.

Кольорова контактна термографія та імуноферментний аналіз у комплексній діагностиці розповсюдження злоякісних пухлин черевної порожнини: Автореф. дис.

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13

I?I?NOA?NOAI IOI?IIE CAeI?IAss OE?A?IE

AeIIAOeUeEEE AeA?AEAAIEE IAAeE*IEE OI?AA?NEOAO

?i.I.AI?UeEIAI

*AOAIEI Ass*ANEAA IAIOAE?EIAE*

OAeE 616.33/36-006-073.65621.398

EIEUeI?IAA EIIOAEOIA OA?IIA?AO?ss OA ?IOIIOA?IAIOIEE

AIAE?C O EIIIEAENI?E Ae?AAIINOEOe? ?ICIIANTHAeAEAIIss

CEIssE?NIEO IOOEEI *A?AAII? II?IAEIEIE

14.01.07 – Iieieia?y

Aaoi?aoa?ao aeena?oaoe?? ia caeiaoooy

iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe

Aeiiaoeuee, 1999

Aeena?oaoe??th ? ?oeiien.

?iaioa aeeiiaia a Caii??cueeiio aea?aeaaiiio ?inoeooo? oaeineiiaeaiiy
e?ea??a IIC Oe?a?ie.

Iaoeiaee ea??aiee: aeieoi? iaaee/ieo iaoe, i?ioani?

Iaeaia?/oe ?ai? Aeieo?iae/

Caii??cueeee aea?aeaaiee
iaaee/iee oi?aa?neoao,

caa?aeoaa/ eaoaae?e iieieia??

Io?oe?ei? iiiiaioe:

aeieoi? iaaee/ieo iaoe, i?ioani? Eeeioue Aieiaeeie? Iioo??eiae/,
Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iieieia?? oa ?aae?ieia??,
aieiaiee iaoeiaee ni?a?ia?oiee iaoeiai-aeine?aeiiai a?aeae?eaiiy
aaaeii?iaeueii? iieieia??

aeieoi? iaaee/ieo iaoe, aeioeaio sseiaaoeue TH??e ?aaiiae/, Aeiiaoeueeee
aea?aeaaiee iaaee/iee oi?aa?neoao ?i.I.Ai?ueeiai, i?ioani? eaoaae?e
iieieia??

I?ia?aeia onoaiiaa:

Iaoe?iiaeueiee iaaee/iee oi?aa?neoao ?i.I.I.Aiaiiieueoey, eaoaae?a
iieieia??, IIC Oe?a?ie,i.Ee?a

Caoeno a?aeaoany “15.” 09.1999 ?. i 11aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 11.600.01 o Aeiiaoeueeiio aea?aeaaiiio
iaaee/iiio oi?aa?neoao?, 340003,i. Aeiiaoeuee, i?. ?ee?/a,16

C aeena?oaoe??th iiaeia iciaeiieoenue o a?ae?ioaoe? Aeiiaoeueeiai
aea?aeaaiiai iaaee/iiai oi?aa?neoaoo,340003,i. Aeiiaoeuee, i?. ?ee?/a,16

Aaoi?aoa?ao ?ic?neaiee 1999?.

A/aiee nae?aoa?

niaoe?ae?ciaaii? a/aii? ?aaee Nieaeae ?.?.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Iacaaaeath/e ia iayai?noue no/anieo
niaoe?ae?ciaaieo ee?i?ei-?ino?oiaioaeueieo, eaai?aoi?ieo oa ?ioeo
iaoiae?a aeine?aeaeaiiy, ia?aaaaeia a?eueo?noue oai?eo ia ?ae
oeoieiai-eeoeiaiai o?aeoo (OEO) caa?oa?oueny ca niaoe?aeueiith
aeiiiiiaith c ?iciianthaeaeaiei iooeeiiei i?ioeanii, oiaoi c III i IV
noaae?yie (A.A.Aa?aeia oa ?io?, 1986; A.A.Aeaie??i, A.I.Aenaeue, 1992;
A.E.*?nnia oa ?io?, 1995). Aea?? oaeoeee oa ianyao e?eoaaeueii?
aeiiiiiae oaeei oai?ei iiaeiai a?oiooaaoenue ia ae/a?ii?e ?ioi?iaoe??
i?i nooi?iue iioe?aiino? oa a?ieia?/i? iniaeeaino? iooeeiiiai i?ioeano.

Aeey ioe?iee iioe?aiino? iooeeiiiai i?ioeano OEO o e?eoaaeueieo
caeeaaeao aeei?enoiao?oueny eiiieaen ?ino?oiaioaeueieo iaoiae?a
ianoaaeaiiy: ?aioaaiieia?/i?, aiaeineii?/i?, ?aae?i?cioiii?,
oeueo?acaoeia?, eiiithoa?ia oiiia?ao?y, aia?ia?ao?y, e?ioia?ao?y,
eaia?ineii?y oa ?i. (N.O.A?ioa?aaeueoa?, TH.O.Noaoaiaiei,1989;
A.I.A?aiia, 1995; A.O.Oeea, A.A.Oaaeyaa,1996). Iaeiae, aiie iio?aaothoue
neeaaeiiai ae?aaiinoe/iiai iaeaaeiaiiy, oaoi?/iiai ianeoai-aoaaiiy,
cia/ieo iaoa??aeueieo aeo?ao, ui oo?oaeith? ?o oe?iea ai?iaaaeaeaiiy o
ee?i?/io i?aeoeeo iieieia?/ieo caeeaae?a. Oeei coiiaeaiee ?ioa?an, yeee
aeyaeythoue ee?i?oeenoe aei iiooeo iiaeo iaoiae?a ae?aaiinoeee.

O a?o/eciyi?e oa ca?oa?aei?e e?oa?aoo?? iniaeeao oaaao
i?eae?eythoue ia?iaaceaiei iaoiaeai ianoaaeaiiy (OCAe, oa?iia?ao?y,
?ioiioa?iaioiee aiae?c), ye? c aenieei nooiaiai a??ia?aeiino?
canoiniaothoueny o iieieia??, aeooa?noa?, iooaeueiieia??, a?iaeieia??,
i?oiiaae?? oa o?aaiaoieia??, aano?iaioa?ieia?? (A.?.?aaiia, 1986;
A.A.Aani?i, 1989). ?acii c oei, o aeinooii?e e?oa?aoo?? eeoa iiiaeeiie?
aeine?aeaeaiiy i?enay/ai? ?acoeueoaoai ae?aaiinoeee oa ioe?iee
?iciianthaeaeaiino? iooeei oeoiea, iaiaeiai? ? i?yii? eeoee, ia/?iee oa
i?aeoeoieiai? caeice c aeei?enoaiiyi eieuei?iai? eiioaeoii? oa?iia?ao??
(A.?.?aaiia,1986; J.Morris,1998).

A?aenooi? aeine?aeaeaiiy noiniaii ioe?iee ?ioi?iaoeaiino?
iaoiaeeee eieuei?iai? eiioaeoii? oa?iia?ao?? o ii??aiyii? c
o?aaeeoe?eieie iaoiaeaie ?ino?oiaioaeueieo ianoaaeaiue oa ?o
eiiieaenaie. Iaia? i?aoeue, aea aoee a i?aaenoaaeai? ?acoeueoaoe
aeine?aeaeaiue aoaeoeaiino? ni?eueiiai aeei?enoaiiy eieuei?iai?
eiioaeoii? oa?iia?ao?? (EEO) oa ?ioiioa?iaioiiai aiae?co (?OA) a
ioe?ioe? ?iaeea?aeoaeueieo a?ieia?/ieo iniaeeainoae ceiye?nieo
iiaiooai?aiue /a?aaii? ii?iaeieie.

Oaeei /eiii, ae?aaiinoeea ceiye?nieo iooeei OEO, ioe?iea nooiaiy
?iciianthaeaeaiino? iooeeiiiai i?ioeano oa aeoeaiino? iooeeiiiai
iaoaaie?cio caeeoa?oueny aaaeeeaith ? ia aeineoue aea/aiith i?iaeaiith.
O cayceo c oeei iiooe oa ai?iaaaeaeaiiy o ee?i?/io i?aeoeeo no/anieo ?
aeineoue aeinooiieo iaoiae?a aeine?aeaeaiiy ? nioe?aeueii iaiao?aeiei ?
aeooaeueiei caaaeaiiyi ee?i?/ii? iieieia?? a Oe?a?i?.

Aeey ?icaycaiiy oe??? i?iaeaie i?aaenoaaey?oueny ia?niaeoeaiei
aeei?enoaiiy EEO ? ?OA o eiiieaen? c o?aaeeoe?eieie iaoiaeaie
aeine?aeaeaiiy ceiye?nieo iooeei /a?aaii? ii?iaeieie.

Caycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

?iaioa ? o?aaiaioii IAe? eaoaae?e iieieia?? Caii??cueeiai
aea?aeaaiiai ?inoeoooo oaeineiiaeaiiy e?ea??a IIC Oe?a?ie “Iioei?caoe?y
e?eoaaiiy i?noeaai-?iciianthaeaeaieo iooeei iaiaeiai? eeoee oa
?aeoineaii?aeiiai a?aeae?ea”, ? aea?aeaaii? ?a?no?aoe??
0195 O 020267.

Iaoa aeine?aeaeaiiy.

?ic?iaeoe iaoiaeeeo noi?niiai canoinoaaiiy EEO ? ?OA o aecia/aii?
?iciianthaeaeaiiino? iooeeiiiai i?ioeano aeey iioei?caoe?? eiiieaenii?
ae?aaiinoeee ceiye?nieo iiaiooai?aiue OEO ? i?neyiia?aoe?eiiai
aeeniaina?iiai niinoa?aaeaiiy.

Caaea/? aeine?aeaeaiiy.

1. Aea/eoe ee?i?ei-oa?iia?ao?/i? oa?aeoa?enoeee iooeeiiiai
i?ioeano OEO.

2. Aea/eoe ?ioi?iaoeai?noue ?ioiioa?iaioiiai iaoiaeo aecia/aiiy
ne?i-aaoeiaeo iooeeiieo ia?ea??a NA 19-9, ?AA ? AOI i?e ae?aaiinoeoe? oa
aeey iiaeaeueoiai aeeniaina?iiai niinoa?aaeaiiy oai?eo ia ?ae oeoiea,
oianoi? eeoee, aaiaoi-iaie?aaoi-aeoiaeaiaeueii? ciie(AIAeC).

3. Aea/eoe iiaeeea?noue ni?eueiiai canoinoaaiiy EEO ? ?OA aeey
ioe?iee oiiia?ao?? iooeeiiiai i?ioeano ? iii?oi?eiaa iieieia?/ieo
oai?eo.

4. Aecia/eoe ?ieue ? i?noea EEO ? ?OA o eiiieaeni?e ae?aaiinoeoe?
iooeei oeoieiai-eeoeiaiai o?aeoo.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a.

Aia?oa aea/aia ae?aaiinoe/ia ?ioi?iaoeai?noue ni?eueiiai
canoinoaaiiy EEO ? ?OA o eiiieaeniiio ianoaaeaii? oai?eo ia ?ae OEO.

?ic?iaeaia ?aoe?iiaeueia noaia ?a?no?aoe?? oa?iia?ao?/ii?
?ioi?iaoe?? aeey ioe?iee ?iciianthaeaeaiino? iooeeiiiai i?ioeano,
nooiaiy aeeoa?aioe?eiaee iooeeie, noaio iooeeiiiai aia?iaaiaco.
?ic?iaeai? eiie?aoi? ?aeiiaiaeaoe?? aeei?enoaiiy EEO ? ?OA i?e
neeaaeaii? ?iaeea?aeoaeueiiai ieaio e?eoaaiiy oai?eo ia ceiye?ni?
iiaiooai?aiiy OEO.

Aea/ai? iiaeeeaino? ni?eueiiai aeei?enoaiiy EEO ? ?OA aeey ioe?iee
?aaeeeaeueiino? iia?aoeaieo ao?o/aiue ? iii?oi?eiaa ia aoaiao e?eoaaiiy
oai?eo ia ?ae oeoiea, AIAeC, oianoi? eeoee. Aea/ai? aniaeoe canoinoaaiiy
ae?aaiinoe/iiai eiiieaeno EEO ? ?OA o aecia/aii? i?iaiico iooeeiiiai
?inoo oa aoaeoeaiino? e?eoaaiiy iieieia?/ieo oai?eo.

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

Ii?aoeueiaaia iaoiaeeea ni?eueiiai canoinoaaiiy EEO ? ?OA aeicaiey?
i?aeaeueoe ?ioi?iaoeai?noue eiiieaeniiai ianoaaeaiiy oai?eo ia ceiye?ni?
iooeeie OEO.

Cai?iiiiiaaiee aeai?eoi canoinoaaiiy EEO ? ?OA o aeeiai?oe?
aeioe?eueii aeei?enoiaoaaoe i?e iii?oi?eiaia? ia?aa?ao iooeeiiiai
i?ioeano, i?iaiicoaaii? iia?aaaeueiino? ceiye?nieo iooeei, a ioe?ioe?
aoaeoeaiino? e?eoaaiiy, ?iaeea?aeoae?caoe?? e?eoaaeueieo i?ia?ai, aeey
aeyaeaiiy ?aoeeaeea?a oa iaoanoac?a.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy cae?eniaii a
iieieia?/ieo a?aeae?eaiiyo i?nueeeo e?ea?aiue i.Iae?oiiiey ?
i.Aa?aeyinueea, a iaeaniiio iieieia?/iiio aeeniaina?? i.Caii??aeaey.

Iniaenoee aianie caeiaoaa/a.

Aaoi?ii aecia/ai? iaoa ? caaea/? aeine?aeaeaiiy. Aeeiiaiee aiae?c
iaoeiai? e?oa?aoo?e ca aeaiith oaiith, iaienai? ? ioi?ieai? an? ?icae?ee
aeena?oaoe??, noi?ioeueiaai? aeniiaee. A?aea?? oaiaoe/ieo oai?eo,
?iciiae?eaiiy ?o ia a?oie c caaacia/aiiyi eiiieaeniiai ianoaaeaiiy,
e?eoaaiiy ? aeeiai?/ia niinoa?a-aeaiiy, aeine?aeaeaiiy iaoiaeii EEO ?
?OA aeeiiai? aaoi?ii naiino?eii.

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

Iniiai? iieiaeaiiy ? ?acoeueoaoe aeena?oaoe?? aeeeaaeaeenue ?
iaaiai?thaaeenue ia IV I?aeia?iaei?e eiioa?aioe?? c ??aeeiieo
oieanoa?e/ieo e?enoae?a, i.Oa?e?n?, 1981; I Ananithci?e ia?aae? c
oa?iia?ao?/ii? ae?aaiinoeee o ee?i?/i?e oa aenia?eiaioaeuei?e
iaaeeoeei?, i.Iineaa, 1983; VII c?cae? iieieia?a Oe?a?ie,
i.N?ioa?iiieue, 1985; i?aenoieiaeo iaoeiai-i?aeoe/ieo eiioa?aioe?yo
CAe?OE (1984, 1994, 1997,1998); ia can?aeaiiyo Caii??cueeiai iaeaniiai
oiaa?enoaa iieieia?a.

Ai?iaaoe?y aeena?oaoe?? i?iaaaeaia ia i?aeeaoaae?aeueiiio
can?aeaii? ni?a?ia?oiee?a Caii??cueeiai aea?aeaaiiai ?inoeoooo
oaeineiiaeaiiy e?ea??a oa Caii??cueeiai aea?aeaaiiai iaaee/iiai
oi?aa?neoaoo (1998).

Ioae?eaoe??.

Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 8 ?ia?o, c ieo 3 – a
oeaio?aeueieo oaoiaeo aeo?iaeao, 2 – a ca??eao iaoeiaeo i?aoeue, 3 – a
oacao eiioa?aioe?e, c?cae?a.

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

Aeena?oaoe?y aeeeaaeaia a o?aaeeoe?eiiio noee? ? neeaaea?oueny c
anooio, 3 ?icae?e?a, caeeth/aiiy, aeniiae?a oa nienea e?oa?aoo?e, ui
aeeth/a? 241 aeaea?aei. ?c ieo 70 – ca?oa?aeieo aaoi??a.
?iaioa aeeeaaeaia ia .. noi??ieao ae?oeiaaiiai oaenoo, ?ethno?iaaia ..
oaaeeoeyie, .. iaethieaie.

INIIAIA *ANOEIA

Iaoa??aee ? iaoiaee aeine?aeaeaiiy

A ?iaio? iaaaaeai? ?acoeueoaoe eiiieaeniiai ianoaaeaiiy 358
iaoe??io?a, o oiio /ene? 270 oai?eo ia iooeeie i?aai?a /a?aaii?
ii?iaeieie. Eiio?ieueio a?oio neeaee 58 oai?eo ia iaceiye?ni?
caoai?thaaiiy OEO ? 30 – i?aeoe/ii caei?iaeo in?a (aeiii?e). A?oia
iaoe??io?a ?c ceiye?nieie caoai?thaaiiyie /a?aaii? ii?iaeieie
oi?ioaaeanue iaoiaeii aeiaaeeiai? aea??ee. On? oai?? ciaoiaeeeenue ia
ianoaaeaii? ? e?eoaaii? o Caii??cueeiio iaeaniiio iieieia?/iiio
aeeniaina?? a ia??iae c 1991 ii 1996 ??e.

Caeaaeii a?ae eieae?caoe?? ceiye?niiai i?ioeano aeine?aeaeoaai?
oai?? ?iciiae?eai? ia 3 a?oie: 134 oai?eo ia ?ae oeoiea; 90 oai?eo ia
ceiye?ni? iooeeie oianoi? eeoee; 46 oai?eo ia ceiye?ni? caoai?thaaiiy
i?aai?a AIAeC. A aeaieo a?oiao /ieia?e?a aoei 128 (47,4%), ae?iie
142(52,6%), a?eii a?ae 20 aei 80 ?ie?a.

Ae?aaiic ceiye?niiai iiaiooai?aiiy anoaiiaethaaany ia i?aenoaa?
ee?i?/ieo, ?ino?oiaioaeueieo oa ii?oieia?/ieo iaoiae?a aeine?aeaeaiiy.
?iciianthaeaeai?noue iooeeiiiai i?ioeano ioe?ithaaeanue a?aeiia?aeii aei
a?o/eciyii? eeaneo?eaoe?? e TNM eeaneo?eaoe?? ceiye?nieo iooeei
(aeaeaiiy 4). EEO ? ?OA aeeiioaaeenue o an?o oai?eo i?ae /an
aini?oae?caoe?? , /a?ac 2-3 oeaei? ? 3 i?nyoe? i?ney iia?aoe??. *a?ac 6
i?nyoe?a ? /a?ac ??e aeine?aeaeaiiy cae?eniai? o 174 /ieia?e (a?oia c
aeeiai?/iei niinoa?aaeaiiyi).

EEO aeeiioaaeanue ca iaoiaeeeith A.?.?aaiiaa noaiaea?oieie
oa?ii?iaeeeaoi?aie ae?iaieoeoaa III “Iiiie?enoae ?aaeoea”, i.Oa?e?a.
Ia?aae aeine?aeaeaiiyi oai?ee i?ioiaeea aaeaioaoe?th aei oaiia?aoo?e
iia?o?y i?ei?uaiiy i?ioyaii 10-15 oaeeei. Iio?i aei??thaaeanue
oaiia?aoo?a iiaa?oi? oe??e ia?aaeiuei? /a?aaii? no?iee oai?iai ca
aeiiiiiaith oa?iiiao?a “PHILIPS-5316”.

?c na??? ??aeeiiie?enoaeaaeo oa?ii?iaeeeaoi??a o oaiia?aoo?iiio
ae?aiacii? a?ae 28N aei 37N c oaiia?aoo?ieie ?ioa?aaeaie 3N
(aeene?aoi?noue oa?ii?iaeeeaoi?a) ? oaiia?aoo?iei e?ieii aeaii? na??? 2N
iae?aee oa?ii?iaeeeaoi?, ieaeiy iaaea ?iaeeeaoe?? yeiai a?aeiia?aeaea
aeyaeai?e oe??i?e oaiia?aoo?? aeine?aeaeoaaii? iaeano?. Oa?ii?iaeeeaoi?
oiieei oa?ii iaiineany iiiaceii ia ii/i?iaio eeio/o
iie?aoeeaioa?iooieaoio ie?aeo (“i?aeeeaaeeo”), ?icoaoiaaio ia oe???
aeine?aeaeoaaii? iaeano?. Noi?o aeey ii/i?iaiiy aiooaaeanue
cacaeaeaa?oue ? neeaaeaeanue c iie?a?i?eiaiai oa ao?eiaiai nie?oo,
aeenoeeueiaaii? aiaee oa aoao? /i?iiai eieuei?o. Eieuei?iaa ea?oeia
?iciiae?eo oaiia?aoo?e oe??e ia aeine?aeaeoaai?e ae?eyioe? cyaeyeanue
/a?ac aeae?eueea naeoiae. Noaa?e?caoe?y oa?iia?aie ianooiaea /a?ac 1-2
oaeeeie. I?e oeueiio eieuei?iaa aaia, caeaaeii a?ae oaiia?aoo?e ??cieo
ina?aaee?a aeine?aeaeoaaii? ciie, a?coae?coaaeanue o oae?e
caeiiii??iino?: /i?iee oa /a?aiiee eie?? – “oieiaei?” ina?aaeee; caeaiee
eie?? – “oaie?”; nei?e ? o?ieaoiaee eieuei?e – “aa?y/?” ina?aaeee.

Aiae?c ?acoeueoao?a oa?iia?ao?/iiai ianoaaeaiiy iaie aeeiioaaany ia
eeoa c o?aooaaiiyi ieiu? a?coae?ciaaii? ciie oaiia?aoo?iiai a?aae??ioa,
aea e ca no?oeoo?ieie ci?iaie ca?aeii ii?aoeueiaaii? iaie noaie
(oaaeeoey 1).

Cai?iiiiiaaia noaia ?a?no?aoe?? ia? aeinoaoith e?euee?noue ia?aaaa,
ii??aiyii c o?aaeeoe?eieie oa?aeoa?enoeeaie oa?iia?ai. Aiia ia eeoa
a?coae?co? ciie iaoieia??, aea e aea? ?o no?oeoo?io oa?aeoa?enoeeo, ui
aeaei iiaeeea?noue aecia/eoe ??ciiiai?oi? oeie ?iciiae?eaiiy
eieuei?iai? aaie ia oa?iia?aiao (ae?aaiinoe/i? oeie), ia iniia? yeeo
i?iaaaeaia ae?aaiinoeea ? iii?oi?eia ia?aa?ao iooeeiiiai i?ioeano o
aeine?aeaeaieo oai?eo (?aoe.i?iiiceoe?y ? 1607).

Iaea?aeai? oa?iia?aie noaiaoe/ii caiaeueiaoaaeenue o aeieneo c
?noi??? oai?iae, oioia?aooaaeenue ia eieuei?iao oioiie?aeo ca
aeiiiiiaith oioiaia?aoa “Cai?o AO”.

?ioiieia?/i? aeine?aeaeaiiy iayaiino? iooeeiieo ia?ea??a (II) o
ia?eoa??ei?e e?ia? oai?eo aoee aeeiiai? iaoiaeii ?OA (?ioiioa?iaioiiai
aiae?co). Oanooaaiiy ia ai?no iooeeiieo ia?ea??a

Oaaeeoey 1

Noaia ?a?no?aoe?? oa?iia?ao?/ii? ?ioi?iaoe??

?AA, NA 19-9, AOI o ne?iaaooe? e?ia? iaoe??io?a aeeiioaaeinue c
aeei?enoaiiyi noaiaea?oiiai iaai?o iiiieeiiaeueieo aioeo?e iiaea?eii?
niaoeeo?/iino? oaa?aeioaciei ?ioiiia?ieneaeaciei iaoiaeii o??ie “Hoffman
La Roche” (Oaaeoea??y). On? aeine?aeaeaiiy aeeiioaaeenue ia aia?aoo?? oa
?aaeoeaao aeacaii? o??ie ca noaiaea?oiith iaoiaeeeith.

Aeine?aeaeoaai? i?iae (ne?iaaoea e?ia? iaoe??ioa) ci?ooaaee c
iie?noe?ieiaeie eoeueeaie, ae?eoeie iiiieeiiaeueieie aioeo?eaie aei II
oa eii’thaaoii c ia?ieneaeacith. Iio?i ?ieoaoaaee noi?o o ?ieoaaoi??
“?inha” (i?e oeueiio a?aeaoaa?oueny ?ioiieia?/ia ?aaeoe?y – iiaycoaaiiy
II c ne?iaaoee e?ia? c oaa?aeith oacith aioeo?e ? oa?iaioii).
Eiioeaio?aoe?y II o aeine?aeaeoaai?e i?ia? aecia/aeany aaoiiaoe/ii
oioiiao?ii “?inha”. Aecia/aiiy ae?aaiinoe/ii? oe?iiino? canoiniaaieo o
?iaio? iaoiaeee i?iaiaeeeinue ca ia?aiao?aie: oi/i?noue iaoiaeo,
/ooeea?noue, niaoeeo?/i?noue (?aeiiaiaeaoe?? Eii?oaoo aenia?o?a IAAAOA,
AIC).

Noaiaea?oecaoe?y ?OA i?iaaaeaia o eiio?ieuei?e a?oi? – 88 /ieia?e
(30 aeiii??a ? 58 iaoe??io?a c iaiieieia?/ieie caoai?thaaiiyie i?aai?a
/a?aaii? ii?iaeieie). I?e oeueiio anoaiiaeaiee aeene?ei?iaoe?eiee
??aaiue (Ae?) eiioeaio?aoe?? II o ia?eoa??ei?e e?ia?, yeee a?aeiia?aea?
ia?ai?e iaie 95% niaoeeo?/iino? o eiio?ieuei?e a?oi?. Ae? neeaa: aeey
?AA – 5ia/ie; NA 19-9 – 35 I/ie; aeey AOI – 10 II/ie.

Ia i?aenoaa? aecia/aieo i?ae /an noaiaea?oecaoe?? ?OA ia?aiao??a
aoea aeine?aeaeaia /ooeea?noue II (a?aenioeiaa ae?aaeai?noue /anoioe
aeiaaee?a ia?aaeuaiiy Ae? o a?oiao oai?eo ia ?ae oeoiea, oianoi? eeoee,
AIAeC).

?acoeueoaoe aeine?aeaeaiiy, ?o aiae?c oa iaaiai?aiiy.

I?e aiae?c? iaea?aeaieo ?acoeueoao?a o a?oi? oai?eo ia ?ae oeoiea
(134 /ie.) aeyaeaia aneiao??y o caaa?aeai? iaio iieiaei ia?aaeiuei?
/a?aaii? no?iee o 122 iaoe??io?a (91,0%). Iae/ano?oa ?a?no?oaaeenue
“aa?y/?” ina?aaeee iaae ia?aeiiith iooeeiith o in?a c “iaeeie” ?aeaie
oeoiea, ye? i?aeoaa?aeaeai? i?e aeei?enoaii? aeiaeaoeiaeo iaoiae?a
aeine?aeaeaiiy.

O oai?eo c ?iciianthaeaeaiei iooeeiiei i?ioeanii ?ioi?iaoeai?noue
oa?iia?ao?/ieo aeine?aeaeaiue aoea ieae/ith, ii??aiyii c oaeith i?e
eieaeueiiio o?aaeaii? oeoiea. Oea coiiaeaii ?iciianthaeaeaiiyi
iooeeiiiai i?ioeano ia noi?aei? i?aaie, iayai?noth ae?aceiai-iae?ioe/ieo
ci?i o ia?aeii?e iooeei?, ianiaoeeo?/ieo caiaeueieo i?ioean?a ? o.i.

?acoeueoaoe aeine?aeaeaiiy oai?eo ia ?ae oeoiea iaoiaeaie OeEO ?
?OA i?aaenoaaeai? a oaaeeoe? 2. sse aeaeii c oaaeeoe?, aiiiaaiia
na?o?iiy ia?aeiiiai ina?aaeea niinoa??aaeinue iaio, i?ae o iieiaeie
aeiaaee?a – o 42,5% (57 oai?eo), /ano?oa cono??/aeenue iaaiiiaaii? oeie
na?o?iiy. Oea, iae?iia??i?oa, iia’ycaii c aenieith aaneoey-?ecaoe??th
ia?aeiieo iooeei (aeoeaiee aia?iaaiac) ? aenieith ieoiiith aaaith
iaeiaeeoa?aioe?eiaaieo oi?i ?aeo. Aiiiaaiia oa?ii?iaeeeaoe?y iae/ano?oa
niinoa??aaeanue o oai?eo c aeineoue aaeeeeie ia?aeiieie iooeeiaie, ye?
aeieeee ia oii? iiia?aaei?o caoai?thaaiue (ae?aceiaa oai?iaa, aano?eo).

Oaaeeoey 2

?acoeueoaoe oa?iia?ao?/iiai oa ?ioiieia?/iiai aeine?aeaeaiiy oai?eo ia
?ae oeoiea (n = 134)

I?e ?io?eueo?aoeaiiio oa?aeoa?? ?inoo ? oioaeueiiio o?aaeaii? oeoiea
oa?iia?aie iinyoue “ci?oaiee” oa?aeoa? c ia?aaaaith “n?o/anoiai” oeio
na?o?iiy, ui iiaycaii c iayai?noth iae?ioe/ieo oa a?iiene/ieo ina?aaee?a
o iooeei?.

O 17,2% aeiaaeeao (23 oai?eo) i?e oa?iia?ao?/iiio aeine?aeaeaii?
?a?no?oaaeanue aeoeaia a?ia?oa?i?y ia?eoa??eieo cii, ui ia aeyaey?oueny
i?e aeei?enoaii? ?ioeo ?ino?oiaioaeueieo iaoiae?a aeine?aeaeaiiy. Oea
iaei i?noea o oai?eo iieiaeiai a?eo c iecueeiaeeoa?aioe?eiaaieie
iooeeiaie, iniaeeai i?e noaioeiciiio oa ?io?eueo?aoeaiiio ?ino?.

I?inoaaeo?oueny /?oeee aca?iicaycie i?ae oa?aeoa?ii oa?iia?ai ?
a?noieia?/iei oeiii iooeei. *ei a?eueo aeeoa?aioe?eiaai? iooeeie, oei
a?eueo aiiiaaii? oa?iia?aie c ae?aaeaiith ina?aaeeia?noth o?aaeaiiy.

Ia?eoea?caoe?y i?eiouaiiy i?i aenieo ieoiio aaao oai?eo ia iooeeie
iecueeiai nooiaiy aeeoa?aioe?eiaee o aeine?aeaeoaai?e a?oi? aeieea? i?e
aeei?enoaii? EEO o eiiieaen? c ?OA.

I?e ?ioiieia?/iiio aeine?aeaeaii? o aeai?e a?oi? aoei anoaiiaeaii,
ui iaea?eueo /ooeeaeie II ? NA 19-9(61,2%) oa ?AA(41,8%). I?e
niieo/iiio oanooaaii? ia ai?no ?AA oa NA 19-9 /ooeea?noue ?OA
i?aeaeuo?oueny ia 17-20%. Iacaaaeath/e ia iecueeo ?ioi?iaoeai?noue
aecia/aiiy ??aiy AOI o oai?eo ia ?ae oeoiea, aeei?enoaiiy oeueiai
ia?ea?a aeey ?OA aeineoue ?ioi?iaoeaia i?e i?i?inoaii? iooeeie o
i?aeoeoieiao caeico ? iaoanoacoaaii? o ia/?ieo. Oae, o 3 oai?eo, c
onoaiiaeaiith IV noaae??th caoai?thaaiiy eiioeaio?aoe?y aeaiiai ia?ea?a
neeaea 17,44,27 II/ie, (?

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