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Удосконалення методів остеосинтезу при відкритих переломах довгих кісток (Клініко-експериментальне дослідження): Автореф. дис… канд. мед. наук / А.М

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

OE?A?INUeEEE IAOEIAI-AeINE?AeIEE ?INOEOOO

O?AAIAOIEIA?? OA I?OIIAAe??

EAEOA AIAe??E IEOAEEIAE*

OAeE 616.71-001.5-089.84:617.57/58

OAeINEIIAEAIIss IAOIAe?A INOAINEIOACO

I?E A?AeE?EOEO IA?AEIIAO AeIAAEO E?NOIE

(Ee?i?ei-aenia?eiaioaeueia aeine?aeaeaiiy)

14.01.21. – o?aaiaoieia?y oa i?oiiaae?y

Aaoi?aoa?ao

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1998

Aeena?oaoe?y ? ?oeiienii.

?iaioa aeeiiaia o A?enueeiai-iaaee/iiio ?inoeooo? Oe?a?inueei?
a?enueeiai-iaaee/ii? aeaaeai??.

IAOEIAEE EA??AIEE:

aeieoi? iaaee/ieo iaoe EINO?OA IEAENAIAe? IEAEN?EIAE*, Oe?a?inueeee
iaoeiai-aeine?aeiee ?inoeooo o?aaiaoieia?? oa i?oiiaae??, ea??aiee
iaoeiaiai i?aai?caoe?eii-iaoiaee/iiai a?aeae?eo.

IO?Oe?EI? IIIIAIOE:

aeieoi? iaaee/ieo iaoe, i?ioani? IIIIA AANEEUe AIOIIIAE*, Ee?anueea
iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i. I. E. Ooieea, caa?aeoaa/
eaoaae?e o?aaiaoieia?? oa i?oiiaae?? ? 2;

aeieoi? iaaee/ieo iaoe, i?ioani? OA?AI?IAeNUeEEE AAAeEI NAIAIIAE*,
Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo o?aaiaoieia?? oa i?oiiaae??,
aieiaiee iaoeiaee ni?a?ia?oiee a?aeae?eo o?aaiaoieia?? oa i?oiiaae??
aei?ineeo.

I?IA?AeIA ONOAIIAA: Oa?e?anueeee iaoeiai-aeine?aeiee ?inoeooo i?oiiaae??
oa o?aaiaoieia?? ?i. i?io. I. ?. Neoaiei.

Caoeno a?aeaoaeaoueny «12» n?/iy 1999 ?ieo i 1400 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.606.01 i?e Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? o?aaiaoieia?? oa i?oiiaae?? IIC Oe?a?ie
(252054, Ee?a, aoe. Ai?ianueeiai, 27).

C aeena?oaoe??th iiaeia iciaeiieoeny o a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo o?aaiaoieia?? oa i?oiiaae??.

Aaoi?aoa?ao ?ic?neaii «05» a?oaeiy 1998 ?ieo.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii?

?aaee, aeieoi? iaaee/ieo iaoe A. A.
OeauaieiCAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue

E?eoaaiiy iioa?i?eeo c a?aee?eoeie ia?aeiiaie aeiaaeo e?noie aei
oaia??oiueiai /ano ? neeaaeiei ? aeooaeueiei caaaeaiiyi. Oea oaeiae
iaeia c aieiaieo i?iaeai o a?enueeiai-iieueia?e o??o?a??. ?iaae?aei?noue
oai?eo i?ney a?aee?eoeo ia?aeii?a a 2–2,5 ?ace aeua, i?ae i?ney cae?eoeo
(?uaeiaiei A. A., 1982).

Na?aae ?iaae?ae?a aiane?aeie ia?aeii?a e?noie e?ioe?aie 71,9% – iniae,
ye? ia?aianee a?aee?eo? ia?aeiie (ss?aiaiei Ae. A. e niaao., 1996). Ca
aeaieie aeayeeo aaoi??a, /anoioa ai?eii-iae?ioe/ieo oneeaaeiaiue
i?iii?oe?eia aaaeeino? o?aai ? eieeaa?oueny a?ae 10% aei 64% (Ooiaaea E.
A. e niaao.,1975; ?ooae A. E.,1985; ?uaeiaiei A. A. e niaao.,1985;
Oaiioieeia TH. A.,1991; Aa?ieai?a ?. I. c ni?aaao., 1995; Ei?ae A. A.,
?uaeiaiei A. A., 1996; Oaiiaaeia A. I. e niao.,1996; Aaaea?ia A. A. e
niaao.,1997; E?aniia N. A. e niaao.,1997; Bohm E., Josten C.,1992;
Barbieri R. et al., 1996). I?e oeueiio inoaii??e?o i?ney o?aaie neeaaea?
a?ey 18% (?aaeiineee A. A., 1996).

Iaaacia/i?noue aeieeiaiiy o?aai a oiiaao ie?iiai /ano iia,ycaia c
?ioaineaiei ?icaeoeii oaoi?ee, aenioiei aoae?aieoeoaii, ca?eueoaiiyi
aaoiiia?eueiiai ia?eo, a a aieiaeo oiiaao – c? ca?eueoaiiyi o?aaeoth/i?
neee no/anii? aiaiaiaeueii? ca?i? (Aeuneei A. A. e niaao., 1992; Eeiin
A. I., 1996).

Aeey a?enueeiai-iaaee/ii? neoaeae aeooaeueiith caeeoa?oueny i?iaeaia
e?eoaaiiy aiaiaiaeueieo ia?aeii?a. Aeina?ae ae?oai? na?oiai? a?eie,
eieaeueieo ca?ieieo eiioe?eo?a inoaii?o o?ueio aeanyoe??/ na?ae/eoue i?i
oa, ui /anoioa aiaiaiaeueieo ii?aiaiue e?noie oa noaeia?a e?ioe?aie
neeaaea? i?eaeecii 70% ? ia ia? oaiaeaioe?? aei cieaeaiiy (Ia/aaa Y. A.
e niaao.,1994; Oaiiaaeia A. I.,1997; Zinman C., Reis N. D.,1984). O
no?oeoo?? caoai?thaaiino? ?icaeiooeo e?a?i o?aaiaoeci noaa?eueii
iin?aea? o?ao? i?noea, i?e oeueiio no?aaeaeathoue ethaee i?aoeacaeaoiiai
a?eo. Oei/aniaa iai?aoeacaeaoi?noue, ?iaae?aei?noue ? nia?oi?noue, a
oaeiae aaeeea e?euee?noue ca?eueiaieo c? Ca?ieieo Nee caaaeathoue
noni?euenoao aaeeei? aeiiii?/ii? oa nioe?aeuei?i? oeiaee.

sseui aei aeeeaaeaiiai aeiaeaoe neeaaeio e?ei?iiaaiio ianoaiiaeo a
noni?euenoa?, ca?eueoaiiy /anoioe aiaiaiaeueieo ii?aiaiue, iaaeinoaoi?
ciaiiy i?aeoe/ieie o??o?aaie i?eioeei?a e?eoaaiiy ii?aiaieo, oi i?iaeaia
aiaiaiaeueieo ia?aeii?a caeeoa?oueny iaeiith c aeooaeueieo ye aeey
a?enueeiaeo, oae ? aeey oeea?eueieo niaoe?ae?no?a.

Ca,ycie c iaoeiaeie oaiaie

Oaia aeena?oaoe?eii? ?iaioe iia,ycaia c iaoeiai-aeine?aeiith ?iaioith
Oe?a?inueeiai IAe? o?aaiaoieia?? oa i?oiiaae?? i?ae iacaith «?ic?iaeoe,
iaa?oiooaaoe oa cai?iaaaeeoe nenoaio caoiae?a a iioei?caoe?? iaoiae?a
e?eoaaiiy aioo??oiueinoaeiaiaeo ia?aeii?a, i?io?eaeoeee oa e?eoaaiiy ?o
?aii?o oa i?ci?o oneeaaeiaiue ? iani?eyoeeaeo iane?aee?a c iaoith
iie?auaiiy ?acoeueoao?a oa cieaeaiiy ?iaae?aeiino?». Oeo? 3.6.96.
Aea?ae. ?a?no?aoe?y ? 0196U017009. ?iee aeeiiaiiy: 1996–2000.

Iaoa aeine?aeaeaiiy: i?aeaeuaiiy yoaeoeaiino? o??o?a?/iiai e?eoaaiiy
oai?eo c a?aee?eoeie (aiaiaiaeueieie ? iaaiaiaiaeueieie) ia?aeiiaie
aeiaaeo e?noie ca ?aooiie iioei?caoe?? inoaineioaco.

Caaaea/? aeine?aeaeaiiy

1. Oaeineiiaeeoe noa?aeiaaee aia?ao ciai?oiuei? o?enaoe?? c iaoith
i?aeaeuaiiy eiai ?aiiioth/eo oa?aeoa?enoee oa c iaoith aeei?enoaiiy
??cieo noa?aeiaaeo ?iieaioao?a ? i?aeaeuaiiy noaa?eueiino? o?enaoe??
ia?aeii?a aeiaaeo e?noie.

2. I?iaanoe aenia?eiaioaeueio ioe?ieo aei?noe?nieo oa?aeoa?enoee
?iieaioao?a ? nenoai aia?ao-e?noea c? noa?aeiaaei aia?aoii ciai?oiuei?
o?enaoe?? ??cieo i?inoi?iaeo eiino?oeoe?e.

3. Aea/eoe no?oeoo?o a?aee?eoeo ia?aeii?a aeiaaeo e?noie ca iaoa??aeaie
ee?i?ee o?aaiaoieia?? Ee?anueei? e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae.

4. ?ic?iaeoe aeai?eoi e?eoaaiiy iioa?i?eeo c a?aee?eoeie ia?aeiiaie
aeiaaeo e?noie c o?aooaaiiyi aaaeeino? ia?aeiio, aiaoii?/ieo
iniaeeainoae naaiaio?a e?ioe?aie.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a

1. ?ic?iaeaii noa?aeiaaee aia?ao ciai?oiuei? o?enaoe?? c aenieeie
?aiiioth/eie ? o?enaoe?eieie yeinoyie, iiaeeea?noth aeei?enoaiiy ??cieo
?iieaioao?a.

2. Cai?iiiiiaaii iiao iaoiaeieia?th e?eoaaiiy aaaeeeo a?aee?eoeo
ia?aeii?a aeiaaeo e?noie.

3. I?iaaaeaii aenia?eiaioaeueio ii??aiyeueio oa?aeoa?enoeeo aei?noeinoae
noa?aeiaaeo aia?ao?a ciai?oiuei? o?enaoe??, aia?oa io?eiaii noia?ii
iiaeoe? aei?noeino? aeey noa?aeiaaeo aia?ao?a ciai?oiuei? o?enaoe??
??cieo i?inoi?iaeo eiino?oeoe?e.

4. I?iaaaeai? aeine?aeaeaiiy aeicaieeee iaa?oiooaaoe aeioe?euei?noue
aeei?enoaiiy cai?iiiiiaaiiai noa?aeiaaiai aia?aoa ciai?oiuei? o?enaoe??
i?e a?aee?eoeo ia?aeiiao aeiaaeo e?noie.

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

1. Oaeineiiaeaii ? ai?iaaaeaeaii a i?aeoeeo noa?aeiaaee aia?ao
ciai?oiuei? o?enaoe??.

2. ?ic?iaeaiei ? cai?iaaaeaeaii a i?aeoeeo aeai?eoi e?eoaaiiy oai?eo c
a?aee?eoeie ia?aeiiaie aeiaaeo e?noie, ui aeicaieeei a o?aaioieo oiiaao
ia?aoe iioeiaeueio oaeoeeo e?eoaaiiy.

3. Noai?aii ? ai?iaiaaiai a i?aeoe/i?e ae?yeueiino? eiii,thoa?io
i?ia?aio iae?eo ?noi??e oai?ia ? noaoenoe/iiai aiae?co aeaieo «STATIST».
Aeei?enoaiiy ia?niiaeueiiai eiii,thoa?a aeey noaoenoe/ii? ia?iaee aeaieo
ii e?eoaaiith oai?eo o?aaiaoieia?/iiai i?io?eth aea? ciiao ao?eeoe oeae
iaoiae a iianyeaeaiio i?aeoeeo.

Ai?iaaaeaeaiiy iaoeiaeo ?ic?iaie o i?aeoeeo

?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a e?eoaaeueio ?iaioo
Oe?a?inueeiai IAe?OI, Iaeanueeiai o?aaiaoieiae/iiai oeaio?o, Iaeanueeiai
a?aeae?eaiiy naiaoi??y «Oe?a?ia». Iaoa??aee aeena?oaoe??
aeei?enoiaothoueny a iaa/aeueiiio i?ioean? ia eaoaae?? a?enueeiai?
o??o?a?? A?enueeiai-iaaee/iiai ?inoeoooa Oe?a?inueei?
a?enueeiai-iaaee/ii? aeaaeai??.

Iniaenoee aianie caeiaoaa/a

Aeena?oaoe?y ? i?ea?iaeueiith ?iaioith aaoi?a, yeee i?ia?a aiae?c
ee?i?/iiai iaoa??aeo, aeine?aeea iiaeeeaino? no/anieo iaoiae?a
ciai?oiueiai inoaineioaca noa?aeiaaei aia?aoii ? ?ic?iaea aeai?eoi
e?eoaaiiy iioa?i?eeo c a?aee?eoeie ia?aeiiaie aeiaaeo e?noie. I?ia?a
aenia?eiaio ii aei?noeino? o?enaoe?? noa?aeiaaeie aia?aoaie ciai?oiuei?
o?enaoe?? ??cieo i?inoi?iaeo eiino?oeoe?e. Oaeineiiaeea ? ai?iaaaeea a
i?aeoeeo noa?aeiaaee aia?ao ciai?oiuei? o?enaoe??, ?ic?iaea eiii,thoa?io
i?ia?aio iae?eo ?noi??e oai?ia ? noaoenoe/iiai aiae?co aeaieo.
Naiino?eii i?ia?a noaoenoe/iee aiae?c ?acoeueoao?a aeine?aeaeaiiy,
iaienaa an? ?icae?ee aeena?oaoe??, a oaeiae iniaenoi a?aa o/anoue o
a?eueoino? iia?aoeaieo ao?o/aiue, ye? neeaaeathoue ee?i?/io /anoeio
aeine?aeaeaiiy.

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

Iniiai? iieiaeaiiy aeena?oaoe?eiiai aeine?aeaeaiiy aeiiia?aeaeeny ia
i?ae?inoeooonuee?e iaoeiai-i?aeoe/i?e eiioa?aioe?? iieiaeeo a/aieo ?
niaoe?ae?no?a Ee?aa ii aeooaeueiei ieoaiiyi o?aaiaoieia??, i?oiiaae?? ?
noi?aeieo aeenoeeie?i (Ee?a, 1995); ia i?aeia?iaeiiio eiia?an?
«Nia?aiaiiua iaoiaeu ea/aiey e i?ioace?iaaiey i?e caaieaaaieyo e
iia?aaeaeaieyo iii?ii-aeaeaaoaeueiie nenoaiu.» (Naieo-Iaoa?ao?a, 1996);
ia eiioa?aioe?? i?ioani?nueei-aeeeaaeaoeueeiai neeaaeo OAIA (Ee?a,
1996); ia i?aeia?iaeiiio eiia?an? «*aeiaae e aai caei?iauea.
O?aaiaoieiaey, i?oiiaaeey, i?ioace?iaaiea, aeiiaoaieea, ?aaaeeeoaoeey
eiaaeeaeia» (Naieo-Iaoa?ao?a, 1997); ia A/ai?e ?aae? Oe?a?inueeiai
IAe?OI (Ee?a, 1998); ia ieaioi? o?aaiaoieia?a-i?oiiaae?a Oe?a?ie
(Iaeana, 1998).

Ioae?eaoe??

Ca oaiith aeena?oaoe?? iioae?eiaaii 12 iaoeiaeo ?ia?o. Ai?iaaaeaeaii 8
?aoe?iiae?caoi?nueeeo i?iiiceoe?e.

No?oeoo?a oa ianya aeena?oaoe??

Aeena?oaoe?y aeeeaaeaia ia 159 noi??ieao ae?oeiaaiiai oaenoo,
?ethno?iaaia 17 oaaeeoeyie ? 82 ?enoieaie. ?iaioa neeaaea?oueny ?c
anooio, iaeyaeo e?oa?aoo?e, iieno ia,?eo?a ? iaoiae?a aeine?aeaeaiiy,
/ioe?ueio ?icae?e?a aeanieo aeine?aeaeaiue, cae?i/aiiy, aeniiae?a,
i?aeoe/ieo ?aeiiaiaeaoe?e ? nieneo e?oa?aoo?e, yeee i?noeoue 139
aeaea?ae, a oiio /ene? 59 c ieo ?iicaiieo aaoi??a.

CI?NO ?IAIOE

Iaoa??aee oa iaoiaee aeine?aeaeaiiy

Iaoa??aeii a?iiaoai?/ieo aeine?aeaeaiue aoee nenoaie aia?ao-e?noea, ye?
neeaaeaeenue c o?oiii? iao?eniaaii? aaeeeiaii?eeiai? e?noee
ethaeeie ? noa?aeiaaiai aia?aoa ciai?oiuei? o?enaoe??. A aenia?eiaio?
aeei?enoiaoaaeenue aaeeeiaii?eeia? e?noee ethaeae, ye? iiia?ee a?ae
iioeiaeaeaiue ? caoai?thaaiue, ui ia iia,ycai? c iaoieia??th
iii?ii-?ooiaiai aia?aoo. Ia aaeeeiaii?eeiaeo e?noeao iiaeaethaaee
ia?aeiie c iaeaooi?ie inoaineioacaie noa?aeiaaeie aia?aoaie ciai?oiuei?
o?enaoe?? ??cieo i?inoi?iaeo eiino?oeoe?e ? i?noeyie aaaaeaiiy
?iieaioao?a a e?noeo. sse ?iieaioao aoei aeei?enoaii noaiaea?oi? aaeioe
Oaioea ? noa?aei? Ooaeiaia.

C iaoith caiia?aaiiy c?oeiaiiy a?aeeaie?a e?noie i?ae ieie noai?aii
ae?anoac 10 ii. Oea ia caaeuoaaei aei?noeino? nenoaie aia?ao-e?noea ? ia
i?ecaiaeeei aei cieaeaiiy a??ia?aeiino? ?acoeueoao?a aenia?eiaioo.

Aeoaiiiae?ai? ooaiae aeaioiaeaii c oiai ae iaoa??aeo ? i?io?eth, ui e
i?yi? ooaiae, – ia?aeaa?th/i? noae? ia?ee 12O18I10O (YI 853). Aoea
aeei?enoaia o?oaea c ciai?oi?i ae?aiao?ii 12 ii, aioo??oi?i – 8 ii, c
?aae?onii e?eaeie 85 ii ? aeiaaeeiith aeoae 180 ii.

A aenia?eiaio? aeine?aeaeaii nenoaie aia?ao-e?noea c oaeeie i?inoi?iaeie
eiino?oeoe?yie aia?ao?a: iaeiia?/ia iaeiiieiueiia, iaeiia?/ia
aeaiieiueiia, aeaia?/ia iaeiiieiueiia, aeaia?/ia aeaiieiueiia ?
eiino?oeoe?y c aeoaiiiae?aieie ooaiaaie. Eiaeia eiino?oeoe?y aia?aoa
aeine?aeaeaia i?e iiia?a/iiio ? naaiaioa?iiio ia?aeiiao.

Iaoa??aeaie aenia?eiaioaeueieo aeine?aeaeaiue aoee oaeiae ?iieaioaoe,
ye? aeei?enoiaoaaeenue a noa?aeiaaeo aia?aoao. Oea noa?aeaiue Ooaeiaia,
aaeio Oaioea, aaeio c iao?e/iith ??cueaith a oainoia?e /anoei?,
ii?iaei?e noa?aeaiue, niiia?iciee aaeio, niiia?iciee ii?iaei?e aaeio,
an? aeeiiai? c ia?aeaa?th/i? noae? ia?ee 12O18I10O (YI 853).

An? ciai?oi? ?iai/? iaaaioaaeaiiy (aeaeiath/?, eiii?an?ei?, oi?n?ei?),
aeeth/ath/e aeaeiath/? iiiaioe, a?aeoai?aii a aenia?eiaio? ca
aeiiiiiaith oi?aa?naeueieo aei?iaoaaeueieo iaoei TIRA-TEST 2151 e
TIRA-TEST 2300.

Ee?i?/ia /anoeia ?iaioe i?noeoue aeina?ae e?eoaaiiy 220 oai?eo c
a?aee?eoeie ia?aeiiaie aeiaaeo e?noie. A?eueoo /anoeio oai?eo neeaee
iaoe??ioe iaea?eueo i?aoeacaeaoiiai a?eo — a?ae 21 aei 50 ?ie?a (73,1%).

Iiaooia? o?aaie ca?a?no?iaai? o 55 (25%) iioa?i?eeo, ae?iaie/? – o 15
(6,8%), nii?oeai? – o 1 (0,4%), e?ei?iaeuei? – o 15 (6,8%), o?aaie
aiane?aeie aei?iaeiuei-o?ainii?oieo i?eaiae – o 131 (59,6%), ?io? – o 3
(1,4%).

Ca iaoai?ciii o?aaie oai?eo ?iciiae?eaii oaeei /eiii: i?yiee oaea? – 110
(50%), aaoieaoano?ioa – 31 (14,1%), iaae?iiy c aenioe – 28 (12,7%),
iaae?iiy – 25 (11,4%), aiaiaiaeuei? ii?aiaiiy – 12 (5,5%), caeaaeaiiy –
4 (1,8%), ?io? – 10 (4,5%).

Oie ??ciiai nooiaiy aaaeeino? ae?aaiinoiaaii o 50 (22,7 %) oai?eo.
?cieueiaai? ia?aeiie aoee o 113 (51,4%) oai?eo, naaiaioa?i? – o 8
(3,6%), iiiaeeii? ia?aeiie – o 48 (21,8%), iie?o?aaia – o 51 (32,2%).
?iciiae?e iioa?i?eeo ca eieae?caoe??th: iea/aaa e?noea – 11 (5%), e?noee
ia?aaeie?//y – 17 (7,7%), noaaiiaa e?noea – 33 (15%), aii?eeia? e?noee –
159 (72,3%).

?iciiae?e oai?eo ca eieae?caoe??th ia?aeii?a oa caniaaie ?o o?enaoe??
i?aaenoaaeaii a oaae. 1.

Oaaeeoey 1

?iciiae?e ia?aeii?a ca eieae?caoe??th oa caniae ?o o?enaoe??

Eieae?- Caniae o?enaoe??

caoe?y aaei-oe na?-eeyae aa?c-aeee
ieanoeia

NiACO

NoACO ?aeiino?oe-oeaiee eiia?ii-aai? cani- anueiai oai-

ia?aeiio

i?yia eooiaa

NoACO ae ?eo

Iea/a 1 – – 5 – – 5 – – 11

Ia?aaeie?//y – 5 – 6 – 3 2 – 1 17

Noaaii – – 5 10 3 – 15 – – 33

Aii?eea – 1 1 17 – 7 126 6 1 159

Anueiai 1 6 6 38 3 10 148 6 2 220

Anueiai% 0,4 2,7 2,7 17,3 1,4 4,6 67,3 2,7 0,9 100%

Aeey inoaineioaco a?aee?eoeo ia?aeii?a aia?aoe ciai?oiuei? o?enaoe??
canoiniaoaaee o 164 (74,6%) oai?eo, ieanoeie – o 41 (18,7%), aa?caeee ?
na?eeyae – o 6 (2,7%), eiia?iiaai? caniae – o 2 (0,9%), aaeioe – o 1
(0,4%).

?iciiae?e iioa?i?eeo a caeaaeiino? a?ae aaaeeino? iioeiaeaeaiue i,yeeo
oeaiei: I nooi?iue – 70 (31,8%), II nooi?iue – 98 (44,6%) ? III nooi?iue
– 52 (23,6%).

Na?aaei?e oa?i?i e?eoaaiiy oai?eo o noaoe?iia?? – 25,5 aei?. A
ia?aaaaei?e a?eueoino? aeiaaee?a aeaiiioaae aia?aoa ciai?oiuei?
o?enaoe?? i?iaiaeeany a aiaoeaoi?ieo oiiaao.

O 16 oai?eo aoee a?aee?eo? ia?aeiie c aeaoaeoaie e?noie. O 7 c ieo
i?iaaaeaii iiaeiaaeaiiy aai o?ainii?o naaiaioa. I?e nei?i/aii? ieaeiuei?
e?ioe?aee aei 4 ni iiaeiaaeaiiy naaiaioa ia i?iaiaeeee.

Aeaa,yoe oai?ei c a?aee?eoeie ia?aeiiaie aeiaaeo e?noie i?iaaaeaii
cai?io aia?ao?a ciai?oiuei? o?enaoe?? ia ieanoeio. A oe?e a?oi?
?iciiae?e ca naaiaioaie aoa oaeei: iea/a – 1, noaaii – 5 ? aii?eea – 3.

I?e i?aeaioiaoe? ?iaioe aeei?enoai? aeai?, ye? ia?iaeai? ca aeiiiiiaith
i?ia?aie «Iae?e ?noi??e oai?ia. Noaoenoe/iee aiae?c aeaieo». I?ia?aio
?ic?iaeaii c aeei?enoaiiyi ?ino?oiaioaeueiiai caniao ?ic?iaee NOAAe
FoxPro 2.6 (DOS-aa?n?y).

I?eioeeie ? oaeoeea e?eoaaiiy oai?eo c a?aee?eoeie ia?aeiiaie

?ic?iaeaia iaie nenoaia e?eoaaiiy iioa?i?eeo c a?aee?eoeie ia?aeiiaie
aeiaaeo e?noie aeeth/a? oae? neeaaeia?.

1) Iiia?aaeaeaiiy ?icaeoeo ?ioaeoe?? a ?ai?. I?e iaaeaii? ia?oi?
aeiiiiiae ia ?aio iaiao?aeii iaeeanoe anaioe/io iia,yceo. ?iiia?e?caoe?y
e?ioe?aee aeeiio?oueny i?ae?o/ieie aai oaaaeueieie caniaaie, ui cieaeo?
iaoai?/ia ?iciianthaeaeaiiy i?e?ia?a ii i?aeoeaieiiei iaoe?ai. Cai?ia
iia,ycee i?iaiaeeoueny a e?eoaaeueiiio caeeaae? a anaioe/ieo oiiaao
(ia?aa,yci/i?e aai iia?aoe?ei?e). Ia iiaeia aeiionoeoe eiioai?iaoe??
?aie aini?oaeueiith i?e?ioei?ith, yea, ye i?aaeei, no?eea aei a?eueoino?
aioea?ioee?a.

Iia?aoe?ei? ao?o/aiiy iioa?i?eei c a?aee?eoeie ia?aeiiaie ie iaiaaaeeny
c?iaeoe o iaeaeeae/? 6 – 8 aiaeei i?ney o?aaie.

I?e a?aee?eoeo ia?aeiiao ia?oiai nooiaiy, yeui c iiiaioo o?aaie i?ieoei
iaaaaaoi /ano, ia?aeiio o??o?a?/io ia?iaeo ia aeeiioaaee, a iaiaaeeeeny
ooaeaoii ?aie. Iaeiae i?e aiaiaiaeueieo ia?aeiiao nia?yaee ui
ii?aiththoue, ?iiae? iiaeooue aeeeeeaoe oi/a/i? iioeiaeaeaiiy oe??e,
ye?, ?acii c oei, noi?iaiaeaeothoueny aaaeeei iioeiaeaeaiiyi oeaiei
iaaeiei ?aie ? neeueiei caa?oaeiaiiyi. Oiio yeui iaa?oue ? oi/a/ia ?aia
a?ae nia?yaea, iaiao?aeii ?aoaeueia ?aioaaiieia?/ia aeine?aeaeaiiy ? ca
eiai ?acoeueoaoaie – aea?? oaeoeee e?eoaaiiy.

Ia?aeiia o??o?a?/ia ia?iaea iaia,yceiai iieacaia i?e ia?aeiiao ae?oaiai
? o?aoueiai nooiai?a. Oea iaea?eueo aoaeoeaiee cao?ae, yeee ni?ey?
caiia?aaiith ?icaeoeo ?ioaeoe?? ? noai?th? ni?eyoeea? oiiae aeey
caai?iiy ?aie. I?e aecia/aii? aeeoo?caeaoiino? i,yc?a ie i???iooaaeenue
ia nei?i/oaai?noue, e?iaioi/ea?noue, eie?? ? eiinenoaioe?th. E?noeia?
o?aaiaioe, ia iia,ycai? c i,yeeie oeaieiaie, aeaeaeyee. Aaeee? e?noeia?
o?aaiaioe, ye? aoee iia,ycai? c oeaieiaie, caeeoaee a ?ai?. Caa?oaeiai?
e?ioe? e?noeiaeo a?aeeaie?a ceonoaaee. E?noeo cae?eaaee i,yeeie
oeaieiaie, aeei?enoiaoth/e, a iaiao?aeieo aeiaaeeao aei i,yciao
ieanoeeo.

Iiaoi?io o??o?a?/io ia?iaeo i?iaiaeeee aei ?icaeoeo ?ioaeoe?eieo
oneeaaeiaiue, ye i?aaeei, /a?ac 24 – 48 aiaeei i?ney o?aaie, yeui ?aia
neeueii caa?oaeiaia, eiee c iiiaioo o?aaie aei ia?aeiii? ia?iaee i?ieoei
aaaaoi /ano, a oaeiae yeui ? noii?ae a aaeaeaaoiino? ia?oiai ao?o/aiiy.

2) Ae?aaiinoeea eiiia?oiaio-neiae?iio. Iioa?i?eei c a?aee?eoeie
ia?aeiiaie, ye? io?eiai? a?ae nia?yae?a c aenieith aia?a??th, iaiao?aeii
i?iaiaeeoe aei??thaaiiy i?aeoanoe?aeueiiai oeneo iioeiaeaeaiiai naaiaioa
c iaoith ae?aaiinoeee eiiia?oiaio-neiae?iio. Iaea?eueo i?inoa
ae?aaiinoeea eiiia?oiaio-neiae?iia ca iaoiaeeeith T. E.Whitesides (1975)
a iiae?o?eaoe?? N. N. No?aooia (1991).

3) Noaa?eueia o?enaoe?y ia?aeiio. Aea?? iaoiaeo o?enaoe?? e?noeiaeo
a?aeeaie?a aecia/a?oueny oaeeie oaeoi?aie: caaaeueiei noaiii
iioa?i?eiai, nooiaiai a?aee?eoiai ia?aeiio, noaiii ?aie, /anii, yeee
i?ieoia c iiiaioo o?aaie, iayai?noth ?ioaeoe??. I?e ia?oiio aai ae?oaiio
nooiai? iiaeeea? an? aeaee inoaineioaco, aea i?e i?i?iaeueiiio noii?a?
aeae?aoe o?aaa aia?ao ciai?oiuei? o?enaoe??. I?e o?aoueiio nooiai?
e?eoaaiiy iaiao?aeii i?iaiaeeoe ca aeiiiiiaith aia?aoa ciai?oiuei?
o?enaoe?? aai iaoiaeii neaeaoiiai aeoyae?iiy.

I?e aaaeeeo ia?aeiiao c aeaoaeoii e?noee aai c aaeeeei aeaoaeoii i,yeeo
oeaiei iiaea aooe i?iaaaeaia aeiiiiia aaeaioaoe?eia ?acaeoe?y a?aeeaie?a
c inoaineioacii e?noee aia?aoii ciai?oiuei? o?enaoe?? c? nei?i/aiiyi
naaiaioa. Ianooiiee aoai iia?aoe?? — i?ieneiaeueia (aeenoaeueia)
inoaioii?y c a?aeiiaeaiiyi aeiaaeeie naaiaioa ca iaoiaeeeith A. A.
?e?ca?iaa.

4) Cai?ia iaoiaeo o?enaoe??. Noaa?e?caoe?y ia?aeiio noa?aeiaaei
aia?aoii ciai?oiuei? o?enaoe?? iiaea aooe ye cae?i/aiei iaoiaeii, oae ?
i?ii?aeiei (cai?ia ia ?ioee iaoiae o?enaoe??). Ca iaoei aeina?aeii
aia?aoe ciai?oiuei? o?enaoe??, ciiioiaai? ia noaai?, i?ney caaeeaeaiiy
i,yeeo oeaiei iiaeia ci?ithaaoe ia aioo??oi? caniae o?enaoe??. Iniaeeai,
yeui ? iieacaiiy aei e?noeiai? ieanoeee. Oey oaeoeea ni?ey? ciaioaiith
?icaeoeo eiio?aeoo? noi?aeieo noaeia?a. Cai?ia aia?aoa i?iaiaeeoueny
i?ney caaeeaeaiiy ?ai i,yeeo oeaiei. Ieanoeio iaiao?aeii ?acoaoiaoaaoe
oaeei /eiii, uia aiia ia oi?eaeanue eaiae?a a?ae ?iieaioao?a.

An? aeei?enoai? i?eioeeie o??o?a?/ii? oaeoeee a?aeia?aaeai? a aeai?eoi?
e?eoaaiiy iioa?i?eeo c a?aee?eoeie ia?aeiiaie.

?en. 1. Aeie-noaia aeai?eoio e?eoaaiiy iioa?i?eeo c a?aee?eoeie
(aiaiaiaeueieie ? iaaiaiaiaeueieie) ia?aeiiaie aeiaaeo e?noie

?acoeueoaoe a?iiaoai?/ieo aeine?aeaeaiue

A oaae. 2 i?eaaaeaii oiiai? aei?noeino? nenoai aia?ao-e?noea ??cieo
eiino?oeoe?e i?e ae?? aeaeiath/eo iaaaioaaeaiue. Aeacai? aei?noeino?
i?aaenoaaeythoue a?aeiioaiiy iaaaioaaeaiue ia e?i?eieo ae?eyieao
aeaoi?iaoe?? aei aaee/eie aaeoi?a ia?ai?uaiiy.

Oaaeeoey 2

Caaaeaia oaaeeoey oiiaieo aei?noeinoae ??cieo eiino?oeoe?e nenoai
aia?ao-e?noea i?e ae?? aeaeiath/eo iaaaioaaeaiue ia e?iaeieo ae?eyieao
aeaoi?iaoe??

Iiaeoeue noia?iiai aaeoi?a

Oiiai? aei?noeino? C (I/i)

iicia/a- iiia?a/iee naaiaioa?iee

Eiino?oeoe?y iiy ia?aeii ia?aeii

aia?aoa eiino?oeoe??

aia?aoa

noaia iaaaioaaeaiiy noaia iaaaioaaeaiiy

Iaeiia?/ia

290 425

iaeiiieiueiia

Iaeiia?/ia

537 850

aeaiieiueiia

Aeaia?/ia

1124 1168

iaeiiieiueiia

Aeaia?/ia

675 348

aeaiieiueiia

C aeoaiiiae?aieie

521 616

ooaiaaie

I?e o?enaoe?? iiia?a/iiai ia?aeiio iaea?eueoo noia?io aei?noe?noue ia?
aeaia?/ia iaeiiieiueiia (?aii/ia) eiino?oeoe?y. I?eaeecii a aeaa ?ace
iaioa aei?noe?noue o aeaia?/ii? aeaiieiueiii? (o?eaiaoey?ii?)
eiino?oeoe??. Ua iaioa aei?noe?noue o iaeiia?/ii? aeaiieiueiii?
(aeaeueoiaeaeii?) eiino?oeoe??. Iaeiaioo aei?noe?noue ia? iaeiia?/ia
iaeiiieiueiia eiino?oeoe?y. AEi?noe?noi? aeanoeaino? eiino?oeoe??
aia?aoa c aeoaiiiae?aieie ooaiaaie iiaeia ii??aiyoe c aeaia?/iith
aeaiieiueiiith ? iaeiia?/iith aeaiieiueiiith eiino?oeoe?yie. I?e
o?enaoe?? naaiaioa?iiai ia?aeiio ?iciiae?e noia?ieo aei?noeinoae
aia?ao?a a ii?yaeeo ciaioaiiy oaeee: aeaia?/ia iaeiiieiueiia
eiino?oeoe?y, iaeiia?/ia aeaiieiueiia eiino?oeoe?y, eiino?oeoe?y c
aeoaiiiae?aieie ooaiaaie, iaeiia?/ia iaeiiieiueiia eiino?oeoe?y ?,
a?aoo?, aeaia?/ia aeaiieiueiia eiino?oeoe?y.

Ia ia?oee iiaeyae, noia?ia aei?noe?noue aia?ao?a i?e o?enaoe??
naaiaioa?ieo ia?aeii?a ia iiaea aooe a?eueoa aei?noeino? aia?ao?a i?e
o?enaoe?? iiia?a/ieo ia?aeii?a, ye o aeiaaeeao o?enaoe?? ia?aeii?a
iaeiia?/iith iaeiiieiueiiith, aeaeueoiaeaeiith, ?aii/iith ?
eiino?oeoe??th aia?aoa c aeoaiiiae?aieie ooaiaaie. Aea a aeaiiio
aeiaaeeo i?ia?aeiith neeaaeiaith aei?noeino? ? aei?noe?noue iaoaeaaeo
iii? (ooaia, noa?aei?a ? aaeio?a), a ia aei?noe?noue e?noeiaeo
naaiaio?a. Ca?eueoaiiy aei?noeino? iiaeia iiynieoe ca?eueoaiiyi ca,yce?a
i?ae ooaiaaie ca aeiiiiiaith aaeio?a. I?e o?enaoe?? naaiaioa?ieo
ia?aeii?a aeey o?enaoe?? e?noeiaiai naaiaioa aeei?enoiaoaaee
aeiaeaoeiai ua aeaa aaeioa Oaioea, ui i?eaaei aei ca?eueoaiiy ca,yce?a
i?ae ooaiaaie, ioaea, aei ca?eueoaiiy aei?noeino? eiino?oeoe??.

Iaeiei c aieiaieo iieaciee?a nenoai aia?ao-e?noea ? ao?aoa aei?noeino?
i?e oeeee?/ieo inueiaeo eiii?an?eieo iaaaioaaeaiiyo. Iiae?ai? aieeae
cacia? neioaciaaiee naaiaio i?e aeeiiaii? ai?aa e?eoaaeueii?
o?ceoeueoo?e, i?e oiaeuea? c iaiiaiei iaaaioaaeaiiyi. Ca oeny/o oeeee?a
i?e iaeneiaeueiiio iaaaioaaeaii? a 450 I ia 10,9% a?aeaoaa?oueny ao?aoa
aei?noeino? ?aii/ii? eiino?oeoe?? aia?aoa; i?eaeecii a aeaa ?ace iaioa –
iaeiia?/ii? iaeiiieiueiii? ? o?eaiaoey?ii? eiino?oeoe?e aia?aoa; a?ey
o?ueio a?aenioe?a ao?a/athoue eiino?oeoe?y aia?aoa c aeoaiiiae?aieie
ooaiaaie ? aeaeueoiaeaeia eiino?oeoe?y.

I?e aei?iaoaaii? ?iieaioao?a anoaiiaeaii, ui iaea?eueoo aei?noe?noue i?e
aeaeiath/eo iaaaioaaeaiiyo iathoue noa?aei? Ooaeiaia, i?eaeecii a aeaa
?ace iaioo aei?noe?noue – aaeio c iao?e/iith ??cueaith a oainoia?e
/anoei?, aaeio Oaioea, ii?iaeienoee aaeio, niiia?iciee aaeio, iaeiaioo
aei?noe?noue ia? niiia?iciee ii?iaeienoee aaeio.

?acoeueoaoe e?eoaaiiy

?acoeueoaoe o??o?a?/iiai e?eoaaiiy oai?eo c a?aee?eoeie ia?aeiiaie ie
ioe?ithaaee a?aeiia?aeii aei iaeaco IIC Oe?a?ie ? 41 1994 ?. «I?i
?aaeaiaioaoe?th i?oiiaaei-o?aaiaoieia?/ii? neoaeae a Oe?a?i?».

I?e aeaeaeaii? o?enaoi??a ea?oaaeenue /anii, yeee ieioa i?ney
inoaineioaco, ?aioaaiieia?/ieie ? ee?i?/ieie iciaeaie eiinie?aeaoe??,
nooiaiai noaa?eueiino? aia?ao?a. ?acoeueoaoe e?eoaaiiy oai?eo i?eaaaeaii
a oaae. 3.

C 220 oai?eo c a?aee?eoeie ia?aeiiaie, ye? e?eoaaeenue ca aeiiiiiaith
iia?aoeaieo iaoiae?a, a?aeaeaeai? ?acoeueoaoe aeine?aeaeai? /a?ac 6 –
24 i?nyoe? o 106 (48,2%). Aeia?? ?acoeueoaoe ca?a?no?iaaii o 68,9%
iioa?i?eeo, caaeia?euei? – o 18,9% ? iiaai? – o 12,2%.

Oaaeeoey 3

?acoeueoaoe e?eoaaiiy oai?eo c a?aee?eoeie ia?aeiiaie aeiaaeo e?noie

Naaiaio Anueiai Iaeyiooi Na?aaei?e ?acoeueoaoe e?eoaaiiy

e?ioe?aee oai?eo /a?ac 6 – 24 i?n. e?aeei/aeaiue Aeia?? Caaeia?euei?
Iiaai?

Iea/a 11 11 24,7 5 5 1

Ia?aaeie?//y 17 12 18,7 11 – 1

Noaaii 33 22 26,3 17 2 3

Aii?eea 159 61 31,4 40 13 8

Anueiai: 220 106 25,3 73 20 13

Ie niinoa??aaee anueiai 57 oneeaaeiaiue i?e ia?aeii?e aini?oae?caoe??
oai?eo c i?eaiaeo o?aai, i?e aini?oae?caoe?? aeey aeaeaeaiiy o?enaoi??a
? i?e aeyaeaii? a?aeaeaeaieo ?acoeueoao?a, eiee /anoeia oai?eo
i?iaeiaaeoaaea iiaeaeueoa e?eoaaiiy a ?ioeo caeeaaeao. Iiaa?oiaaee
iae?ic (21%) ? iaaii?iiy i`yeeo oeaiei (29,8%) ie niinoa??aaee ia
aii?eoe? i?e aeei?enoaii? aia?ao?a ciai?oiuei? o?enaoe??. Iaaii?iiy
i`yeeo oeaiei a ia?aaaaei?e a?eueoino? aeiaaee?a aeieeaei iaaeiei
?iieaioao?a. Iaaii?iiy e?ea?aeoaaee aai aeeiioaaee ia?ai?iaaaeaiiy
noa?aei?a aai nieoeue ca ciiith caiaeaiiy. Inoaii??e?o ca?a?no?iaaii o
6 (10,5%) oai?eo (2 e?noee noaaia ? 4 e?noee aii?eee). I?ney
aeei?enoaiiy aia?ao?a ciai?oiuei? o?enaoe?? a 5 aeiaaeeao ? i?ney
?io?aiaaeoey?iiai noa?aeiy a iaeiiio aeiaaeeo. Iiaoi?iee ia?aeii ie
niinoa??aaee o 2 oai?eo (3,5%), ii iaeiiio ia aii?eoe? ? noaai?. O
o?ueio oai?eo a?aee?eo? ia?aeiie ia?aaeie?//y, noaaia ? aii?eee aoee
oneeaaeiai? aieiaith aaia?aiith (5,3%). AEe?iaa aiaie?y aoea o iaeiiai
oai?iai (1,8%) i?ney ia?aeiio e?noie aii?eee. ?io? oneeaaeiaiiy,
i?ieaaei?, cano?ei? iiaaiii??, iaaeeeaiaioici? aea?a?? ia e?ee ? oiui
niinoa??aaeenue o 16 (28,1%) oai?eo.

*anoeio oneeaaeiaiue ie iia,yco?ii c iaaaeaeaaoiith ia?aeiiith
o??o?a?/iith ia?iaeith (5,4%), o?aaiaoe/i?noth ? iaa??iei aeai?ii
iia?aoeaieo aeinooi?a (4,5%), iiieeeaie i?e inoaineioac? (7,7%),
a?aenooi?noth iiaoi?ii? o??o?a?/ii? ia?iaee (3,6%).

Ia i?aenoaa? aeeeaaeaieo ?acoeueoao?a e?eoaaiiy, oneeaaeiaiue ? iiieeie,
iiaeaeueoa oaeineiiaeaiiy iaoiae?a o??o?a?/iiai e?eoaaiiy iioa?i?eeo c
a?aee?eoeie ia?aeiiaie ie aaa/a?ii a oaeineiiaeaii? iaoiae?a ? cania?a
o?enaoe?? c o?aooaaiiyi naaiaioa, aaaeeino? a?aee?eoiai ia?aeiio ?
caaaeueiiai noaio oai?iai.

AENIIAEE

1. Noa?aeiaaee aia?ao c aeoaiiiae?aieie ooaiaaie aeicaiey? iaae?eii
o?enoaaoe ? ?aiiioaaoe ia?aeiie aeiaaeo e?noie, cae?enithaaoe o?ainii?o
a?aeeiiea, i?iaiaeeoe i?iieaia ae?aioaaiiy ?aie /a?ac ii?iaeieno?
noa?aei? ? aeei?enoiaoaaoe ??ci? ianoaiaea?oi? ?iieaioaoe.

2. No?oeoo?a a?aee?eoeo ia?aeii?a aeiaaeo e?noie a oiiaao ie?iiai /ano
a caeaaeiino? a?ae nooiaiy iioeiaeaeaiiy i,yeeo oeaiei (ca
eeaneo?eaoe??th I. Iuller, 1990): ? – 31,8%, ?? – 44,6%, ??? – 23,6%.

3. Eiino?oeoe?y cai?iiiiiaaiiai aia?aoa c aeoaiiiae?aieie ooaiaaie ia?
nooo?ao ia?aaaao ia?aae ?ioeie, oiio ui i?noea aaaaeaiiy noa?aei?a iaei
aieeaa? ia aei?noe?noue nenoaie aia?ao-e?noea.

4. AEi?noeino? ?iieaioaio?a i?e aeaeiath/eo iaaaioaaeaiiyo iaaeathoueny
o ii?yaeeo ciaioaiiy: noa?aeaiue Ooaeiaia, aaeio Oaioea, aaeio c
iao?e/iith ??cueaith a oainoia?e /anoei?, ii?iaeienoee noa?aeaiue,
niiia?iciee aaeio ? niiia?iciee ii?iaeienoee aaeio.

5. Iia?aoe?y nei?i/aiiy naaiaioa c ?aiiueith aaeaioaoe??th e?noeiaeo
a?aeeaie?a ? i?ieneiaeueiith ei?oeeioii??th i?e aaaeeeo a?aee?eoeo
ia?aeiiao e?noie aii?eee aea? ciiao i?ney ia?aeiii? o??o?a?/ii? ia?iaee
caoeoe ?aio, caiia?aoe iaoyao i`yeeo oeaiei ? ?icaeoeo
eiiia?oiaio-neiae?iio.

6. Cai?ia ciai?oiuei? o?enaoe?? ia aioo??oith i?e a?aee?eoeo ia?aeiiao
noaaia aeicaiey? a iaeei?iooee oa?i?i aeoea?coaaoe oai?iai, caiia?aoe
eiio?aeoo?ai noi?aeieo noaeia?a.

7. I?iaaaeaiiy iiaoi?ii? o??o?a?/ii? ia?iaee ?aie /a?ac 24 – 48 aiaeei
i?ney ia?aeiii? o??o?a?/ii? ia?iaee i?e aaaeeeo a?aee?eoeo ia?aeiiao ?
iioeiaeueiei caniaii i?io?eaeoeee oneeaaeiaiue caiaeueiiai oa?aeoa?o.

8. Ai?iaaaeaeaiiy cai?iiiiiaaiiai iaie aeai?eoio a i?aeoeeo ni?eyei
io?eiaiith 68,9% aeia?eo, 18,9% caaeia?eueieo ? nei?ioeoe aei 12,2%
iacaaeia?eueieo ?acoeueoao?a e?eoaaiiy, a oaeiae ciaioeoe o?eaae?noue
ia?aaoaaiiy oai?eo a noaoe?iia?? a na?aaeiueiio a 1,5 ?ace, ui neeaei
25,5 e?aeei/aei?a.

NIENIE IAOEIAEO I?AOeUe, IIOAE?EIAAIEO CA OAIITH AeENA?OAOe??

1. Inoaineioac ioe?uouo e iaiano?aeueiuo ia?aeiiia aeeeiiuo einoae
eiia/iinoae // A?oea eeeie/aneie e yenia?eiaioaeueiie iaaeeoeeiu. –
1998. – ? 1. – N. 46 – 52.

2. Iaoiaee e?eoaaiiy a?aee?eoeo oa aiaiaiaeueieo ia?aeii?a aeiaaeo
e?noie c aeaoaeoii e?noeiai? oeaieie // Nia?aiaiiua aniaeou aiaiiie
iaaeeoeeiu: Nai?iee iao/ii-i?aeoe/aneeo ?aaio. Auione aoi?ie. – Eeaa,
1997. – N. 112 – 113.

3. Yenia?eiaioaeueiay ioeaiea aeanoeinoe oeenaoeee ia?aeiiia
noa?aeiaauie aiia?aoaie // I?iaeaiu aiaiiiai cae?aaiio?aiaiey e iooe
aai ?aoi?ie?iaaiey: Nai?iee iao/iuo o?oaeia iiae ?aaeaeoeeae i?io. A.
ss. Aaeiai. – Eeaa, 1997. – N. 94 – 96.

4. Inoaineioac ioe?uouo ia?aeiiia aeeeiiuo einoae eiia/iinoae //
I?iaeaiu aiaiiiai cae?aaiio?aiaiey e iooe aai ?aoi?ie?iaaiey: Nai?iee
iao/iuo o?oaeia iiae ?aaeaeoeeae i?io. A. ss. Aaeiai. – Eeaa, 1997. – N.
340 – 342 (A niaao. E. I. Aieei, I. A. Ieeeoei).

5. Inoaineioac noa?aeiaaeie aiia?aoaie aaaeeeo a?aee?eoeo (aiaiaiaeuei?o
? iaaiaiaiaeueieo) ia?aeii?a // Ca??iee iaoeiaeo i?aoeue ni?a?ia?oiee?a
EIAII ?i. I. E. Ooieea. – Ee?a, 1998. – N. 78 – 82 (Ci?aaao. A.
A. A?eiiiaeaiei, I. A. Na?a?aiei).

6. Aiia?ao e eiieaioaou aeey aeieiae/aneiai inoaineioaca // Nia?aiaiiua
iaoiaeu ea/aiey e i?ioace?iaaiey i?e caaieaaaieyo e iia?aaeaeaieyo
iii?ii-aeaeaaoaeueiie nenoaiu: Iaoa?eaeu iaaeaeoia?iaeiiai eiia?anna. –
Naieo-Iaoa?ao?a, 1996. – N. 45 – 46 (A niaao. E. I. Aieei, I. E. Aieei).

7. ?ainoaineioac i?e ioe?uouo e iaiano?aeueiuo ia?aeiiao // *aeiaae e
aai caei?iauea. O?aaiaoieiaey, i?oiiaaeey, i?ioace?iaaiea, aeiiaoaieea,
?aaaeeeoaoeey eiaaeeaeia: Iaoa?eaeu iaaeaeoia?iaeiiai eiia?anna. –
Naieo-Iaoa?ao?a, 1996. – N. 8 – 9 (A niaao. E. I. Aieei, I. E. Aieei, I.
A. Aa/eianeee).

8. Aeai?eoi iaaeaiiy niaoe?ae?ciaaii? aeiiiiiae iioa?i?eei c a?aee?eoeie
(aiaiaiaeueieie) ia?aeiiaie aeiaaeo e?noie e?ioe?aie o ie?iee /an //
Aaiaoiaaiiee inoaii??e?o oa eiai iane?aeee o ae?oae (i?io?eaeoeea,
ae?aaiinoeea, e?eoaaiiy, ?aaa?e?oaoe?y): Iaoa??aee iaoeiai-i?aeoe/ii?
eiioa?aioe??. – Ee?a–*a?i?aoe?, 1997. – N. 109 – 113.

9. I?eiaiaiea noa?aeiaaiai aiia?aoa aiaoiae oeenaoeee i?e ea/aiee
ioe?uouo ia?aeiiia aeeeiiuo einoae // Iaoa??aee i?ae?inoeooonueei?
iaoe.-i?aeo. eiio. iieiaeeo a/aieo oa oao?aoe?a i.Ee?aa c aeooaeueieo
ieoaiue o?aaiaoieia??, i?oiiaae?? oa noi?aeieo aeenoeeie?i. – Ee?a,
1995. – N. 18 – 19.

10. sseino? aei?noeino? ??cieo ?iieaioao?a noa?aeiaaeo aia?ao?a
ciai?oiuei? o?enaoe?? // Iaoa??aee ieaioio i?oiiaae?a-o?aaiaoieia?a
Oe?a?ie: ?icae?e II. Iiieeee oa oneeaaeiaiiy a o?aaiaoieia?? oa
i?oi?iaae??. – Ee?a–Iaeana, 1998. – N. 292 – 293 (Ci?aaao. I.
I. Eino?oa).

11. E?eoaaiiy iane?aee?a ia?aeii?a aeiaaeo e?noie ieaei?o e?ioe?aie
aia?aoaie ciai?oiuei? o?enaoe?? ia oieoeaa?e oa oieoeanoa?aeiaa?e iniia?
// Iaoa??aee ieaioio i?oiiaae?a-o?aaiaoieia?a Oe?a?ie: ?icae?e II.
Iiieeee oa oneeaaeiaiiy a o?aaiaoieia?? oa i?oi?iaae??. – Ee?a–Iaeana,
1998. – N. 287 – 289 (Ci?aaao. I.I. Eino?oa, I.?. Aa?acea).

12. Iiia?aaeaeaiiy oneeaaeiaiue i?e o??o?a?/iiio e?eoaaii? a?aee?e-oeo
ia?aeii?a // Iaoa??aee ieaioio i?oiiaae?a-o?aaiaoieia?a Oe?a?ie: ?icae?e
II. Iiieeee oa oneeaaeiaiiy a o?aaiaoieia?? oa i?oi?iaae??. –
Ee?a–Iaeana, 1998. – N. 193 – 195 (Ci?aaao. E. I. Aieei, I. A. I?e?o?i,
I. A. Aa/eianeee).

AIIOAOe??

Eaeoa A. I. Oaeineiiaeaiiy iaoiae?a inoaineioaco i?e a?aee?eoeo
ia?aeiiao aeiaaeo e?noie. – ?oeiien. Aeena?oaoe?y ia caeiaoooy iaoeiaiai
nooiaiy eaiaeeaeaoa iaaee/ieo iaoe ca niaoe?aeuei?noth 14.01.21 –
o?aaiaoieia?y oa i?oiiaae?y. – Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo
o?aaiaoieia?? oa i?oiiaae??, Ee?a, 1998.

Aeena?oaoe?th i?enay/aii ieoaiiyi o??o?a?/iiai e?eoaaiiy oai?eo c
a?aee?eoeie ia?aeiiaie aeiaaeo e?noie. O aeena?oaoe?? ?ic?iaeaii oa
iaa?oioiaaii aeai?eoi e?eoaaiiy iioa?i?eeo c a?aee?eoeie ia?aeiiaie
aeiaaeo e?noie o a?aeiia?aeiino? aei oyaeeino? o?aaie oa eieae?caoe??
ia?aeiio. Oaeineiiaeaii ?nioth/? iaoiaee o??o?a?/iiai e?eoaaiiy.
Cai?iiiiiaaii oa ai?iaaaeaeaii a ee?i?/io i?aeoeeo i?ea?iaeueio
eiino?oeoe?th noa?aeiaaiai aia?aoa ciai?oiuei? o?enaoe??.
Aenia?eiaioaeueii i?iaaaeaii ii??aiyeueio ioe?ieo aei?noeinoae
noa?aeiaaeo aia?ao?a ciai?oiuei? o?enaoe??, aia?oa io?eiaii noia?i?
iiaeoe? aei?noeino? aeey noa?aeiaaeo aia?ao?a ciai?oiuei? o?enaoe??
??cieo i?inoi?iaeo eiino?oeoe?e.

Eeth/ia? neiaa: aeiaa? e?noee, a?aee?eo? ia?aeiie, aia?aoe ciai?oiuei?
o?enaoe??.

Eaeoa A. I. Niaa?oainoaiaaiea iaoiaeia inoaineioaca i?e ioe?uouo
ia?aeiiao aeeeiiuo einoae. – ?oeiienue. Aeenna?oaoeey ia nieneaiea
o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo iaoe ii niaoeeaeueiinoe
14.01.21 – o?aaiaoieiaey e i?oiiaaeey. – Oe?aeineee
iao/ii-enneaaeiaaoaeueneee einoeooo o?aaiaoieiaee e i?oiiaaeee, Eeaa,
1998.

Aeenna?oaoeey iinayuaia aii?inai oe?o?ae/aneiai ea/aiey aieueiuo n
ioe?uouie ia?aeiiaie aeeeiiuo einoae. A aeenna?oaoeee ?ac?aaioai e
iainiiaai aeai?eoi ea/aiey iino?aaeaaoeo n ioe?uouie ia?aeiiaie aeeeiiuo
einoae a niioaaonoaee n oyaeanoueth o?aaiu e eieaeecaoeeae ia?aeiia.
Oniaa?oainoaiaaiu nouanoaothuea iaoiaeeee oe?o?ae/aneiai ea/aiey.
Yenia?eiaioaeueii i?iaaaeaia n?aaieoaeueiay ioeaiea aeanoeinoae
noa?aeiaauo aiia?aoia aiaoiae oeenaoeee, aia?aua iieo/aiu noiia?iua
iiaeoee aeanoeinoae aeey noa?aeiaauo aiia?aoia aiaoiae oeenaoeee
?acee/iuo i?ino?ainoaaiiuo eiino?oeoeee.

Eeth/aaua neiaa: aeeeiiua einoe, ioe?uoua ia?aeiiu, aiia?aou aiaoiae
oeenaoeee.

Laksha A. M. The improving methods of osteosynthes in the case of long
bones open fractures. – Manuscript.

Thesis for candidate,s of medical sciences degree by speciality 14.01.21
– traumatology and orthopeadics. – The Ukrainian Research Institute for
Traumatology and Orthopeadics, Kyiv, 1998.

The dissertation is devoted to surgical treatment patients with long
bones open fractures. Algorithm of treatment such pations depending on
trauma,s character and fracture,s localization have been worked out and
based in this work. The existed metods of surgical treatment have been
made. The total modulus of rigidity for apparatus of external fixation
of various spatical pin consruction have been received for the first
time.

Key words: long bones, open fractures, apparatus of external fixation.

PAGE 14

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