?aeii ?ioiaeioee iiaea aooe aeinyaiooa o 50-58% iaoe??io?a. O??o?a?/i? ao?o/aiiy o oai?eo aenieiaeeoa?aioe?eiaaieie oi?iaie ?aeo ?ioiaeioee ne?ae aaaaeaoe iaoiaeii aeai?o, a i?e ?aae?i?acenoaioieo iooeeiao - i?ia?aeiei iaoiaeii e?eoaaiiy. A E N I I A E E Caoai?thaai?noue ia ?ae ?ioiaeioee ca ia??iae c 1981 ii 1991 ?iee ae?inea a 3.3 ?ace, a nia?oi?noue - a 2.6 ?ace. *enei caiouaieo oi?i ?aeo (III - IV noaae?e) aeaii? eieae?caoe?? neeaei 67.4%. Aenieiaeeoa?aioe?eiaai? oi?ie ?aeo aeyaeythoueny o 68.9 % oai?eo, iecueei - ? iaaeeoa?aioe?eiaai? - 31.1%. ?aa?iia?i? iaoanoace aeyaeythoueny o 58.2%, a?aeaeaeai? - 3,1% oai?eo ?aeii ?ioiaeioee. O 10,7% oai?eo c a?aeaeaeaieie iaoanoacaie ?aa?iia?i? iaoanoace ia aeyaeythoueny. ?aa?iia?ia iaoanoacoaaiiy ?aeo ?ioiaeioee ?iaeoue iaio nooo?aei aieea ia iia??oaiiy i?iaiico caoai?thaaiiy, i?ae ?ici??e iooeeie. I?e ?nioth/eo aeaeao o??o?a?/ieo ao?o/aiue, ui i?iaiaeyoueny i?ney ia?aaeiia?aoe?eii? i?iiaiaai? oa?ai??, o oai?eo ia ?ae ?ioiaeioee ?aoeeaeeae aeyaeythoueny a 30.4% aeiaaee?a, iieaciee i’yoe??/iiai aeaeeaaiiy neeaaea? (34.1 ( 4.7)%. O 5.7% oai?eo c i?neyiia?aoe?eieie aeaoaeoaie aeioee ?icaeaa?oueny no?eea ii?ooaiiy aeoo eiaoaiiy. ?ic?iaeaia iaie eiia?iiaaia iia?aoe?y ia ?ioiaeiooe? aeicaiey? a ii?aeiaii? c ia?aaeiia?aoe?eiith i?iiaiaaith oa?ai??th aeinyaoe i’yoe??/iiai aeaeeaaiiy o (50.0 ( 13.3)% oai?eo ? ciaioaiiy /enea ?aoeeaeea?a ia 10%. I?e aeai?e iaoiaeeoe? iia?aoe?? ia a?aei?/a?oueny no?eeiai ii?ooaiiy aeoo eiaoaiiy. I?e ?acaeoe?? i?aai?a ?ioiaeioee iniiaiei oaeoi?ii, ui ni?ey? ?icaeoeo eiiiainaoi?iiai iaoai?cio, yeee ia?aoeiaeaea? ci?uaiith ai?oai?, caaacia/o? i?aeiyooy aeioee ? aeoo eiaoaiiy, ? i’yce oeeiae?ao?aaie ? aeai/a?aaia. Aeiionoeiith iaaeath ? iniiaiith oiiaith ?acaeoe?? i?aai?a ?ioiaeioee, i?e yeiio caa??aa?oueny ooieoe?y eiaoaiiy, ? aen?eaiiy oeaieie nia?aaeo a?ae aeioeiai-iaaeai?oaiii? neeaaeee ? caa??aaiiy oeeiaeioeiaiai i’yco. I?iaaaeaiiy iia?aoeaieo ao?o/aiue, ye aoaio eiia?iiaaiiai iaoiaeo e?eoaaiiy, ui aeeth/a? ia?aaeiia?aoe?eio i?iiaiaao oa?ai?th, ? aoaeoeaiei o oai?eo aenieiaeeoa?aioe?eiaaieie ?aae?i?acenoaioieie oi?iaie ?aeo neeciai? iaieiiee ei?aiy yceea, ia?aaeiuei? i?aeiaa?iii? aeoaeee ? i’yeiai i?aeiaa?iiy i?e II - III, ? aeayeeo oi?iao IV noaae?? caoai?thaaiiy, a oaeiae i?e ?aeia? iaeeo neeiieo caeic I - III noaae?e. I?iaaaeaiiy iia?aoeaieo ao?o/aiue i?e ?aeia? i?aeiaa?iieo ieaaeaeee?a iaaoaeoeaii. Iieaciee o?e??/iiai aeaeeaaiiy oai?eo ?aeii ?ioiaeioee I - IV noaaeie, ui e?eoaaeenue iaoiaeii o?aeoe?iiiaaii? i?iiaiaai? oa?ai?? (18.2 ( 1.7)%, noaoenoe/ii aaaiii iie?auo?oueny i?e canoinoaaii? a?ia?o?aeoe?iioaaiiy aeic ii?ii?iaiiy – (31.0 ( 4.8)%, a oaeiae eieaeueii? IA*-a?ia?oa?i?? (43.4 ( 9.0)%. I?iiaiaaa oa?ai?y oai?eo ia ?ae i?aeiaa?iieo ieaaeaeee?a a?eueo aoaeoeaia i?e e?ioiai?oae?ii? (iieaciee i’yoe??/iiai aeaeeaaiiy neeaa (43.8 ( 8.7)%, i?ae i?e ieineiee?oeiiiio i?iaia?aath/iio ?aeia? (iieaciee i’yoe??/iiai aeaeeaaiiy neeaa (15.8 ( 3.9)%. O?eaaea aioo??oiueiaaiia ?iooc?eia o?i?ioa?ai?y ia iie?auo? a?aeaeaeaieo ?acoeueoao?a e?eoaaiy oai?eo ia ?ae ?ioiaeioee. O??o?a?/iee iaoiae e?eoaaiiy oai?eo c ?aoeeaeeaaie ?aeo ?ioiaeioee ? a?eueo aoaeoeaiei, ieae iaoiaee o?i?ii?iiaiaai? oa?ai?? (iieacieee o?e??/iiai aeaeeaaiiy neeaee a?aeiia?aeii 18.3% ? 4.2%. Iaea?eueo aoaeoeaiei niiniaii e?eoaaiiy oai?eo ia ?ae ?ioiaeioee ne?ae aaaaeaoe eiia?iiaaiee iaoiae c o?aooaaiiyi iieacaiue aei iia?aoeaiiai ao?o/aiiy ? aeei?enoaiiy ooieoe?iiaeueii-caa?iaath/eo iaoiaeee iia?aoe?e, ui aeicaiey? iie?auoaaoe a?aeaeaeai? ?acoeueoaoe e?eoaaiiy, cieaeoaaoe /enei ?aoeeaeea?a ? caa??aaoe ooieoe?th aeioee, a oaeiae iiaeeo?eiaai? niiniae o?i?ii?iiaiaai? oa?ai??, ui aeeth/athoue a?ia?o?aeoe?iioaaiiy aeic ii?ii?ithaaiiy ? eieaeueio IA*-a?ia?oa?i?th. NIENIE ?IA?O, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe?? 1.Ceiea/anoaaiiua iiooiee ?ioiaeioee. - Aeiieoea: IAI Aeiiaeoeiia?aoey, 1996. - 231 n. (Iiiia?aoey). 2. Auai? iioeiaeueiiai iaoiaea e aiaeec ?acoeueoaoia ea/aiey aieueiuo ?aeii ?ioiaeioee // Eeiii/ia oi?o?aiy. - Ee?a, 1996. - N 8.- C. 26-27. 3. Oniaa?oainoaiaaiea iia?aoeaiuo aiaoaoaeuenoa i?e ?aea ?ioiaie /anoe aeioee // Eeiii/ia oi?o?aiy. - Ee?a, 1996. - N 11. - C. 36-37. 4. Aiaeec caaieaaaaiinoe, nia?oiinoe e aeaeia ea/aiey aieueiuo ?aeii ?ioiaeioee a Aeiieoeeie iaeanoe ca 10 eao (1982-1991) // Eeiii/ia oi?o?aiy. - Ee?a, 1996.- N 12. - C. 43-44. 5.?aoeeaeeaoaaiiy ?aeo ?ioiai? /anoeie aeioee i?e eiia?iiaaiiio oa i?iiaiaaiio iaoiaeao e?eoaaiiy // AEo?i. aooieo, iiniaeo i ai?eiaeo oai?ia. - Ee?a, 1997. - N 3. - C. 38-39. 6. Aoaeoeaiicoue eieoaaiiy ceiye?nieo iiaiooai?aiue ?ioiai? /anoeie aeioee a caeaaeiino? aiae ainoieiai/ii? no?oeoo?e // AEo?i. aooieo, iiniaeo i ai?eiaeo oai?ia. - Ee?a, 1997. - N 6. - C.48-49. 7. Iayieoaeeaeueiua e ?aaeei ano?a/athueany iiooiee ?ioiaeioee (iaci? eeoa?aoo?u) // Ainiee noiiaoieiai?.- Iaeana, 1997.- N 2. - C. 270-272. 8. Iayieoaeeaeueiua e ?aaeei ano?a/athueany iiooiee ?ioiaeioee (eeeie/aneea iaaethaeaiey) (2-a niiauaiea) // Ainiee noiiaoieiai?." - Iaeana, 1997. - N4. - C. 584-585. 9. Ieanoeea aeaoaeoia ii?iaeieie ?ioa i ?ioiaeioee a?oa?iaeiciaaiiei neeciai - i'yciaei eeaioai uiee // Ainiee noiiaoieiai?. - Iaeana, 1997. - N 4. - C. 573-574. 10. Iooe iiauoaiey yooaeoeaiinoe ea/aiey aieueiuo ?aeii ?ioieioee // Ainiee noiiaoieiai?. - Iaeana, 1997.- N 4. - C. 600-604. 11. Nia?aiaiiua aiciiaeiinoe ea/aiey aieueiuo ?aeii ?ioiaeioee // Aanoiee iieieiae/aneiai iao/iiai oeaio?a ?AII. - Iineaa, 1997. - N 3. - C. 68-70 (niaao. A.A.Oaioaeue). Ceiea/anoaaiiua iiooiee iaeuo nethiiuo aeae?c ?ioiaeioee // Folia otorinolaryngologia. - C. - Iaoa?ao?a, 1997.- O.3, N 1-2. - N.55-56. Iiai niiniae iia?aoeaieo ao?o/aiue i?e iooeeiao ii?iaeieie ?ioa i ?ioiaeioee // Iiaeie noiiaoieiai?. - Eueaia, 1997. - N 4. - N. 9-13. Iniae?aino? ee?i?ee ? ae?aaiinoeee ?aeo ?ioiaeioee // I?aeoe/ia iaaeeoeeia. ?icaeee "Iieieia?y". Euea?a, 1997. - N 9 - 10. - c.64 - 67. ?aoeeaeeae?iaaiea ?aea ?ioiaeioee // Ainiee noiiaoieiai?. - Iaeana, 1998.- N 2. - C. 53 - 55. 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Iia?aoeaiua aiaoaoaeuenoaa i?e ?aea ?ioiaeioee: O/aaiia iiniaea aeey a?a/ae-eo?naioia. - Aeiieoea, 1996. - 23 n. Aeai? iioeiaeueiiai iaoiaeo eieoaaiiy oai?eo ia ceiyeinii iooeeie ?ioiaeioee: Iaoiaee/ii ?aeiiaiaeaoei?. (Caoa.IIC Oe?a?ie).- Aiiieoey, 1996. - 8n. Eiiaiiiaaia eieoaaiiy oai?eo ia ?ae ei?aiy yceea // Iaoa?iaee IX c'?caeo iieieiaia Oe?a?ie. - Aiiieoey, 1995. - C. 139 - 140 (Ni?aaao.: A.N.I?ioeee). Oa?ii?aaeeioa?aiey e ?aaeiia?iay aeia?aeeeaiey a eiiieaeniii ea/aiee ?aea iieinoe ?oa e aeioee // Iaoa?eaeu I nuacaea iieieiaia NIA. - Iineaa, 1996. - C. 275 (Ni?aaao.: A.N.I?ioeee, A.I.O?aiaa/, E.I.*oi?eia). ?ae iaeuo nethiiuo aeaeac ei?iy ycuea // Iaoa??aee XIV Ia'aaeiaiii? iaoeiai iaaeeei-oaoii/ii? eiioa?aioei? c iiaeia?iaeiith o/anoth. - Ee?a - Aiiieoey, 1996 - C. 39 - 40. Oiiia?aoi-aiaoiie/aneia iainiiaaiea ooieoeeiiaeueii-uaaeyueo iia?aoeee i?e ?aea ?ioiaeioee // Iaoa??aee Iiaeia?iaeiiai neiiicioio «I?eioeei i?iiiceoei?, neiao?i?, no?oeoo?ii? aa?iiii? i iaoaiaoe/iiai iiaeaethaaiiy a ii?oieiai?». - Miaeia?iaeia Aeaaeaiiy iioaa?aoeaii? aio?iiieiai?. - Aiiieoey, 1996 - C. 208 - 209. Aiaeaeaeaii ?acoeueoaoe eiiaiiiaaiiai eieoaaiiy oai?eo ia ?ae i?aeiaa?iieo ieaaeaeee?a // Iaoa?iaee iaoeiai - i?aeo. eiioa?aioei? "Aeooaeueii ieoaiiy iaaeeoeeie ". - Aiiieoey, 1997. - C. 64 - 65. Aoaeoeaiinoue o?eaaei? aioo?ioiueiaaiii? ?iooc?eii? oiiiioa?aii? a eiiieaeniiio e?eoaaii? oai?eo ia ?ae ?ioiaeioee // Iaoa?iaee iaoeiai-i?aeo. eiioa?aioei? "Aeooaeueii ieoaiiy iaaeeoeeie". -Aiiieoey, 1997. - N.65-66. Ooaaeia N.I. Ceiye?ni? iooeeie ?ioiaiai a?aeae?eo aeioee (oeyoe i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy ? ?ic?iaea iiaeo ooieoe?iiaeueii-caa?iaath/eo o??o?a?/ieo ao?o/aiue) - ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy aeieoi?a iaaee/ieo iaoe ca niaoe?aeueiinoyie 14.01.22 - noiiaoieia?y i 14.01.07 - iieieia?y. - Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iieieia?? ? ?aae?ieia?? IIC Oe?a?ie, Ee?a, 1998. Aeena?oaoe?y i?enay/aia ieoaiiyi i?aeaeuaiiy aoaeoeaiino? e?eoaaiiy oai?eo ceiye?nieie iooeeiaie ?ioiaeioee. I?iaaaeaii aeine?aeaeaiiy caoai?thaaiino?, nia?oiino? ? iniaeeainoae i?io?eaiiy oai?iae i?e ?aeia? ?ioiaeioee. Aea/aia aoaeoeai?noue o??o?a?/ieo ao?o/aiue, ui aeei?enoiao?ony a iao /an, ye aoaio eiia?iiaaiiai iaoiaeo e?eoaaiiy, o oai?eo ?aeii ?ioiaeioee a caeaaeiino? a?ae noaae??, eieaeecaoe?? ? a?noieia?/ii? no?oeoo?e iooeeie. ?ic?iaeaiee iiaee oiiia?aoi-aiaoii?/ii iaa?oioiaaiee niin?a i?iaaaeaiiy o??o?a?/iiai ao?o/aiiy, ui caaacia/o? iioeiaeueiee aeinooi aei ?ioiaeioee, ?aaeeeaeueia aeaeaeaiiy iooeeie, caa??aaiiy ooieoe?? aeioee ? oni?oio ?aaa?e?oaoe?th oai?eo a i?neyiia?aoe?eiiio ia??iae?. Iieacaii cia/aiiy i’yc?a aieiai? no?iee aeioee i?e ?? ?acaeoe??, ye aaaeeeaiai eiiiainaoi?iiai oaeoi?a, ui aeicaiey? a?aeiiaethaaoe ooieoe?th eiaoaiiy. ?ic?iaeai? oaeiae iia? niiniae ieanoeee aeaoaeo?a aieiai? no?iee ?ioiaeioee ? i’yeiai i?aeiaa?iiy. Anoaiiaeaii, ui na?aae oeo, ui aeei?enoiaothoueny ca oaia??oiueiai /ano iiaeeo?eiaaieo niinia?a i?iiaiaai? oa?ai?? iaea?eueo aoaeoeai? iaoiaeeee a?ia?o?aeoe?iioaaiiy aeic ii?ii?iaiiy ? eieaeueii? IA* - a?ia?oa?i??. ?ic?iaeaia iaoiaeeea eiia?iiaaiiai e?eoaaiiy aeicaieeea iie?aueoe a?aeaeaeai? ?acoeueoaoe e?eoaaiiy ia 16%, cieceoe /enei ?aoeeaeea?a iooeei ia 10% ? aeinyaaoe i’yoe??/iiai aeaeeaaiiy o 50 - 58% oai?eo n III - IV noaae?yie ?aeo ?ioiaeioee. Eeth/ia? neiaa: ?ae ?ioiaeioee, ooieoe?iiaeueii-caa??aath/? iia?aoe??, ieanoeea i?neyiia?aoe?eieo aeaoaeo?a ?ioiaeioee, aoaeoeai?noue i?iiaiaai? oa?ai??, iieacieee aeaeeaaiiy. Ooaaeia N.I. Ceiea/anoaaiiua iiooiee ?ioiaiai ioaeaea aeioee (iooe iiauoaiey yooaeoeaiinoe ea/aiey e ?ac?aaioea iiauo ooieoeeiiaeueii-nio?aiythueo oe?o?ae/aneeo aiaoaoaeuenoa) - ?oeiienue. Aeenna?oaoeey ia nieneaiea iao/iie noaiaie aeieoi?a iaaeeoeeineeo iaoe ii niaoeeaeueiinoyi 14.01.22 - noiiaoieiaey e 14.01.07 - iieieiaey. - Oe?aeineee iao/ii-enneaaeiaaoaeueneee einoeooo iieieiaee e ?aaeeieiaee IC Oe?aeiu, Eeaa, 1998. Aeenna?oaoeey iinayuaia aii?inai iiauoaiey yooaeoeaiinoe ea/aiey aieueiuo ceiea/anoaaiiuie iiooieyie ?ioiaeioee. I?iaaaeaii enneaaeiaaiea caaieaaaaiinoe, nia?oiinoe e iniaaiiinoae oa/aiey aieacie i?e ?aea ?ioiaeioee. Caaieaaaaiinoue ?aeii ?ioiaeioee ca ia?eiae n 1981 ii 1991 aiaeu au?inea a 3,3 ?aca, a nia?oiinoue – a 2,6 ?aca. *enei caiouaiiuo oi?i ?aea (III-IV noaaeee) aeaiiie eieaeecaoeee ninoaaeei 67,4 %. Aunieiaeeooa?aioee?iaaiiua oi?iu ?aea auyaeythony o 68,9% aieueiuo, iecei- e iaaeeooa?aioee?iaaiiua – o 31,1%. ?aaeiia?iua iaoanoacu auyaeythony o 58,2 %, ioaeaeaiiua – o 3,1 % aieueiuo ?aeii ?ioiaeioee. O 10,7 % aieueiuo n ioaeaeaiiuie iaoanoacaie ?aaeiia?iua iaoanoacu ia auyaeythony. ?aaeiia?iia iaoanoace?iaaiea ?aea ?ioiaeioee ieacuaaao iaiaa nouanoaaiiia aeeyiea ia oooaeoaiea i?iaiica caaieaaaiey, /ai ?acia?u iiooiee. Eco/aia yooaeoeaiinoue i?eiaiyaiuo a ianoiyuaa a?aiy oe?o?ae/aneeo aiaoaoaeuenoa, eae yoaia eiiaeie?iaaiiiai iaoiaea ea/aiey, o aieueiuo ?aeii ?ioiaeioee a caaeneiinoe io noaaeee, eieaeecaoeee e aenoieiae/aneie no?oeoo?u iiooiee. I?e nouanoaothueo aeaeao oe?o?ae/aneeo aiaoaoaeuenoa, eioi?ua i?iaiaeyony iinea i?aaeiia?aoeeiiiie eo/aaie oa?aiee, o aieueiuo ?aeii ?ioiaeioee ?aoeeaeeau auyaeythony a 30,4% neo/aaa, iieacaoaeue iyoeeaoiaai auaeeaaiey ninoaaeyao 34,1(4,7%. O 5,7% aieueiuo n iineaiia?aoeeiiiuie aeaoaeoaie aeioee ?acaeaaaony noieeia ia?ooaiea aeoa aeioaiey. Oe?o?ae/aneee iaoiae ea/aiey aieueiuo n ?aoeeaeeaaie ?aea ?ioiaeioee yaeyaony aieaa yooaeoeaiui, /ai iaoiaeu oeieieo/aaie oa?aiee (iieacaoaee o?aoeaoiaai auaeeaaiey ninoaaeee niioaaonoaaiii 18,3 % e 4,2 %). ?ac?aaioai iiaue oiiia?aoi-aiaoiie/anee iainiiaaiiue niinia i?iaaaeaiey oe?o?ae/aneiai aiaoaoaeuenoaa, iaania/eaathuee iioeiaeueiue aeinooi e ?ioiaeioea, ?aaeeeaeueiia oaeaeaiea iiooiee, nio?aiaiea ooieoeee aeioee e oniaoioth ?aaaeeeoaoeeth aieueiuo a iineaiia?aoeeiiiii ia?eiaea. Iieacaii cia/aiea iuooe aieiaie noaiee aeioee i?e a? ?acaeoeee, eae aaaeiiai eiiiainaoi?iiai oaeoi?a, iicaieythuaai ainnoaiaaeeaaoue ooieoeeth aeioaiey. Auyaeaii, /oi aeiionoeiie a?aieoeae e iniiaiui oneiaeai ?acaeoeee i?aaiia ?ioiaeioee, i?e eioi?ii nio?aiyaony ooieoeey aeioaiey, yaeyaony enna/aiea oeaie eia?aaee io aeioi/ii-iaaeai?oaiiie neeaaeee e nio?aiaiea oeeiaeioi/iie e oeeiiiaeuycu/iie iuooe. I?iaaaeaiea iia?aoeaiuo aiaoaoaeuenoa, eae yoaia eiiaeie?iaaiiiai iaoiaea ea/aiey, eioi?ue aeeth/aao i?aaeiia?aoeeiiioth eo/aaoth oa?aieth, yaeyaony yooaeoeaiui o aieueiuo aunieiaeeooa?aioee?iaaiiuie ?aaeei?acenoaioiuie oi?iaie ?aea neecenoie iaiei/ee ei?iy ycuea, ia?aaeiae iaaiie aeoaeee e iyaeiai iaaa i?e II-III e iaeioi?uo oi?iao IV noaaeee caaieaaaiey, a oaeaea i?e ?aea iaeuo nethiiuo aeaeac I-III noaaeee. I?iaaaeaiea iia?aoeaiuo aiaoaoaeuenoa i?e ?aea iaaiuo ieiaeaeei iayooaeoeaii. ?ac?aaioaiu oaeaea iiaua niiniau ieanoeee aeaoaeoia aieiaie noaiee ?ioiaeioee e iyaeiai i?aa. Onoaiiaeaii, /oi n?aaee i?eiaiyaiuo a ianoiyuaa a?aiy iiaeeoeoee?iaaiiuo niiniaia eo/aaie oa?aiee iaeaieaa yooaeoeaiu iaoiaeeee aeia?o?aeoeeiie?iaaiey aeic iaeo/aiey e eieaeueiie NA*-aeia?oa?iee. Iieacaoaeue o?aoeaoiae auaeeaaaiinoe aieueiuo ?aeii ?ioiaeioee I-IV noaaeee, eioi?ui i?eiaiyeanue o?aeoeeiie?iaaiiay eo/aaay oa?aiey (18,2(1,7)%, noaoenoe/anee aeinoiaa?ii oeo/oaaony i?e i?eiaiaiee aeia?o?aeoeeiie?iaaiey aeic iaeo/aiey – (31,0(4,8)%, a oaeaea eieaeueiie NA*-aeia?oa?iee (43,4(9,0)%. Eo/aaay oa?aiey aieueiuo ?aeii iaaiuo ieiaeaeei aieaa yooaeoeaia i?e eeioiyieoaeeiia (iieacaoaeue iyoeeaoiae auaeeaaaiinoe ninoaaee (43,8(8,7)%, /ai i?e ieineieeaoi/iii i?iaiaaaathuai ?aea (iieacaoaeue iyoeeaoiae auaeeaaaiinoe ninoaaee (15,8(3,9)%. Aeeeoaeueiay aioo?eaaiiay eiooceiiiay oeieioa?aiey ia oeo/oaao ioaeaeaiiuo ?acoeueoaoia ea/aiey aieueiuo ?aeii ?ioiaeioee. ?ac?aaioaiiay iaoiaeeea eiiaeie?iaaiiiai ea/aiey iicaieeea oeo/oeoue ioaeae?iiua ?acoeueoaou ea/aiey ia 16%, nieceoue /enei ?aoeeaeeaia iiooieae ia 10% e aeinoeaaoue iyoeeaoiae auaeeaaaiinoe o 50-58% aieueiuo n III-IV noaaeeyie ?aea ?ioiaeioee. Eeth/aaua neiaa: ?ae ?ioiaeioee, ooieoeeiiaeueii–nio?aiythuea iia?aoeee, ieanoeea iineaiia?aoeeiiiuo aeaoaeoia ?ioiaeioee, yooaeoeaiinoue eo/aaie oa?aiee, iieacaoaee auaeeaaaiinoe. Shuvalov S.M. Malignant tumos of the oropharynx (the ways of improvement the treatment efficiency and elaboration of new methods of function preserving surgeries). Thesis for a doktor’s degree in medikal sciences by speciality 14.01.22 - Stomatology and 14.01.07 - Oncology. Ukrainian Research Institute of Oncology and Radiology Ministry of Public Health Service of Ukraine, Kiev, 1998. The dissertation is devoted to the problem of improvement the treatment efficiency of oropharynx malignant tumors. The morbidity, mortality rates and pecul?aritis of the disease were investigated. The efficiency of up-to-date methods of surgical intervention as a stage of combined ways of treatment in patients with malignant tumor of oropharynx concerning stage, localisation and histological structure was studied. New topografical-anatomical method of surgical intervention (operation) was worked out which provides an optimal access to the oropharynx, radical tumor removal, preservation of pharynx function and success rehabilitation of patients in the postoperative period. The importance of the lateral pharynx wall muscles in case of resection is demonstrated, as a main factor of swollowing rehabilitation. Also new methods of the lateral wall and soft palate surgery were elaborated. It has been determined that the most effective methods of radiotherapy now days are hyperfractionation and local hyperthermia. The elaborated methods of combined treatment improved the follow-up results for 16% diminished the number of recurrences for 10% and achiaved 5 year survival in 50-58% patients with III - IV stages of oropharynx cancer. Key words: malignant tumor of oropharynx (oropharynx cancer), function preservation operations, plastic of the postoperations defect, radiotherapy efficiency, survival rate. 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