iie; ?anoe?iay ?aa?anney — o 67/106 (64%) e 68/107 (64%); aac
yooaeoa — o 19/106 (18%) e 24/107 (23%) niioaaonoaaiii. Ii
anae aeaeiinoe, i?e iao?aaeoeiiiii, ei?ioeii ii aeeoaeuiinoe
iaeo?aiee eaoaeuiua iia?a?aaiey iiooieaaie oeaie ia oniaaa-
ee ?aaeeciauaaouny iae?ineiie?anee. Iiaoaa??aaieai oiio
neo?ao ?acoeuoaou 1-eaoiae au?eaaaiinoe, eioi?ua cia?eoaeu-
ii eo?oa a iniiaiie a?oiia: 57/106 (54%) i?ioea 44/107 (41%) a
eiio?ieuiie. ?acee?ey a ?acoeuoaoao 3- e 5-eaoiae au?eaaaii-
noe iaainoiaa?iu: 20/106 (19%) e 10/105 (10%) i?ioea 16/107
(15%) e 7/107 (7%) a iniiaiie e eiio?ieuiie a?oiiao niioaaono-
aaiii. Iaiaei i?e iia?iaiii aiaeeca i?iaie?eoaeuiinoe ?ec-
ie iaoeaioia ?anniao?eaaaiuo a?oii auei iaia?o?aii, ?oi i?e
caiouaiiuo eieaeuiuo iiooieyo eaaeiai III noaaee a iniiaiie
a?oiia aia ia?a?eee 7/18 (39%) iaoeaioia, ai 3 e 5 eao ai?eee
3/18 (17%), oiaaa eae a eiio?ieuiie a?oiia yoe iieacaoaee ninoa-
aeee 2/16 (13%) e 1/16 (6%) niioaaonoaaiii. N?aaiyy i?iaie?e-
oaeuiinou ?ecie i?e III noaaee a iniiaiie a?oiia ieacaeanu 20,9
ian i?ioea 11,1 ian a eiio?ieuiie (ana ?acee?ey ainoiaa?iu).
Oaeei ia?acii, i?eiaiaiea onei?aiiiai o?aeoeiie?iaaiey ai-
cu i?eaiaeo e ainoiaa?iiio oeo?oaie? ?acoeuoaoia iaeeeaoea-
iiai ea?aiey caiouaiiuo iaiaeeieeaoi?iuo iiooieae eaaeeo
i?e cia?eoaeuiii nie?auaiee i?iaie?eoaeuiinoe eo?na.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1997,
?eoa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1997, n. 35-36.
Ê ÂÎÏÐÎÑÓ Î ÏÎÂÛØÅÍÈÈ
ÝÔÔÅÊÒÈÂÍÎÑÒÈ ÏÀËËÈÀÒÈÂÍÎÃÎ
ËÓ×ÅÂÎÃÎ ËÅ×ÅÍÈß ÐÀÊÀ ÏÈÙÅÂÎÄÀ
I.?. Aaeueia, N.I. Anaoei, A.A. Aeeoei, E.I. ?o?aaeaaa,
?.A. Eiiiniaa, A.M. Aaeeeaiia, A.A. Ieoaeeiaa, A.I. Iaeuiei,
A.A. ?u?eia, I.A. Eaaoiiaa
A?oaiaaeuneee iaeanoiie eeeie?aneee iieieiae?aneee aeniaina?,
A?oaiaaeuneay ainoaa?noaaiiay iaaeoeineay aeaaaiey
Eo?aaay oa?aiey iieacaia aieuoeinoao iaiia?aaaeuiuo
aieuiuo ?aeii ieuaaiaa. O?aaeoeiiiia iaeo?aiea, iaeaaay ia-
ieioeie iaeeeaoeaiuie naienoaaie (oiaiuoaiea au?a?aiii-
noe aenoaaee e aieaaiai neia?iia), a cia?eoaeuiii eiee?anoaa
neo?aaa ia i?eiineo aieaia?aiaiiiai yooaeoa. Ii yoie i?e?e-
ia aieaa iieiaeiu iaoeaioia ia ai?eaa?o ai 1 aiaa, a 5-eaoiyy
au?eaaaiinou ia i?aauoaao 4-6%. Aa?iie i?e?eiie iaainoa-
oi?iie yooaeoeaiinoe eo?aaie oa?aiee yaeyaony onei?aiiay ?a-
aaia?aoey iiooiee, ia?eia?uayny ia 4-5-e iaaaea iaeo?aiey,
i?e yoii nei?inou ?inoa aa eeiiiaaiia ii?ao oaaee?eouny ia
ii?yaie. A nayce n yoei aeooaeuiu niiniau eo?aaiai ea?aiey,
iicaiey?uea nie?aoeou aeeoaeuiinou eo?na. Iaiei ec ieo yaey-
aony onei?aiiia aeia?o?aeoeiie?iaaiea aicu, iicaiey?uaa
oiaiuoeou n?ie ea?aiey i?e nio?aiaiee ?ecianiiniaiinoe cai-
?iauo oeaiae.
A ?aaeieiae?aneii ioaaeaiee iaeanoiiai iieiaeniaina?a
eo?aaay oa?aiey iin?aanoaii onei?aiiiai aeia?o?aeoeiie?i-
aaiey aicu i?iaaaaia 82 iaoeaioai iaiia?aaaeuiui ?aeii ie-
uaaiaa. Ec ieo 50 iaeo?aee ii 1,3 A? aaa?au a aaiu 5 aiae a ia-
aae? ai An=65,2±3,9 A? (1-y a?oiia); aieuiuo 2-e a?oiiu (32 ia-
oeaioa) — a oaeii ?a ?eoia n ?aciaie aicie 1,5 A? ai
An=56,0±5,2 A?. A 3-?, eiio?ieuio?, a?oiio aioee 50 iaoeaioia,
iieo?eaoeo o?aaeoeiiio? eo?aao? oa?aie? ii 2 A? a?aaiaaii
ai An=60,4±1,4 A?. ?ani?aaaeaiea aieuiuo ii aaiia?aoe?aneei
iieacaoaeyi auei ?aaiiia?iui. O 38/50 (76%) iaoeaioia a 1-e
a?oiia o 23/32 (72%) ai 2-e e o 39/50 (78%) a 3-e — iiooieu a ie-
uaaiaa auea ioianaia e III noaaee, o.a. auea ecia?aeuii iaiia-
?aaaeuiie. I?i?ea aieuiua eiaee oy?aeo? niioonoao?uo? ia-
oieiae? eee ioeacaeenu io iia?aoee.
Iauay aeeoaeuiinou eo?na eo?aaie oa?aiee a 1-e a?oiia ni-
noaaeea 40,1±4,9 aiy, ai 2-e — 40,4±11,7 aiy, a 3-e — 46,9±7,0
aiy (?acee?ey ainoiaa?iu, p1,3=0,01; ?2,3=0,05). Ia?aiineiinou
ea?aiey auea iaieioie ai anao a?oiiao. Iieiay ?aa?anney iio-
oiee a ieuaaiaa iinea eo?aaiai ea?aiey auea auyaeaia o 31/50
(62%) iaoeaioa 1-e a?oiiu, o 21/32 (66%) ai 2-e e o 18/50 (36%)
aieuiuo 3-e a?oiiu (?acee?ey ainoiaa?iu). Aieaa 1 aiaa i?i?e-
ee 17/35 (49%), 18/32 (56%) e 17/50 (34%) iaoeaioia a 1-3-e a?oi-
iao niioaaonoaaiii; 3-eaoiyy au?eaaaiinou ninoaaeea 3/16
(19%), 3/28 (11%) e 2/50 (4%) (?acee?ey ainoiaa?iu). Neaaoao io-
iaoeou, ?oi o 6 ec 8 iaae?aaaiuo aieaa 3 eao aieuiuo auea III
noaaey caaieaaaiey; 2 iaoeaioia ec 2-e e 3-e a?oii eiaee II noa-
ae?. A iaeaieuoae noaiaie i?iaiic ii?aaaeeea iaiin?aanoaai-
iay yooaeoeaiinou ea?aiey: o anao au?eaoeo auyaeaia iieiay
?aa?anney iiooiee.
Oaeei ia?acii, i?eiaiaiea onei?aiiiai aeia?o?aeoeiie?i-
aaiey aicu a eo?aaii ea?aiee ?aea ieuaaiaa i?eaiaeo e ainoi-
aa?iiio oeo?oaie? iaiin?aanoaaiiuo e aee?aeoeo ?acoeuoa-
oia e iicaieyao cia?eoaeuii nie?aoeou aeeoaeuiinou eo?na iaeo-
?aiey.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1997,
?eoa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1997, n. 36.
ÈÑÏÎËÜÇÎÂÀÍÈÅ ÍÅÒÐÀÄÈÖÈÎÍÍÛÕ
ÌÅÒÎÄÈÊ ËÓ×ÅÂÎÉ ÒÅÐÀÏÈÈ Â ËÅ×ÅÍÈÈ
ÐÀÑÏÐÎÑÒÐÀÍÅÍÍÛÕ ÔÎÐÌ
ËÈÌÔÎÃÐÀÍÓËÅÌÀÒÎÇÀ
A.A. Cieioeia, A.A. Eiiei, A.N. Ei?iaeeia
A?oaiaaeuneee iaeanoiie eeeie?aneee iieieiae?aneee aeniaina?,
A?oaiaaeuneay ainoaa?noaaiiay iaaeoeineay aeaaaiey
N?aae iiooieaauo caaieaaaiee e?iaaoai?iie oeaie eeioi-
a?aioeaiaoic caieiaao aoi?ia ianoi (iinea eaeeicia) e ninoaa-
eyao ieiei 30% anao aaiiaeanoicia. Caaieaaaaiinou eeioia?a-
ioeaiaoicii a A?oaiaaeuneie iaeanoe a 1995 aiao ninoaaeea 2,5
ia 100000 ianaeaiey, i?e?ai o io??ei 3,2, a o ?aiuei — 1,9 ia
100000 ianaeaiey niioaaonoao?uaai iiea.
N 1988 a. a eo?aaie oa?aiee aieuiuo eeioia?aioeaiaoicii n
iaaeaaii?eyoiuie i?iaiinoe?aneeie i?eciaeaie (ii?oieiae-
?aneea aa?eaiou — niaoaiii-eeaoi?iue eee eeioieaiia enoi-
uaiea, aic?ano noa?oa 40 eao, NIY>50 ii/?an., >3 cii ii?a?a-
iey, ?acia? ciiu ii?a?aiey>=5 ni, iae?ineiie?aneia ii?a?a-
iea naeacaiee, ia?aei caaieaaaiey n ie?iaai yoa?a, IOE>1/3)
ia aaca ?aaeieiae?aneiai ioaaeaiey A?oaiaaeuneiai iaeanoiiai
eeeie?aneiai iieieiae?aneiai aeniaina?a eniieucoaony iao?a-
aeoeiiiay iaoiaeea onei?aiiiai o?aeoeiie?iaaiey aicu ii 2,5
A? aaa?au a aaiu ?a?ac 4-6 ?. 3 ?aca a iaaae?, noiia?iay ii-
aeiuaiiay aica a i?aaao ii?a?aiey 30 A?, a ciiao noaeeeie?an-
eiai iaoanoace?iaaiey — 25 A?.
I?iaiaeece?iaaiu ?acoeuoaou ea?aiey ?ani?ino?aiaiiuo
oi?i eeioia?aioeaiaoica IIA-IIIA-IVA noaaee. Ii iao?aaeoeii-
iie iaoiaeea onei?aiiiai o?aeoeiie?iaaiey aicu i?iea?aiu
27 iaoeaioia: IIA noaaey — o 14 (51,9%) aieuiuo, IIIA noaaey — o
10 (37%) iaoeaioia, IVA noaaey — o 3 (11,1%). Eiio?ieuiay a?oi-
ia iaoeaioia yoeo ?a noaaee, iieo?aaoeo eo?aao? oa?aie? a
noaiaa?oiii ?a?eia ii 2 A? a?aaiaaii 5 ?ac a iaaae? ai NIA
40-44 A?, ninoaaeea 50 ?aeiaae. Anai aieuiui i?iaiaeee iiee-
oeeeiao? iieeoeieioa?aie? (3-6 eo?nia) ii noaiai NI?? eee
CVPP eee a?. n aaooiaaaeuiuie ia?a?uaaie ia?ao ieie e eo-
?aao? oa?aie?.
Iauay e aac?aoeaeaiay 5-eaoiyy au?eaaaiinou a a?oiia ia-
oeaioia, iieo?aaoeo eo?aao? oa?aie? a ?a?eia onei?aiiiai
o?aeoeiie?iaaiey, ieacaeenu auoa, ?ai a eiio?ieuiie a?oiia,
e ninoaaeee 77,8% (21 aieuiie) e 76,2% (16 iaoeaioia) niioaao-
noaaiii, a a eiio?ieuiie a?oiia — 74% (37 aieuiuo) e 59,5% (22
iaoeaioa) niioaaonoaaiii.
E?iia oiai, iaiaeiaa?ai e yeiiiie?aneee yooaeo nie?aua-
iey a?aiaie i?aauaaiey aieuiuo a noaoeiia?a ia 1-2 iaa, ini-
aaiii a iuiaoieo oneiaeyo iaainoaoi?iiai oeiaine?iaaiey.
III Eiioa?aioey «Iaeeeaoeaiay iiiiuu a iieieiaee», ai?aeu, 1997,
?eoa, Iaeeeaoeaiay iaaeoeia e ?aaaeeeoaoey, ¹ 2, 1997, n. 34.
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