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Передопераційне черезшкірне черезпечінкове дренування жовчних шляхів при механічній жовтяниці: Автореф. дис… канд. мед. наук / В.В. Похмурський, Льв

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CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie. Iaoai?/ia aeiaoyieoey – neeaaeia ? iaae??oaia
i?iaeaia no/anii? iaaeeoeeie. ?acoeueoaoe o??o?a?/iiai e?eoaaiiy oai?eo
?c o?eaaeith no?eeith iaoai?/iith aeiaoyieoeath iaao?oi?.
I?neyiia?aoe?eia eaoaeuei?noue i?e oe?e iaoieia?? noaiiaeoue 15-60%
(Eoee/aa I. Ae. e niaao., 1990; Little J. M., 1987).

O?eaaea a?e?a?ia a?ia?oaic?y noi?iaiaeaeo?oueny ii?oieia?/ieie oa
a?noieia?/ieie ci?iaie a ia/?ioe?: aiane?aeie oeneo ia?aiiaiaieo
eai?ey??a aeieea? iae?ic ia/?ieiaeo ee?oei, ii?ooo?oueny
e?iai-e?ioiia?a, i?aeaeuo?oueny ii?oaeueiee oene, aeieeathoue aeaea?aea
aeia/iiai noaco, ooai?ththoueny aeia/i? o?iiae a eai?ey?ao oa
?icaeaathoueny aeeno?io?/i? ci?ie a aaiaoioeeoao (Eo/ei N. E. e niaao.,
1988; Lygidakis N. J. et al., 1987).

Iaoiii?oieia?/i? ci?ie a ia/?ioe? i?ecaiaeyoue aei ooieoe?iiaeueieo
ci?i ? ?icaeoeo ia/?ieiai? iaaeinoaoiino?. Cieaeo?oueny
aaiaoioeaethey?ia oa aeia/inae?aoi?ia ooieoe?? ia/?iee, i?eai?/o?oueny
neioac a?ee?a. Ii?ooothoueny iaoaaie?ci ai?iieeneio, aoaeaaiae?a oa
aee??a, i?ioiaeaeaiiy aeia/ieo eeneio o ia/?ieiai-eeoeiaiio ?one?.
C?inoa? neioac oieanoa?eio ieacie oa eaoeeoeio. Cieaeo?oueny aeoeai?noue
i?oioiiae??aeueieo oeeoio?ii?a, ii?ooo?oueny neioac oaiiae?ieneoieao?a
oa e?oioieao?a (Dawson P. A. et al., 1995; Pellegrini C. A. et al.,
1987). Ciaioo?oueny eiioeaio?aoe?y aioeieneaeaio?a ia oii? i?aeaeuaiiai
??aiy i?iaeoeo?a ia?ieneaeaoe?? e?i?ae?a (Krahenbuhl S. et al., 1995).

Ia iaio oyaee? ci?ie a?aeaoaathoueny a ?ioeo i?aaiao oa nenoaiao. I?e
o??o?a?/iiio e?eoaaii? o 9-18% oai?eo ?c iaoai?/iith aeiaoyieoeath
aeieea? aino?a ie?eiaa iaaeinoaoi?noue, yea, o a?eueoino? aeiaaee?a, ?
aaciina?aaeiueith i?e/eiith nia?o? (Fogarty B. J. et al., 1995; Green J.
et al., 1995). O oai?eo ?c o?eaaeei noacii aeia/? iayaia ?ioiia
iaaeinoaoi?noue (Garg P. K. et al., 1994; Rodolico A. et al., 1994),
/ano?oa niinoa??aathoueny aeiaaeee aaeoa??ia?e?? oa aaeoa?ai??
(Lygidakis N. J. et al., 1987; O’Connor M., 1985). ?icaeaa?oueny
aiaeioienai?y, yea ? iaeiei ?c iiaeeeaeo ao?ieia?/ieo /eiiee?a aenieiai
??aiy i?neyiia?aoe?eieo oneeaaeiaiue oa nia?oiino? (Gouma D. J. et al.,
1986). I?e iaoai?/i?e aeiaoyieoe? ? i?yiee ca’ycie i?ae nenoaiiith
aiaeioienai??th oa aino?ith ie?eiaith iaaeinoaoi?noth (Wilkinson S. P.
et al., 1976). Niinoa??aathoueny ci?ie a nenoai? cn?aeaiiy e?ia?.
Ee?i?/i? iciaee aaiieiaaoeyoe?eieo c?ooaiue aeyaeythoueny o 25,5%
iaoe??io?a ?c iaoo?aoe?eiith aeiaoyieoeath (Costamagna G. et al., 1995;
Ieeeoi?ia A. E. e niaao., 1989).

Aeooaeuei?noue i?iaeaie e?eoaaiiy oai?eo ?c iaoai?/iith aeiaoyieoeath
niiioea? aei iiooe?a iiaeo oa aaeineiiaeaiiy ?nioth/eo iaoiae?a.
Iniiaiei iaoiaeii e?ea?aeaoe?? iai?io?aeiino? iicaia/?ieiaeo aeia/ieo
oeyo?a caeeoa?oueny o??o?a?/iee. O a?eueoino? aeiaaee?a oea oaoi?/ii
neeaaei? iia?aoe??, ye? noi?iaiaeaeothoueny aenieei ??aiai oneeaaeiaiue
oa eaoaeueiino?. Oea a cia/i?e i??? iiynith?oueny iaa?aeiia?aei?noth
i?ae aaaee?noth iia?aoeaiiai ao?o/aiiy ? eiiiainaoi?ieie iiaeeeainoyie
i?aai?cio, a ia?oo /a?ao – ia/?iee. Ia?eic, o??o?a?/ia o?aaia,
i?neyiia?aoe?eia oaeaeea iaaeiciaaia aeaeiii?an?y aeia/ieo oeyo?a cia/ii
iiaeeaeth? aaaee?noue noaio oai?eo, o 20-90% iia?iaaieo i?ecaiaeeoue aei
ia?aoiaeo noaee?i?/ii? ia/?ieiai? iaaeinoaoiino? o ee?i?/ii ae?aaeaio,
yea ? iniiaiith i?e/eiith aenieiai iieacieea i?neyiia?aoe?eieo
oneeaaeiaiue (52-70%) oa eaoaeueiino? (Ieeeoi?ia A. E. e niaao., 1991).

E?eoaaiiy oai?eo ?c o?eaaeei oieanoacii, ni?e/eiaiei iicaia/?ieiaith
iano?oeoe??th aeia/ieo oeyo?a, ? iaaecae/aeii oyaeeei caaaeaiiyi, ui
coiiaeaii iaaeinoaoiuei aea/aieie iaoio?c?ieia?/ieie iaoai?ciaie
caoai?thaaiue aeaii? a?oie, ia/?ieiaith ? ie?eiaith iaaeinoaoi?noth,
nenoaiiei oa?aeoa?ii i?ioeano. Iae/ano?oeie i?e/eiaie aeiaaio?eaaei?
iaoai?/ii? aeiaoyieoe? ? ceiye?ni? iooeeii? o?aaeaiiy
aaiaoiiaie?aaoia?e?a?ii? ciie (Cahill C. J. et al., 1989; Yasuda K. et
al., 1989).

O?aaeeoe?eia e?eoaaiiy, yea ia’?aeio? eiiieaen eiina?aaoeaieo caoiae?a
oa o??o?a?/i? iaoiaee, ua iaaeinoaoiuei aoaeoeaia.

No/aniee i?aeo?ae aei eiiieaeniiai e?eoaaiiy o?eaaei? iaoai?/ii?
aeiaoyieoe? iio?aao? aeei?enoaiiy o ia?aaeiia?aoe?eiiio ia??iae?
aeaeiii?an?? aeia/iiai aea?aaa (Agnello G. et al., 1988). ?c ?icaeoeii
iaei?iaaceaii? o??o?a?? noaei aeinooiiei canoinoaaiiy aiaeineii?/ieo ?
/a?acoe??ieo iaoiaeee aeey ae?aioaaiiy aeia/ieo oeyo?a (Sukigara M. et
al., 1994; Frimberger E. et al., 1989; Blenkharn J. I. et al., 1984).

Iacaaaeath/e ia cia/i? oni?oe canoinoaaiiy oeeo iaoiae?a, aaaaoi
ieoaiue iio?aaothoue iiaeaeueoiai aea/aiiy, a naia: ?ieue ? i?noea
/a?acoe??iiai /a?acia/?ieiaiai a?e?a?iiai ae?aioaaiiy o eiiieaeniiio
e?eoaaii? iaoai?/ii? aeiaoyieoe?, eiai aoaeoeai?noue caeaaeii a?ae
iicieia??, ??aiy a?e??oa?iai?? oa o?eaaeino? caoai?thaaiiy, aieea
/a?acoe??iiai ae?aioaaiiy ia noai ia?ieneaeii? ieneaeaoe?? e?i?ae?a,
iiaeeea? oneeaaeiaiiy iaoiaeo oa oeyoe ?o i?io?eaeoeee.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie. ?iaioo aeeiiaii
a ?aieao iaoeiai-aeine?aeii? oaie eaoaae?e oaeoeueoaonueei? o??o?a??
Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo “Aea/eoe i?e/eie ?
iane?aeee oieanoaco, eiai ii?oi-ooieoe?iiaeuei? oa?aeoa?enoeee c iaoith
aecia/aiiy iioeiaeueieo iaoiae?a ae?aaiinoeee ? e?eoaaiiy” (?
aea?ae?a?no?aoe?? 0197U000743).

Iaoa ? caaea/? aeine?aeaeaiiy. Iaoa ?iaioe – iie?auaiiy ?acoeueoao?a
e?eoaaiiy oai?eo ?c o?eaaeith oyaeeith iaoai?/iith aeiaoyieoeath oeyoii
ia?aaeiia?aoe?eiiai /a?acoe??iiai ae?aioaaiiy a?e?a?ii? nenoaie.

Aeey aeinyaiaiiy oe??? iaoe aoee noi?ioeueiaai? ianooii? iniiai?
caaaeaiiy aeine?aeaeaiiy:

Aea/eoe oa?aeoa?, no?oeoo?o oa i?e/eie i?neyiia?aoe?eieo oneeaaeiaiue o
oai?eo ?c iaoai?/iith aeiaoyieoeath;

Oaeineiiaeeoe ?nioth/? oa ii?aoethaaoe i?ea?iaeuei? iaoiaeeee
/a?acoe??iiai /a?acia/?ieiaiai ae?aioaaiiy a?e?a?ii? nenoaie i?ae
eaia?ineii?/iei oa oeueo?aniiia?ao?/iei eiio?ieai, ai?iaaaeeoe ?o o
ee?i?/io i?aeoeeo;

Aeine?aeeoe aieea ia?aaeiia?aoe?eii? a?e?a?ii? aeaeiii?an?? aeia/ieo
oeyo?a ia ia?aa?a caoai?thaaiiy, noai ia/?ieiai? ? ie?eiai? ooieoe?e,
?aieia?/i? ia?aiao?e e?ia?, iieacieee e?iii?ioa?aeiiai niaeo?o ieacie;

Aea/eoe aieea ia?aaeiia?aoe?eiiai ae?aioaaiiy aeia/iiai aea?aaa ia noai
ia?ieneaeii? ieneaeaoe?? e?i?ae?a;

Aecia/eoe iieacaiiy aei canoinoaaiiy iaoiae?a e iioeiaeuei? oa?i?ie
/a?acoe??ii? aeaeiii?an?? aeia/ieo oeyo?a o ia?aaeiia?aoe?eiiio
ia??iae?;

Aeyaeoe iiaeeea? oneeaaeiaiiy i?ioeaaeo?e oa oeyoe ?o i?io?eaeoeee;

Ii?aoethaaoe ?aeiiaiaeaoe?? aeey ai?iaaaeaeaiiy o ee?i?/io i?aeoeeo
iaoiaeee /a?acoe??iiai /a?acia/?ieiaiai ae?aioaaiiy aeia/ieo oeyo?a ye
ia?oiai aoaio o eiiieaeniiio e?eoaaii? oai?eo ?c iaoai?/iith
aeiaoyieoeath.

Iaoeiaa iiaecia iaea?aeaieo ?acoeueoao?a. ?iaioa i?noeoue ieceo
aeaiaio?a iiaecie, ye? ia ciaeoee a?aeia?aaeaiiy o ioae?eaoe?yo ?c
aeaii? i?iaeaie. Aaeineiiaeaii ?nioth/? e ii?aoeueiaaii i?ea?iaeueio
iaoiaeeeo iaeeaaeaiiy i?e?ioieaoeenoinoiie ca aeiiiiiaith niaoe?aeueii
cai?iiiiiaaiiai eaoaoa?a. Aea/aii ?ieue ? i?noea /a?acoe??iiai
/a?acia/?ieiaiai ae?aioaaiiy a?e?a?ii? nenoaie o eiiieaeniiio e?eoaaii?
iaoai?/ii? aeiaoyieoe?. Ae?iaeaii iieacaiiy aei canoinoaaiiy iaoiaeo a
caeaaeiino? a?ae o?eaaeino? aeiaoyieoe? oa ??aiy a?e??oa?iai??. Aeyaeaii
iniiai? caeiiii??iino? aieeao ia?aaeiia?aoe?eii? aeaeiii?an?? aeia/iiai
aea?aaa ia ooieoe?iiaeueiee noai ia/?iee ? ie?ie, iieacaii ??
aoaeoeai?noue. Cai?iiiiiaaii eiiieaen caoiae?a o oa?ai?? oai?eo ?c
ia?aaeiia?aoe?eiith a?e?a?iith aeaeiii?an??th. Aea/aii iiaeeea?
oneeaaeiaiiy iai?ioeyoe?? oa oeyoe ?o caiia?aaiiy. Aeine?aeaeaii aieea
iaoiaeo ia noai ia?ieneaeii? ieneaeaoe?? e?i?ae?a ? nenoaie
aioeieneaeaioiiai caoenoo.

I?aeoe/ia cia/aiiy iaea?aeaieo ?acoeueoao?a. Ooi/iaii iieacaiiy aei
canoinoaaiiy /a?acoe??iiai /a?acia/?ieiaiai a?e?a?iiai ae?aioaaiiy o
eiiieaeniiio e?eoaaii? iaoai?/ii? aeiaoyieoe?. Cai?iiiiiaaii
iioeiaeueiee ?aaeei oa oa?i?ie /a?acoe??ii? aeaeiii?an?? aeia/iiai
?onea. Iieacaii aoaeoeai?noue oa aeioe?euei?noue aeei?enoaiiy iaoiaeo a
i?aeaioiaoe? oyaeeeo oai?eo aei iia?aoe??. Aea/aii iniiai? oneeaaeiaiiy
oa cai?iiiiiaaii niiniae ?o i?io?eaeoeee.

Iniaenoee aianie caeiaoaa/a. Caeiaoaa/ iniaenoi ai?iaaaeea ? aeeiiaa
on? /a?acoe??i? ae?aioaaiiy aeia/ieo oeyo?a o oai?eo Euea?anueei?
i?nueei? ee?i?/ii? e?ea?i? oaeaeei? iaaee/ii? aeiiiiiae oa o 18 oai?eo
Euea?anueei? iaeanii? ee?i?/ii? e?ea?i?; i?ia?a ianoaaeaiiy iaoe??io?a
ia?aae ae?aioaaiiyi oa i?ney iia?aoe??; iia?oaaa 12 oai?eo.

Ai?iaaoe?y ?acoeueoao?a aeena?oaoe??. Aeiiia?ae? ca iaoa??aeaie
aeena?oaoe?? c?iaeaii ia: 6-iio Eiia?an? Iieuenueei? anioe?aoe??
aano?iaioa?ieia?a (E?ae?a, 1994 ?.); i?aeia?iaeiiio nai?ia?? “Aeooaeuei?
i?iaeaie aano?iaioa?ieia?? oa aiaeineii??” (Euea?a, 1995 ?.); 3-iio
Neiiic?oi? ?a?iiaenueei? anioe?aoe?? iieiaeeo a/aieo-iaaeee?a
(Aaeainuee, 1995 ?.); 4-o?e eiioa?aioe?? o??o?a?a-aaiaoieia?a ?in??
(Ooea, 1996 ?.); can?aeaii? Euea?anueeiai oiaa?enoaa o??o?a?a (Euea?a,
1996 ?.); i?aeia?iaeiiio neiiic?oi? “Iia? oaiaeaioe?? o ae?aaiinoeoe? oa
e?eoaaii? caoai?thaaiue ia/?iee oa oianoi? eeoee” (Euea?a, 1997 ?).

Ioae?eaoe??. Ca iaoa??aeaie aeena?oaoe?? iioae?eiaaii 11 ae?oeiaaieo
?ia?o, na?aae ieo o?e noaoo? a iaoeiaeo aeo?iaeao, /ioe?e – o ca??ieeao
iaoeiaeo i?aoeue, /ioe?e – o ca??ieeao oac iaoeiaeo eiioa?aioe?e.

Ianya ? no?oeoo?a ?iaioe. Aeena?oaoe?eia ?iaioa aeeeaaeaia ia 154
noi??ieao iaoeiiieno. Neeaaea?oueny ?c anooio, 4 ?icae?e?a, aeniiae?a,
nieneo aeei?enoaieo e?oa?aoo?ieo aeaea?ae, yeee aeeth/a? 204 ?iaioe oa
aeiaeaoea. ?iaioo ?ethno?othoue 20 ?enoie?a, 15 a?ao?e?a, ye? caeiathoue
4 noi??iee.

INIIAIEE CI?NO

Iaoa??aee ? iaoiaee

Ee?i?/ia oa?aeoa?enoeea oai?eo. ?iaioa a?oioo?oueny ia ianoaaeaii? 397
oai?eo, ye? ca 10 ?ie?a (1988-1997 ??.) ciaoiaeeeeny ia e?eoaaii? c
i?eaiaeo oyaeei? (a?e??oa?iai?y iiiaae 150 ieI/e) iaoai?/ii? aeiaoyieoe?
o 2-iio o??o?a?/iiio a?aeae?eaii? Euea?anueei? iaeanii? ee?i?/ii?
e?ea?i? (aaca eaoaae?e oaeoeueoaonueei? oa caaaeueii? o??o?a??
Euea?anueeiai aea?aeaaiiai iaaee/iiai oi?aa?neoaoo – EAeIO) oa 1-iio
o??o?a?/iiio a?aeae?eaii? Euea?anueei? i?nueei? ee?i?/ii? e?ea?i?
oaeaeei? iaaee/ii? aeiiiiiae (aaca eaoaae?e o??o?a?? oaeoeueoaoo
i?neyaeeieiiii? ina?oe EAeIO). Ia?aaaaeaee /ieia?ee (64%). Iaoe??ioe
i?aoeacaeaoiiai a?eo neeaee 43,1%.

Na?aaeiy o?eaae?noue aeiaoyieoe? noaiiaeea 26,0(14,01 aeiae. On?
iaoe??ioe i?ieoee iiaiee ?ooeiiee ae?aaiinoe/iee eiiieaen caaaeueieo oa
a?io?i?/ieo aeine?aeaeaiue. Na?aaei?e ??aaiue a?e??oa?io ieacie noaiiaea
273(94,2 ieI/e. E??i eaai?aoi?ieo oa a?io?i?/ieo aeine?aeaeaiue i?e
ianoaaeaii? oai?eo ?c iaoai?/iith aeiaoyieoeath canoiniaoaaeenue
?ino?oiaioaeuei? iaoiaee: oeueo?acaoeiaa aeine?aeaeaiiy, eaia?ineii?y,
eiii’thoa?ia oiii-a?ao?y, ?aioaaiineii?y oeoieiai-eeoeiaiai o?aeoo,
o?a?iaano?iaeoiaeaii-neii?y.

Na?aae ao?ieia?/ieo /eiiee?a iaoai?/ii? aeiaoyieoe? ia?oa i?noea ca
/anoioith caeiaee ceiye?ni? iooeeie iaie?aaoia?e?a?ii? ciie – 77,8%
(?en.1).

?en. 1. Ae?aa?aia ?iciiae?eo iaoe??io?a ca ao?ieia?/ieie /eiieeaie.

E?eoaaiiy on?o iaoe??io?a ?c iaoai?/iith aeiaoyieoeath aoei eiiieaen-iei
? neeaaeaeiny ?c eiina?aaoeaieo oa o??o?a?/ieo iaoiae?a. O??o?a?/ia
e?eoaaiiy aoei iaeii- aai aeaioaoaiiei. Aeaioaoaiiiio e?eoaaiith
i?aeeyaaee iaoe??ioe o noai? na?aaeiuei? aaaeeino? oa oyaeeiio noai? c
aenieei nooiaiai iia?aoe?eiiai ?eceeo. O eiiieaen? ia?aaeiia?aoe?eii?
i?aeaioiaee oai?ei aeeiioaaee /a?acoe??io /a?acia/?ieiao aeaeiii?an?th
a?e?a?ii? nenoaie. O caaaeueiiio aeeiiaii 44 /a?acoe??ieo
/a?acia/?ieiaeo ae?aioaaiiy aeia/ieo oeyo?a, ye ia?oee aoai o??o?a?/iiai
e?eoaaiiy: 26 oieaoeenoinoii?e i?ae eaia?ineii?/iei eiio?ieai, 18
oieaoeenoinoii?e i?ae oeueo?aniiia?ao?/iei eiio?ieai.

On?o iaoe??io?a iia?iaaii. A?aenioie eiaeiiai oeio iia?aoe?e
(?aaeeeaeuei?, iae?aoeai?, neiioiiaoe/i?, aeniei?aoeai?) o oai?eo ?c
iieieia?/iei aaiacii aeiaoyieoe? noaiiaea a?aeiia?aeii 11,6%, 79,0%,
5,2% oa 4,2%.

I?neyiia?aoe?ei? oneeaaeiaiiy eiinoaoiaaii o 34,3% oai?eo.
I?neyiia?aoe?eia eaoaeuei?noue, aei yei? aeeth/ai? an? iieieia?/i?
oai??, ui iiia?ee i?ioyaii iaeiiai i?nyoey i?ney iia?aoe?? (Nazarian,
1993), neeaaea? 20,2% (80 oai?eo).

?ino?oiaioaeuei? iaoiaee. Aeey eiio?ieth /a?acoe??iiai /a?acia/?ieiaiai
ae?aioaaiiy aeia/ieo oeyo?a ie canoiniaoaaee eaia?ineii?th (oaa?aeee
eaia?ineii MLW ae?iaieoeoaa IAe?) oa oeueo?aniiia?ao?th (ae?aaiinoe/i?
aia?aoe LS-5000 o??ie “Picker International” ?c ioieoe?eiei aeao/eeii c
aecia/aiith /anoioith 3,5 MHz oa Sonoline SL 400 o??ie “Siemens”
(I?ia//eia). Ae?aiaaeaie neoaeeee eaoaoa?e iaoiai aaoi?noaa ?c
aioo??oi?i ae?aiao?ii 1,8-2,2 ii iaaii? oaa?aeino?, ye? aeaioiaeai? c
oa?iieaa?eueiiai iaoa??aeo, a oaeiae o?iaea?i? ni??aeaaeaei? (“pigtail”)
eaoaoa?e ae?aiao?ii 7-9 F (2,3-3,0 ii) o??ie “Medi-tech”.

Ee?i?/i? oa eaai?aoi?i? iaoiaee. Aeey ioe?iee noaio oai?eo
aeei?enoiaoaaee ?acoeueoaoe caaaeueii-ee?i?/ieo oa eaai?aoi?ieo iaoiae?a
ianoaaeaiiy. I?iaaaeaii ianooii? a?io?i?/i? aeine?aeaeaiiy. ??aaiue
aetheice o e?ia? aecia/aee i?oi-oieo?aeeiiaei iaoiaeii. Ca aeiiiiiaith
a?o?aoiai? ?aaeoe?? aecia/aee caaaeueiee a?eie ne?iaaoee.
Aeine?aeaeoaaee a?e??oa?i o ne?iaaooe? e?ia? ca ae?aci?aaeoe??th a
i?enooiino? aenaea?aoi?a (iaoiae Iendrassik et al., 1937). Ie??i
oeueiai, aecia/aee ia/?ieia? i?iae – oeiieiao oa i?iao Aaeueoiaia.
Aea/aee oa?iaioio aeoeai?noue ne?iaaoee e?ia?: ania?oaoai?iio?ainoa?ace
? aeai?iai?iio?ainoa?ace ca ?aaeoe??th c 2,4-aeei?o?ioai?ea?ae?aceiii
iaoiaeii Reitman oa Frankel (1957), eoaeio oinoaoaco
n-i?o?ioai?eoinoaoiei iaoiaeii ca Bessey oa Lowry (1946). Ai?no
(-e?iii?ioa?ae?a aeine?aeoaaee iaoiaeii aecia/aiiy noia?ii? o?aeoe?? oa
i?i-(-e?iii?ioa?ae?a ca I.I. Aine?anaineei oa A.A. Ooiaiiaei (1982),
iaaoa?eo?eiaaieo aee?ieo eeneio – iaoiaeii Konitzer (1964). Eiiieaen
ie?eiaeo i?ia aeeth/aa aecia/aiiy caeeoeiaiai acioo e?ia? i?ney
i?ia?ae?caoe?? i?yii? ?aaeoe?? c ?aaeoeaii Ianea?a ca
?aiiii?oii-Aeoai?iii, na/iaeie o ne?iaaooe? e?ia? – o?aaciei iaoiaeii ca
Weller (1962) oa eieuei?iaith ?aaeoe??th ?c ae?aoeaoeeiiiieneiii
iaai?aie “Lahema”, e?aaoei?io ca ?aaeoe??th ssooa (iaoiae Iieia?a). O
an?o iaoe??io?a ??aaiue aeaeo?ie?o?a ne?iaaoee e?ia? (eae?e, iao??e,
eaeueoe?e) aecia/aany iaoiaeii iieoi’yii? oioiiao???. Aecia/aiiy /ano
cn?aeaiiy e?ia? i?iaiaeeee ca E?-Oaeoii o ianee?eiaaiiio ? nee?eiaaiiio
iinoae? o iiaeeo?eaoe?? A.I. Eaaiiaa (1964). Ioe?ieo ?ioieneeaoe??
i?iaiaeeee ca aeiiiiiaith eaeeioeeoa?iiai ?iaeaeno ?ioieneeaoe?? ?
ae?aoiaoaaee ca?aeii ?c oi?ioeith Eaeueo-Eae?oa. Aeine?aeaeoaaee noai
ia?ieneaeii? ieneaeaoe?? e?i?ae?a e?ia? (IIE): ai?no ae??iiaeo
eii’thaao?a aecia/aee iaoiaeii C. Ieyoea?a (1970) o iiaeeo?eaoe?? A.A.
Aaa?eeiaa oa I.*. I?oei?oaeii? (1983); iaeiiiaiai aeeaeueaeaa?aeo –
iaoiaeii ?. O?i??aoeaoiaa oa N. Naeaciueiaa (1981) c o?iaa?a?oo?iaith
eeneioith; aeoeai?noue noia?ieneaeaeeniooace (NIAe) o e?ia? – iaoiaeii
N. *aaa?oea (*aaa?oe N. e niaao., 1985; Nishimuri N. et al., 1972);
aeoeai?noue ia?ieneaeace – ca I. Iiiiaei oa E. Iaeeianeie (1971);
eaoaeace – i?e?iiaoiaeii A. Aaoa oa N. Coaeiaa o iiaeeo?eaoe?? A.A.
Ia?oeithe (1984); ni?aa?aeiioaiiy ai?noo eaeoaoo ? i??oaaoo – iaoiaeii
Bergmeyer (1965). Iayai?noue ? ae?aaeai?noue o oai?eo ia/?ieiai?
aioeaoaeiiao?? ioe?ithaaee ca aeiiiiiaith niaoe?aeueieo oano?a: oano ia
c’?aeiaiiy oeeo? ? ia i?iaaaeaiiy e?i?? (Conn H.O., 1977; Schomerous H.
et al., 1981), eiiieaeniee aiae?c (Nonn H.O., 1994) e?eoa???a West Haven
(ioe?iea ?icoiiai? ae?yeueiino?, eii?aeeiaoe?y ?oo?a, /anoioa iiyae
aeueoa-oaeeue ia eeaeo?iaioeaoaeia?ai?). AEia/ aeey aaeoa??ieia?/iiai
aeine?aeaeaiiy ? aecia/aiiy /ooeeaino? aei aioea?ioee?a io?eioaaee
oeyoii ioieoe?? aeia/iiai i?oo?a, i?ci?oa – /a?ac ae?aiaaeiee eaoaoa?
/a?ac aeiao, o?e-/ioe?e aeiae, /a?ac oeaeaeaiue oa ia?aae iia?aoe??th.

Io?eiai? ?acoeueoaoe ii?aoeueiaoaaee iaoiaeaie aa??aoe?eii? noaoenoeee
ca aeiiiiiaith e?eoa???a Nouethaeaioa-O?oa?a.

?acoeueoaoe aeine?aeaeaiue

Ie aea/aee ?acoeueoaoe o??o?a?/iiai e?eoaaiiy 397 iaoe??io?a ?c
o?eaaeith aaaeeith iaoai?/iith aeiaoyieoeath ca ia??iae 1988-1997 ??.
Aei oe??? a?oie aa?eoee oai?? c a?ia?a?e??oa?iai??th iiiaae 150 ieI/e, a
oiio a?eueo?noue oai?eo, ye? oieoae?ciaai? o o??o?a?/i? a?aeae?eaiiy c
oieaaeioie?o?acii, o?eaae?noue aeiaoyieoe? o yeeo aoea iacia/iith ?
caaaeueiee noai i?e oieoae?caoe?? yeeo aoa caaeia?eueiee, ia aoee
aeeth/ai? aei iaoiai aeine?aeaeaiiy. Ia?aae iniiaiith iia?aoe??th 44
oai?ei ia?oei aoaiii aoei iaeeaaeaii i?e?ioieaoeenoinoiio
(aeine?aeaeoaaia a?oia A). 353 oai?eo iia?iaaii o?aaeeoe?eii aac
iiia?aaeiuei? a?e?a?ii? aeaeiii?an??. Aiie neeaee iiia?aaeith
eiio?ieueio a?oio oai?eo (a?oia A). ?ic?aooiie i?iaiinoe/ieo
eiao?oe??io?a aeey ie?aieo iciae iieacaa, ui eiia??i?noue oneeaaeiaiiai
ia?aa?ao i?neyiia?aoe?eiiai ia??iaeo ca?eueoo?oueny eeoa i?e ??ai?
caaaeueiiai a?e??oa?io e?ia? iiiaae 250 ieI/e. Aei oe??? iaae? a?e??oa?i
i?aeoe/ii ia aieeaa? ia /anoioo ? oa?aeoa? oneeaaeiaiue, ye? caeaaeaoue
oiae? a?ae ?ioeo /eiiee?a. Oiio ie aeae?eeee aeiaeaoeiao a?oio (185
oai?eo) ?c a?e??oa?iai??th iiiaae 250 ieI/e (a?oia A), yea noaea ae?enii
eiio?ieueiith. Ie ii??aithaaee ia?aa?a caoai?thaaiiy o o?ueio a?oiao
oai?eo ?c o?eaaeith iaoai?/iith aeiaoyieoeath ? aea/aee aoaeoeai?noue
canoinoaaiiy ia?aaeiia?aoe?eii? a?e?a?ii? aeaeiii?an?? oa ?? aieea ia
ianooiia o??o?a?/ia e?eoaaiiy. Ie?aii i?iaiaeeee ii??aiyeueiee aiae?c
noaio ia?ieneaeii? ieneaeaoe?? e?i?ae?a.

Na?aaeiy o?eaae?noue aeiaoyieoe? noaiiaeea 26,0(14,01 aeiae, a o
iaoe??io?a a?oie A aoea a?eueoith (36,0(12,61 aeiae), i?ae o a?oi? A
(21,2(14,1 aeiae) oa o eiio?ieuei?e a?oi? A (30,8(9,32 aeiae).

I/aaeaeii, ui iaoieia?y, yea i?ecaaea aei aaaeei? o?eaaei?
a?ia?a?e??oa?iai??, aaciina?aaeiuei aieeaaea ? ia caaaeueiee ee?i?/iee
noai iaoe??io?a (?en. 2).

?en. 2. Ioe?iea ee?i?/iiai noaio oai?eo (1).

O caaaeuei?e a?oi? caaeia?eueiee noai i?e oieoae?caoe?? niinoa??aaany o
50,3% oai?eo, noai na?aaeiuei? aaaeeino? – o 28,4%, oyaeeee – o 21,3%.
Iaoe??ioe a?oie A iaee ia’?eoeaii aaae/ee caaaeueiee ee?i?/iee noai
(p

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