iaoe?aneiai ninoiyiey, iaoneiaeaiiiai i?aeeiiiui aic?anoii
aieuiuo e oy?aeie niioonoao?uae iieei?aaiiie iaoieiaeae.
I?iaaaaiea o yoiai eiioeiaaioa oy?aeuo aieuiuo aa?anneaiuo
i?ioeaiiiooieaauo iaoiaia ea?aiey cia?eoaeuii oaaee?eaaao
?ene ?acaeoey iianiuo aey ?ecie inei?iaiee e ia aa?aioe?oao
iiei?eoaeuiuo ?acoeuoaoia.
A yoie nayce ?ac?aaioea iieacaiee e i?ioeaiiieacaiee e i?e-
iaiaie? o iieieiae?aneeo aieuiuo IV eeeie?aneie a?oiiu iaoi-
aa oioiaeiaie?aneie oa?aiee, aee??ay aai yiaineiie?aneia
i?eiaiaiea, yaeyaony aeooaeuiie iao?ii-i?aeoe?aneie caaa?ae
nia?aiaiiie iieieiaee, o?aao?uae aaeuiaeoae ?ac?aaioee e
aiaa?aiey a eeeie?aneo? i?aeoeeo.
Ia aaca AEA ¹11 a ioaaeaiee iaeeeaoeaiie iiiiue iieiei-
ae?aneei aieuiui nicaai eaaeiao oioiaeiaie?aneie oa?aiee e
oe?i?anoaioiie aeaaiinoeee, iniauaiiue ioa?anoaaiiie onoa-
iiaeie aey oioiaeiaie?aneie oa?aiee «EA680-2000», i?aaia-
cia?aiiie aey i?iaaaaiey oa?aiee a eeeie?aneeo oneiaeyo n en-
iieuciaaieai oioinaineaeeecaoi?ia n iiaeiuaieai a niaeo-
?aeuiii aeaiaciia 670-690 ii.
I?eiaiaiea yoiai yooaeoeaiiai, iaeiaaceaiiai e i?aeoe?an-
ee aaciianiiai iaoiaa o aieuiuo n ?ani?ino?aiaiiuie oi?ia-
ie ceiea?anoaaiiuo iiaiia?aciaaiee iicaieeo oeo?oeou ea?a-
noai ?ecie yoiai oy?aeiai eiioeiaaioa aieuiuo, ?oi eiaao ia
oieuei aieuoia iaaeoeineia, ii e nioeaeuiia cia?aiea.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 18-19.
ÐÀÑØÈÐÅÍÍÛÅ È ÑÈÌÓËÜÒÀÍÍÛÅ
ÎÏÅÐÀÖÈÈ Â ÏÐÀÊÒÈÊÅ
ÂÐÀ×À-ÎÍÊÎÃÈÍÅÊÎËÎÃÀ
A.I. Na?aioaa, I.?. Eoeio
Iieiaeiaeieiae?aneia ioaaeaiea AEA ¹ 40, Iineaa, ?inney
A iieiaeiaeieiae?aneii ioaaeaiee AEA ¹ 40 Iineau a 1995-
1997 aa. ?anoe?aiiua e neioeuoaiiua iia?aoee ninoaaeee 10,2%
anao iieinoiuo iia?aoee (anaai 166). E ?anoe?aiiui ioiineee
iia?aoee (84), o?aao?uea aieuoaai, ?ai noaiaa?oiue, iauaia a
nayce n ?ani?ino?aiaiiinou? iiooiee; e neioeuoaiiui (82) —
iia?aoee n iaiiiiiaioiui oe?o?ae?aneei ea?aieai niioonoao-
?uae iaoieiaee. Aaceniua iia?aoee: yenoe?iaoey / iaaaeaaa-
eeuiay aiiooaoey iaoee n i?eaaoeaie, a oii ?enea e n ?acaeoe-
ae aieuoiai naeuieea, a ai 2-e a?oiia e iia?aoey Aa?oaaeia.
?anoe?aiiua iia?aoee: oaaeaiea iai?aaiiuo iaoanoaoe?aneeo
ia?aciaaiee a??oiie iieinoe e caa??oeiiiai i?ino?ainoaa —
34, ia?aaycea iaaeno?aeuiuo ninoaia — 15, yenoe?iaoey aieuoi-
ai naeuieea e oaaeaiea ?aeoai?ii-iaiai?iie naycee — 14, ai-
iaiayeoiiey — 13, ?acaeoey ii?aaiai iocu?y — 8, oaaeaiea ca-
a??oeiiuo eeioaoe?aneeo oceia cii ?enoa?aaeiia?iiai iaoa-
noace?iaaiey — 8, ?acaeoey oiieie eeoee — 6, ?acaeoey oienoie
eeoee — 6, enna?aiea ?anoe ia?aaiae a??oiie noaiee — 4 (ana-
ai 108 iia?aoee). Ai 2-? a?oiio aee??aiu aieuiua eae n ia?ae?-
iie iiooieaaie iaoieiaeae, oae e iaoeaioee n ?aoeaeaaie, iaoa-
noacaie e aeaaiinoe?aneeie eaia?ioiieyie ii oeio iia?aoee
«sacond look». Neioeuoaiii auiieiyee oaaeaiea aieuoiai naeu-
ieea ii oe?o?ae?aneei niia?a?aieyi — 47; a?u?ana?aiea e
ieanoeea ?acee?iuo a?u? (iaiineaiia?aoeiiiuo) — 41; a?u?a-
na?aiea — 1; ieanoeea iineaiia?aoeiiiuo a?u? — 33; ieanoeea
eoeuoe aeaaaeeua — 24; aiiaiayeoiiey — 6; ?acaeoey oiieie
eeoee a nayce ni niaa?iui i?ioannii — 4. O ainoaoi?ii aieu-
oiai eiee?anoaa aieuiuo (25%— a 1-e a?oiia e 15%— ai 2-e) ai-
i?in ?anoe?aiey iauaia ai iia?aoee ia iano?aaeny. Iineaiia-
?aoeiiiua inei?iaiey a 1-e a?oiia aieuiuo ninoaaeee 6,7% (a
o.?. 1,3%, naycaiiua n ?anoe?aieai iauaia iia?aoee), ai 2-e —
7,4% (a o.?. 1,7%, naycaiiua n ?anoe?aieai iauaia iia?aoee),
ii anai aieuiui, iia?e?iaaiiui a iieiaeiaeieiae?aneii ioaa-
eaiee — 6,1%. Oaeei ia?acii, neaaoao ioiaoeou, ?oi i?iaeaia
auiieiaiey ?anoe?aiiuo neioeuoaiiuo iia?aoee a iieiaeiaei-
eiae?aneie eeeieea aeooaeuia. ?anoe?aiiua iia?aoee iiauoa-
?o ?aaeeaeeci oe?o?ae?aneiai ea?aiey, nicaa?o eo?oea oneiaey
aey eo?aaie oa?aiee e oeieioa?aiee. Auiieiaiea yoeo iia?aoee
nouanoaaiii ia aeeyao ia oa?aiea iineaiia?aoeiiiiai ia?eiaa.
Iaiaoiaeiuie oneiaeyie eo auiieiaiey yaeyaony iiiaii?i-
oeeuiue noaoeiia? n iiuiie oe?o?ae?aneie neo?aie e aunieay
oe?o?ae?aneay eaaeeoeeaoey iieiaeiaeieiaia.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 82.
ÐÅÇÓËÜÒÀÒÛ ÕÈÐÓÐÃÈ×ÅÑÊÎÃÎ ËÅ×ÅÍÈß
ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÛÕ ÔÎÐÌ ÐÀÊÀ ÆÅËÓÄÊÀ
A.A. Naiai?aiy, N.A. Oaeeiia, I.N. A?iiia, A.I. Niaoaiei
Na?aoianeee iaeanoiie iieieiae?aneee aeniaina?, Na?aoia,
?inney
Oe?o?ae?aneia ea?aiea ?ani?ino?aiaiiuo oi?i ?aea ?aeoa-
ea i?iaie?aao inoaaaouny aeooaeuiui. O?eouaay i?i?anoaiea
iiooiee a ie?o?a?uea oeaie e iaoanoace?iaaiea ii iooyi eei-
oioiea, ?anoi i?eoiaeony auiieiyou eiiaeie?iaaiiua iia?a-
oee n oaaeaieai nia?iuo i?aaiia e caa??oeiiie eeioaaaiye-
oiieae. Eiiaeie?iaaiiua iia?aoee, ii aaiiui ?yaa aaoi?ia,
ninoaaey?o io 20 ai 50% anao iia?aoee i?e ?aea ?aeoaea, e, ia-
niio?y ia aunieo? eaoaeuiinou, yaey?ony aaeinoaaiiie aicii-
?iinou? ieacaou iiiiuu aieuiui n yoie iaoaeiaeae.
A aaiiie ?aaioa i?iaiaeece?iaaiu iaiin?aanoaaiiua ?a-
coeuoaou oe?o?ae?aneiai ea?aiey aieuiuo n ?ani?ino?aiaiiuie
oi?iaie ?aea ?aeoaea ii iaoa?eaeai Na?aoianeiai iieieiae-
?aneiai oaio?a.
Anaai n 1993 ii 1997 a. i?iecaaaaii 302 iia?aoee i?e ?aea
?aeoaea, ec ieo ?aaeeaeuiuo — 169 (55,9%), i?iaiuo e neiioi-
iaoe?aneeo — 133. Aano?yeoiiee auiieiaii 87, noaoioaeuiuo ?a-
caeoee — 82. Aieuiua n iiooieaaui i?ioannii IV noaaee ninoa-
aeee 48,2%.
Auiieiaii 64 eiiaeie?iaaiiuo iia?aoeaiuo aiaoaoaeuno-
aa, ?oi ninoaaeei 21,1% io iauaai ?enea iia?aoee. A iniiaiii
auiieiyee aano?iiaie?aaoinieaiyeoiie? (23), a inoaeuiuo neo-
?ayo aano?yeoiie? eee noaoioaeuio? ?acaeoe? aiiieiyee ?a-
caeoeae iiia?a?iie iaiai?iie eeoee, ?acaeoeae oaea e oainoa
iia?aeoai?iie ?aeacu, ?acaeoeae ie?iae o?aoe ieuaaiaa, ?a-
caeoeae ii?ae aeo?aaiu, iaa?eyeoiieae e o.a. Iauay iinea-
iia?aoeiiiay eaoaeuiinou ninoaaeea 14,5%, iinea eiiaeie?i-
aaiiuo iia?aoee — 27,2%. Iaiin?aanoaaiiie i?e?eiie nia?oe
a ?aiiai iineaiia?aoeiiiii ia?eiaa yaeyeenu aiieii-naioe-
?aneea inei?iaiey a a??oiie iieinoe, aeaaiui ia?acii ca
n?ao iaie?aiiae?ica, a oae?a na?aa?ii-eaai?iua inei?iaiey e
o?iiaiyiaieey eaai?iie a?oa?ee.
Oaeei ia?acii, aaeuiaeoaa niaa?oainoaiaaiea oaoieee
iia?aoeaiuo aiaoaoaeunoa, ?ac?aaioea iieacaiee e eiiaeie?i-
aaiiui iia?aoeyi i?e ?ani?ino?aiaiiuo oi?iao ?aea ?aeoa-
ea, niaa?oainoaiaaiea eioaineaiie oa?aiee a iineaiia?aoeii-
iii ia?eiaa iicaieeo i?iaeeou ?eciu e oeo?oeou aa ea?anoai o
yoie eaoaai?ee aieuiuo.
II Eiia?ann «Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey a ca?aaiio?a-
iaiee», e?iu, 1998, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2-3,
1998, n. 83.
ÝÍÄÎÑÊÎÏÈ×ÅÑÊÀß ËÀÇÅÐÒÅÐÀÏÈß
ÏÎÑËÅÎÏÅÐÀÖÈÎÍÍÛÕ ÁÐÎÍÕÈÀËÜÍÛÕ
ÑÂÈÙÅÉ Ó ÁÎËÜÍÛÕ ÐÀÊÎÌ ËÅÃÊÎÃÎ
I.A. ?a?aieneia, A.A. Aaoooaiei
IEE iieieiaee, Oiine, ?inney
Iineaiia?aoeiiiua a?iioeaeuiua naeue aicieeee o 14
aieuiuo ?aeii eaaeiai, 5 iaoeaioai auiieiaii oe?o?ae?an-
363
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