.

Променеві методи дослідження у визначенні стадії злоякісних новоутворень нирок та ранній діагностиці рецидивів пухлини Вільмса: Автореф. дис… канд.

Язык: украинский
Формат: реферат
Тип документа: Word Doc
149 2490
Скачать документ

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

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

IIEIEIA?? oa ?AAe?IEIA??

AI?Ae??IEI Ee?ee Iao?iae/

OAeE 616.61-006.04+616-006.85/-036-073.75

i?iiaiaa? iaoiaee aeine?aeaeaiiy o aecia/aii? noaae?? ceiye?nieo
iiaiooai?aiue ie?ie oa ?aii?e ae?aaiinoeoe? ?aoeeaeea?a iooeeie A?eueina

14.01.23 – i?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y

A A O I ? A O A ? A O

aeena?oaoe?? ia caeiaoooy iaoeiaiai nooiaiy

eaiaeeaeaoa iaaee/ieo iaoe

Ee?a – 1999

Aeena?oaoe??th ? ?oeiien

?iaioa aeeiiaia a Oe?a?inueeiio IAe? iieieia?? oa ?aae?ieia?? IIC
Oe?a?ie, eaai?aoi??? I?O OeEE II ?AI.

IAOEIAee EA??AIEE:

Aeeeai ??eia Ieeiea?aia aeieoi? iaaee/ieo iaoe – caa?aeoaa/ a?aeae?eaiiy
i?iiaiaai? ae?aaiinoeee Oe?a?inueeiai IAe? iieieia?? oa ?aae?ieia?? IIC
Oe?a?ie.

IO?Oe?EI? IIIIAIOE:

Aaa?e sse?a Noaiaiiae/ aeieoi? iaaee/ieo iaoe, i?ioani? – caa?aeoaa/
a?aeae?eo i?iiaiaai? ae?aaiinoeee Ee?anueeiai i?nueeiai eiinoeueoaoeaii
– ae?aaiinoe/iiai oeaio?o IIC Oe?a?ie

Aic?aiia Na?a?e Ieaenaiae?iae/ aeieoi? iaaee/ieo iaoe – caa?aeoth/ee
a?aeae?eii aiaeio?ieia?? ?inoeoooo o?ieia?? oa iao?ieia?? AII Oe?a?ie

I?IA?AeIA ONOAIIAA:

Ee?anueea iaaee/ia aeaaeai?y i?neyaeeieiiii? ina?oe ?i.I.E.Ooieea,
eaoaae?a iaaee/ii? ?aae?ieia??

Caoeno a?aeaoaeaoueny «24» 06 1999?. i 13 aiaeei? ia can?aeaii?
niaoe?ae?ciaaii? a/aii? ?aaee Ae 26.619.01 a Oe?a?inueeiio
iaoeiai-aeine?aeiiio ?inoeooo? iieieia?? oa ?aae?ieia?? IIC Oe?a?ie
(252022, i. Ee?a, aoe. Eiiiiiniaa, 33/43).

C aeena?oaoe??th iiaeia iciaeiieoeny a a?ae?ioaoe? Oe?a?inueeiai
iaoeiai-aeine?aeiiai ?inoeoooo iieieia?? oa ?aae?ieia?? IIC Oe?a?ie

(i. Ee?a, aoe. Eiiiiiniaa, 33/43).

Aaoi?aoa?ao ?ic?neaiee «20» 05 1999?.

A/aiee nae?aoa?

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

aeieoi? iaaee/ieo iaoe Aeeeai ?.I.

CAAAEUeIA OA?AEOA?ENOEEA ?IAIOE

Aeooaeuei?noue oaie.

Ieoiia aaaa iooeei A?eueina a no?oeoo?? iieieia?/ii? iaoieia?? aeeoy/iai
ianaeaiiy noaiiaeoue 25% (aac o?aooaaiiy aino?eo eaeeic?a oa iooeei
oeaio?aeueii? ia?aiai? nenoaie). O aei?ineeo oeae iieaciee noaiiaeoue 2
– 3% (Nainiiia A.A.,1985; Pilip A. Pizzo, 1993(.

Ia aeieea? noii?ao iieiaeaiiy, ui oi/ia aecia/aiiy noaae?? ceiye?niiai
iiaiooai?aiiy ia aoai? ia?aeiiiai ianoaaeaiiy oai?iai ? iaeaaaeeea?oei
/eiieeii a ia?aii? aaeaeaaoii? e?eoaaeueii? oaeoeee (Eiiaoeei I.A.,
1975, 1986; Iaoaaaa A.I., 1977(.

Ae??oaiiy oeueiai caaaeaiiy a iieio?ieia?? noaei iiaeeeaei i?ney
ai?iaaaeaeaiiy a ee?i?/io i?aeoeeo i?iiaiaaeo iaoiae?a aeine?aeaeaiiy.
Aene?aoi?ia o?ia?ao?y oa oiiia?ao?y a oiiaao ?ao?iiiaaiiia?aoiiaoio
aeicaieeee iaaiith i??ith aecia/eoe iicaie?eiaa iioe?aiiy iiaiooai?aiue.

Nooo?ai i?aeaeueeanue aoaeoeai?noue ?aioaaiiae?aaiinoeee ceiye?nieo
iooeei ie?ie ?c ai?iaaaeaeaiiyi naeaeoeaii? aia?ia?ao??, caaaeyee
a?coae?caoe??: cii iaoieia?/ii? aaneoey?ecaoe?? oa a?aeie?aieaiiy iciae
?iaac?? iiaiooai?aiiy a noaeeie(Das, G. at all, 1977; Braken, B., 1979;
Lang, E.K.,1984; Frohmuller, H.g.W. at all, 1987; Constantinides, C. at
all, 1991(.

Aeineoue oni?oii ae?aaiinoeea IE? oa IA cae?enithaaeanue ca aeiiiiiaith
?aae?iioee?aeieo iaoiae?a aeine?aeaeaiiy (Eunia A.E., 1974; Eiiaoeei
I.A. e niaao., 1977; Bosniak, M.A., 1993(, i?ioa aecia/aiiy noaae??
caoai?thaaiiy ia ?o i?aenoaa?, aeyaeeinue iaiiaeeeaei.

Ia no/aniiio aoai? ?icaeoeo i?iiaiaai? ae?aaiinoeee i??i?eoaoieie
iaoiaeeeaie aeciathoueny ia?iaaceai?: oeueo?acaoeiaa ae?aaiinoeea,
?aioaai?anueea eiii’thoa?ia oiiia?ao?y oa iaai?oii – ?aciiainia
oiiia?ao?y.

Aeine?aeaeaiiyie a?o/eciyieo oa ?iicaiieo oao?aoe?a aeiaaaeaii, ui oe?
niiniae ianoaaeaiiy oai?iai ni?iiiaei? aeyaeoe iooeeie I noaae??,
eiinoaooaaoe iayai?noue iicaie?eiaiai ?iciianthaeaeaiiy iiaiooai?aiue, a
oiio /ene? e ?oith ?iaac?th a noaeeie oa noi?aei? i?aaie(Cronan,
J.J.,1982; Hricak, H.D., 1985; Fein, A.B., 1987; Vincent, T. De Vita,
1996(.

Nooo?aei iaaeie?eii a?eueoino? iaoeiaeo ?ia?o, ui i?enay/ai?
aeiiia?aoe?eiiio aecia/aiith noaae?? ie?eiai – ee?oeiiiai ?aeo oa
iooeeie A?eueina, ? canoinoaaiiy eeoa iaeiiai c aeuaiacaaieo i?iiaiaaeo
iaoiae?a aeine?aeaeaiiy (Hricak, H.D., 1985, 1988; Kabala, J.E. 1991(.
??ci? ae i?eioeeie io?eiaiiy ae?aaiinoe/ieo cia?aaeaiue i?e OCAe, EO oa
I?O iio?aaothoue ?aoaeueiiai aea/aiiy ?oi?o ia?aaaa oa iaaeie?e?a o
ae??oaii? ia?aii? caaea/?.

Ia ?nio?, ia aeaeue, ? /?oei? noaie ( aeai?eoio ) canoinoaaiiy
i?iiaiaaeo iaoiae?a aeine?aeaeaiiy aeey aecia/aiiy noaae?? iiaiooai?aiue
ie?ie.

Iaei??th c iaea?eueo aeooaeueieo i?iaeai aeeoy/i? iieieia?? ? ?aiiy
ae?aaiinoeea ?aoeeaeea?a iooeeie A?eueina, /anoioa yeeo, ca aeaieie
ie?aieo oao?aoe?a noaiiaeoue – 24 – 35 %. I?ioa, aei oeueiai /ano ia
aea/aia ?oiy oeueo?acaoeiaa, EO- oa I?O- nai?ioeea, ia aecia/ai? no?iee
oa iine?aeiai?noue ianoaaeaiiy ae?oae, i?aeaeaieo ?aaeeeaeueiiio
e?eoaaiith iao?iaeanoiie.

Ana aeeeaaeaia aeua aecia/a? aeooaeuei?noue ? iaoeiai – i?aeoe/io
cia/ei?noue ia?aiiai iai?yieo aeine?aeaeaiiy.

Ca’ycie ?iaioe c iaoeiaeie i?ia?aiaie, ieaiaie, oaiaie.

Aeena?oaoe?y aeeiiaia o a?aeiia?aeiino? c ieaiii iaoeiai – aeine?aeieo
?ia?o a?aeae?eaiiy i?iiaiaai? ae?aaiinoeee Oe?a?inueeiai IAe? iieieia??
oa ?aae?ieia?? ? yaey? niaith o?aaiaio IAe?: ” Aoaeoeai?noue no/anieo
iaoiae?a i?iiaiaai? ae?aaiinoeee o aecia/aii? noaae?? iaea?eueo
?iciianthaeaeaieo iieieia?/ieo caoai?thaaiue aeeoy/iai a?eo”.

Oeo? oaie: .14.01.22.49-98

Iaoa aeine?aeaeaiiy. I?aeaeueoe aoaeoeai?noue aeiiia?aoe?eii?
ae?aaiinoeee ceiye?nieo iiaiooai?aiue ie?ie oeyoii aecia/aiiy noaae?? ca
aeiiiiiaith no/anieo i?iiaiaaeo iaoiae?a ianoaaeaiiy : OCAe, EO, I?O.

Caaaeaiiy aeine?aeaeaiiy:

A?aeie?aieoe e?eoa??? aecia/aiiy noaae?? IE? aeey OCAe, EO, I?O.

A?aeie?aieoe e?eoa??? aecia/aiiy noaae?? iooeeie A?eueina aeey OCAe, EO,
I?O.

Ioe?ieoe ae?aaiinoe/io aoaeoeai?noue OCAe, EO oa I?O o ae?aaiinoeoe? oa
aecia/aii? noaae?? ie?eiai – ee?oeiiiai ?aeo oa a?ia?iao?iie.

Ioe?ieoe ae?aaiinoe/io aoaeoeai?noue OCAe, EO, I?O o ?aii?e
ae?aaiinoeoe? oa aecia/aii? i?noeaaiai iioe?aiiy ?aoeeaeea?a iooeeie
A?eueina.

?ic?iaeoe aeai?eoi canoinoaaiiy OCAe, EO oa I?O aeey ae?aaiinoeee oa
aecia/aiiy noaae?? ie?eiai – ee?oeiiiai ?aeo, iooeeie A?eueina oa
?aiiuei? ae?aaiinoeee ?aoeeaeea?a iooeeie A?eueina.

Iaoeiaa iiaecia.

Aia?oa o a?o/eciyi?e i?aeoeoe? i?iaaaeaii ?ioaa?aeueio ioe?ieo oa
aecia/aiiy ae?aaiinoe/ii? ni?iiiaeiino? eiiieaeno ia?iaaceaieo iaoiae?a
i?iiaiaai? ae?aaiinoeee ( OCAe, ?EO, I?O ) o aeiiia?aoe?eiiio aecia/aii?
noaae?? ceiye?nieo iiaiooai?aiue ie?ie oa ?aii?e ae?aaiinoeoe?
?aoeeaeea?a iao?iaeanoiie.

Ia a?oio? i?iaaaeaieo aeine?aeaeaiue aia?oa aoaea ?ic?iaeaia nenoaia
(aeai?eoi) aeiiia?aoe?eiiai aecia/aiiy noaae?? ceiye?nieo iiaiooai?aiue
ie?ie oa ?aiiuei? ae?aaiinoeee ?aoeeaeea?a iao?iaeanoii ?c canoinoaaiiyi
no/anieo aeniei?ioi?iaoeaieo i?iiaiaaeo iaoiae?a aeine?aeaeaiiy – OCAe,
EO, I?O.

I?aeoe/ia cia/aiiy io?eiaieo ?acoeueoao?a.

?ic?iaeai? ? nenoaiaoeciaai? e?eoa??? aecia/aiiy noaae?? ie?eiai –
ee?oeiiiai ?aeo oa iooeeie A?eueina aeey OCAe, EO, I?O.

Ioe?iaii ae?aaiinoe/io aoaeoeai?noue OCAe, EO, I?O a ae?aaiinoeoe? oa
aecia/aii? noaae?? ie?eiai – ee?oeiiiai ?aeo oa iooeeie A?eueina.

?ic?iaeaii aeai?eoi canoinoaaiiy OCAe, EO oa I?O aeey ae?aaiinoeee oa
aecia/aiiy noaae?? ie?eiai – ee?oeiiiai ?aeo, iooeeie A?eueina oa
?aiiuei? ae?aaiinoeee ?aoeeaeeao iooeeie A?eueina.

Ai?iaaaeaeaiiy ?acoeueoao?a aeine?aeaeaiiy a i?aeoeeo.

?acoeueoaoe aeine?aeaeaiiy ai?iaaaeaeai? a i?aeoe/io ae?yeuei?noue
a?aeae?eaiiy i?iiaiaai? ae?aaiinoeee oa a?aeae?eaiiy aeeoy/i? iieieia??
Oe?a?inueeiai IAe? iieieia?? oa ?aae?ieia??.

Iniaenoee aianie caeiaoaa/a:

Aaoi?ii aeeiiai? an? aoia?ao?/i? , ?EO oa I?O – aeine?aeaeaiiy ae?oae
oai?eo ia iooeeio A?eueina oa ?? ?aoeeaeea, ?ioa?i?aoiaai? ?acoeueoaoe
ianoaaeaiiy iaoe??io?a oai?eo ia ie?eiai – ee?oeiiee ?ae, ia/eneaii ?
i?iaiae?ciaaii iieacieee ae?aaiinoe/ii? aoaeoeaiino?, ui
oa?aeoa?ecothoue ?iciianthaeaeai?noue iooeeiiiai i?ioeano.

Ia iniia? iaea?aeaieo ?acoeueoao?a iniaenoi ?ic?iaeaii aeai?eoi
ianoaaeaiiy oai?eo ia ?ae ie?ee, ioe?iaii ae?aaiinoe/io ni?iiiaei?noue
no/anieo i?iiaiaaeo iaoiae?a aeine?aeaeaiiy oa aecia/aii ?o i?noea a
aeai?eoi?.

Aaoi?ii ?ic?iaeaii ? i?aeaioiaeaii aei ae?oeo a iaoeiaeo oaoiaeo
aeaeaiiyo iaoa??aee aeine?aeaeaiue. Iaae?oeiaaii 4 noaoo?, 5 oac
aeiiia?aeae.

Ai?iaaoe?y ?iaioe.

Iniiai? iieiaeaiiy aeena?oaoe?? aoee i?aaenoaaeai? oa iaaiai?ai? ia
?anioae?eainuee?e iaoeiai-i?aeoe/i?e eiioa?aioe?? Anioe?aoe??
?aae?ieia?a Oe?a?ie «Aai?oio?i?aae?ieia?y» (Euea?a, 1996 ?.),
Eiioa?aioe?? iieiaeeo a/aieo (Ee?a, 1996 ?.), I?aeia?iaei?e eiioa?aioe??
“Nia?aiaiiay EO e I?O a iiiaii?ioeeueiie eeeieea” (Iineaa, 1997 ?.),
20-io I?aeia?iaeiiio eiia?an? ?aae?ieia?a Ac?? (Aeae?, ?iae?y, 1998?.),
?a?iiaenueeiio eiia?an? ?aae?ieia?a (A?aeaiue, Aano??y, 1999?.).

Ioae?eaoe??.

?acoeueoaoe iaoeiaeo aeine?aeaeaiue aeeeaaeaii a 9 ioae?eaoe?yo: 4
noaooyo, 5 oacao aeiiia?aeae.

No?oeoo?a ? ianya ?iaioe.

Aeena?oaoe?y i?noeoue anooi, iaeyae iaoeiai? e?oa?aoo?e, o?e ?icae?ee
aeanieo aeine?aeaeaiue, caeeth/aiiy, aeniiaee, i?aeoe/i? ?aeiiaiaeaoe??,
nienie aeei?enoaieo iaoeiaeo aeaea?ae ( iaeiaioaaiue). ?iaioa
aeeeaaeaia ia noi??ioe? iaoeiiieniiai oaenoo, aeeth/a? 26
oaaeeoeue, ?ethno?aoe?e, ?enoie?a.

INIIAIEE CI?NO ?IAIOE

Iaoa??aee ? iaoiaee aeine?aeaeaiiy

O i?ioean? aeeiiaiiy ?iaioe ianoaaeaii 109 oai?eo, c yeeo : 58
aei?ineeo ?c ie?eiai – ee?oeiiei ?aeii, 32 ae?oae c iao?iaeanoiiith
(iooeeia A?eueina) ? 19 ae?oae c ?aoeeaeeaii iao?iaeanoiie.

Ee?i?/io noaae?th caoai?thaaiiy o a?eia?e a?oi? 40 – 80 ?ie?a aecia/aee
ca?aeii ?c eeaneo?eaoe??th ?ianiia, ni?anoaaeaiith ?c eeaneo?eaoe??th
I?aeia?iaeii? i?ioe?aeiai? ni?eee ( Oaae. 3 ). ?acoeueoaoe OCAe, ?EO oa
I?O ii??aiyii ?c ?acoeueoaoaie ii?oieia?/iiai aeine?aeaeaiiy ( Oaae. 1
).

Oaaeeoey1

Ni?anoaaeaiiy ?acoeueoao?a OCAe, ?EO oa I?O ?c ii?oieia?/iith
aa?eo?eaoe??th ae?aaiico o oai?eo ia ie?eiai – ee?oeiiee ?ae.

Noaae?? IE? ?acoeueoaoe aeine?aeaeaiue

OCAe ?EO I?O Ii?oieia?/ia

aeine?aeaeaiiy

Ie?eiai – ee?oeiiee ?ae 54 58 58 58

? 4 10 10 10

?? 5 8 7 10

??? A 2 6 7 8

??? A 11 13 13 14

IV A 4 6 6 7

IV B 3* 9 8 9

* – a?aoiaoaaeenue eeoa iaoanoace aei ia/?iee

Ee?i?/ia noaae?y iooeeie A?eueina anoaiiaeaia o a?aeiia?aeiino? ?c
eeaneo?eaoe??th WTS-3 (V.T.Farewell, G,J.D`Angio etal.,1981). A?aeiiino?
i?i ?iciiae?e ianoaaeaiiy ae?oae ca ee?i?/iith ?noi???th
caoai?thaaiiy iaaaaeai? a oaaeeoe? 2.

?c 32 ianoaaeaieo iaoe??io?a i?noeaa? ?aoeeaeeae iiaiooai?aiue aeieeee
o 25% oai?eo. I?ioa aiae?co i?aeaeai? aeiaeaoeiai 11 aeiaaee?a
a?aeiiaeaiiy iooeeiiiai ?inoo a cii? ia?aeiiiai iiaiooai?o. ?iciiae?e
ae?oae o a?aeiia?aeiino? ?c no?ieaie aeyaeaiiy ?aoeeaeeao iao?iaeanoiie
i?ney cae?i/aiiy niaoe?aeueiiai e?eoaaiiy iaaaaeaii o oaaeeoe? 3.

Oaaeeoey 2.

Ni?anoaaeaiiy ?acoeueoao?a OCAe, ?EO oa I?O ?c ii?oieia?/iith
aa?eo?eaoe??th ae?aaiico o oai?eo ia iao?iaeanoiio.

Noaae?y iao?iaeanoiie ?acoeueoaoe aeine?aeaeaiue

OCAe ?EO I?O Ii?oieia?/ia

aeine?aeaeaiiy

Iao?iaeanoiia 29 32 32 32

?? noaae?y 24 17 17 16

??? noaae?y 2 9 9 9

IV noaae?y 3* 6 3* 7

a oiio /ene? iaoanoace:

a eaaai?

a eaaai? oa ia/?ieo

3

3

3

3

3

4

– a?aoiaoaaeenue eeoa iaoanoace aei ia/?iee

Oaaeeoey 3.

?iciiae?e ?aoeeaeea?a iao?iaeinoiie ca no?ieaie aeieeiaiiy

1i. 2i. 4i. 6i. 8i. 1?. IOE* Onueiai

O** 1 2 3 2 1 – 4 13

Ae*** – – 1 2 1 – 2 6

*ia oii? e?eoaaiiy ; **oeii/eee ; ***ae?a/aoea.

An?i oai?ei aoei i?iaaaeaii eiiieaen ae?aaiinoe/ieo ianoaaeaiue , yeee
aeeth/aa: oeueo?acaoeiaa neaioaaiiy (OCAe); ?aioaai?anueeo eiii`thoa?io
oiiia?ao?th (EO); iaai?oii – ?aciiainio oiiia?ao?th(I?O).

Oeueo?acaoeiaa oiiia?ao?y i?iaiaeeeanue ia oeueo?acaoeiaiio neaia??
o??ie “Aloka”, iiaeaeue Lexus SSD1100, yeee i?aoeth? o ?aaeei?
?aaeueiiai /ano ca i?eioeeiii n??i? oeaee. Aeei?enoiaoaaany
o?ainaaaeii?iaeueiee eiiaaeniee aeao/ee ?c /anoioith 3,5 IAoe oa
aeeaeiith neaioaaiiy 20 ni. ?aaeeie i?aeneeaiiy oieonoaaiiy,
aeeiai?/iiai ae?aiaciio aoee iioeiaeueieie aeey eiaeiiai oai?iai. OCAe
ie?ie aeeiioaaee ca cae/aeieie iaoiaeeeaie o iieiaeaii? oai?iai ia
e?aiio oa i?aaiio aioe? ii /a?c?.

?EO oai?eo i?iaiaeeeinue ia ?aioaai?anueeiio eiii`thoa?iiio oiiia?ao?
Somatom HQ o??ie Simens. Oiaueia neai?a noaiiaeea 8ii. ?c i?aeneaiiaei
?ioa?aaeii 8ii., i?e iaiao?aeiino? ciaiooaaee oiaueio oa?o neaioaaiiy
aei 2ii. Ianoaaeaiiy ia aeiaaaei niaoe?aeueii? i?aeaioiaee, ie??i
aeiaaee?a i?aeaeuaii? ?ooiai? aeoeaiino? o ae?oae. O oeeo aeiaaeeao
canoiniaoaaee aioo??oiueiaaiio aai aioo??oiueii’yciao aianoac?th ca
noaiith: A/I – eae?inie 5 ia ia 1 ea.; ao?ii?i 0,1 ia. ia ??e aeeooy.
A/A – eae?inie 1,5 – 2 ia ia 1 ea.; ao?ii?i 0,1 ia. ia ??e aeeooy.

An? aeine?aeaeaiiy aoei i?iaaaeaii ?c «i?aeneeaiiyi» EO cia?aaeaiiy, ca
iaoiaeeeith «aiethniiai» aaaaeaiiy ia?iiii? eiio?anoii? ?a/iaeie
«Iii?iae» – 240. Iaoiaeeea a?oioo?oueny ia iaeiiiiiaioiiio
aioo??oiueinoaeeiiiio aaaaeai? eiio?anoo a ia’?i? 0,8 – 1,0 ia. ia 1 ea.
aaae.

Ianoaaeaiiy iaoe??io?a a?eiai? a?oie 40-80 ?. i?iaiaeeeiny a eaai?aoi???
I?O OeAE II ?AI ia I? oiiia?ao? o??ie “BRUKER” R-23 (I?ia/eia)?c
iai?oaith iaai?oiiai 0,25 Oe. ca i?ea?iaeueiith iaoiaeeeith,
?ic?iaeaiith o eaai?aoi??? I?O OeEA II ?AI. Ca iniiao ?ic?iaee aeai?eoio
iaoiaeeee aoee i?eeiyo? noaiaea?oi? i?ioieiee ianoaaeaiiy, iniaeea?noth
yeeo aoei aaaaoinooiaiaaa io?eiaiiy O1- oa O2 33. Iaea?aeoaaeiny e?eueea
na??e cia?aaeaiue ?c ??cieie iieacieeaie TR oa TE ye o ae?aiacii? O1,
oae ? o O2. Cia?aaeaiiy ioe?ithaaeenue ia a?oio? noia?ii? ?ioi?iaoe??.

Ae?oae aoei ianoaaeaii ia oiiia?ao? I?O-50A o??ie “Toshiba” ?c iai?oaith
iaai?oiiai iiey 0,5 Oe., ca noaiaea?oieie iaoiaeeeaie ?c iaea?aeaiiyi
O1-O2 33 o ?I SE, i?e oeueiio io?eioaaee cia?aaeaiiy o o?ueio
i?oiaiiaeueieo i?iaeoe?yo (o?iioaeuei?e, aen?aeuei?e oa naa?oaeuei?e).

Io?eiai? ?acoeueoaoe ianoaaeaiue aoee noaoenoe/ii ia?iaeai? ?c
ia/eneaiiyi: oi/iino?, /ooeeaino?, niaoeeo?/iino?, ??aiy iiceoeaii? oa
iaaaoeaii? ioe?iee aeey OCAe, EO, I?O o aecia/aii? noaae?? iooeeiiiai
o?aaeaiiy.

?acoeueoaoe aeine?aeaeaiiy oa ?o iaaiai?aiiy.

Ia i?aenoaa? ianoaaeaiiy 58 aei?ineeo in?a a?eii 41 -82 ?ie?a ?c
ii?oieia?/ii aa?eo?eiaaiei ae?aaiicii IE? aeiaaaeaii, ui oeueo?acaoeiaa
aeine?aeaeaiiy ia iiaea aeei?enoiaoaaoenue ye naiino?eiee iaoiae
aecia/aiiy noaae?? iiooiaiai i?ioeano. Iacaaaeath/e ia aeineoue aenie?
iieacieee niaoeeo?/iino? (76,2 – ( 100,0%)(?en 3), OCAe a?ae??ciy?oueny
iecueeith /ooeea?noth o a?aeie?aieaii? naia oeo iciae, ui aecia/athoue
noaae?th caoai?thaaiiy(?en 1,2). O oaaeeoeu 4 iaaaaeaii ?iciiae?e oai?eo
ca noaae??th caoai?thaaiiy oa a?aeia?aaeaii ae?aaiinoe/ii cia/ei?
e?eoa??? a?aeie?aieaiiy noaae?e IE?. Aeai? oeueo?acaoeiai? ae?aaiinoeee
aeicaieeee anoaiiaeoe, ui aoino?oeoo?a iiaiooai??a ie?ee ia ??cieo
noaae?yo aeaui a?ae??ciy?oueny. Oae, i?e ? oa ?? noaae?yo ie?eiai –
ee?oeiiiai ?aeo ia?aaaaeaea iaeii??aeia no?oeoo?a iooeeie ( a?ii-, ?ci-,
a?ia?aoiaaii? ). Eeoa iayai?noue a?iiaoiaaiiiai iaiaeo o 5oe aeiaaeeao
aeicaieyea aeyaeoe ?ciaoiaaii? ooai?aiiy. A?aeiia?aeii aei i?ia?anoaaiiy
caoai?thaaiiy( ??? oa IV noaae?? ) ci?ithaaeanue ? oa?aeoa?enoeea
oeueo?a – caoeiai? aoaeiae iooeeie. Ia?aaaaeaa ci?oaiee oei aoino?oeoo?e
(81,8%). Aiiiaaii? iiaiooai?aiiy, i?aeoe/ii, ia cono??/aeeny (18,2%).

Oaaeeoey 4.

?iciiae?e oai?eo ia IE? ca noaae??th.

Eeaneo?eaoe?y ?ianiia Ae?aaiinoe/ia iciaea Eeaneo?eaoe?y TNM

Noaae?y ? Iooeeia iaiaaeaia ie?eiaith eainoeith O1-O2 10

Noaae?y ?? Iooeeia i?i?inoa? ie?eiao eainoeo ia?aiao?aeueii? ee?oeiaeie
oa iaiaaeaia eieiie?eiaith oanoe??th Aa?ioa;

O3A 10

Noaae?y ??? A Iooeeiia o?aaeaiiy ie?eiai? aaie oa IIA O3A 7

Noaae?y ??? A Iayai?noue o?aaeaieo ?aa?iia?ieo e?ioaoe/ieo aoce?a N1-N3
9

Noaae?y ??? N Noeoii?noue noaae?e ??? A oa ??? A O3A+ N1-N3 6

Noaae?y IV A Iooeeia o?aaea? i?eeaae? i?aaie, i?iieeath/e e??cue
ia?aiao?aeueio oanoe?th O4 7

Noaae?y IV B Iayai?noue a?aeaeaeaieo iaoanoac?a; I1 9

Onueiai – – 58

Oae, i?i?inoaiiy iooeeie aeanii? ie?eiai? eainoee ( ?? no. ) ia
i?aenoaa? ?acoeueoao?a niiia?ao?? a??ii aecia/aii o 5 ?c 11 oai?eo
(??aaiue iiceoeaii? ioe?iee – 45,5%). *ooeea?noue iaoiaeo i?e iayaiino?
iiooiaeo o?iia?a a ieaei?e ii?iaeieno?e oa ie?eia?e aaiao ia
ia?aaeuoaaea 25,0% (??? A no.). Aeineoue i?iaeaiaoe/iith aeyaeeanue ?
ae?aaiinoeea iaoanoac?a IE? o ?aa?iia?i? e?ioaoe/i? aocee (oi/i?noue o
aecia/aii? ??? A no. – 74,1%). Iaaeinoaoiueith aoea e aoaeoeai?noue
iaoiaeo uiaei eiinoaoaoe?? i?i?inoaiiy iooeeie a noi?aei? i?aaie (IV A
no.; /ooeea?noue – 57,1%). Aei oiai ae, ?c on?o iae/ano?oeo eieae?caoe?e
aaiaoiaaiiiai iaoanoacoaaiiy IE?, OCAe iiaea aooe ei?eniei eeoa a
ae?aaiinoeoe? aiaieuaaiai o?aaeaiiy ia/?iee. Iecueeee ??aaiue
ae?aaiinoeee o?aaeaiiy e/a iiaea iiynithaaoeny aeonoe/ieie aaaeaie oa
a?aenooi?noth iaeiinoaeii? aeoiee uiaei aecia/aiiy e?eoa???a o?aaeaiiy
e?ioaoe/ieo aoce?a.

?en 1. Oi/i?noue OCAe, ?EO oa I?O o aecia/aii? noaae?? i?e IE?.

?en 2. *ooeea?noue OCAe, ?EO oa I?O o aecia/aii? noaae?? i?e IE?.

?en 3. Niaoeeo?/i?noue OCAe, ?EO oa I?O o aecia/aii? noaae?? i?e IE?.

Oae naii aoei aecia/aii iecueeo aoaeoeai?noue OCAe o anoaiiaeaii?
noaae?? iao?iaeanoiie oa ?? ?aoeeaeeao (32 – iao?iaeanoiie oa 18 –
?aoeeaeea?a iao?iaeanoiie). Iaea?eueoa e?euee?noue iiieeie aeieeea i?e
a?aeie?aieaii? ?? a?ae ??? noaae?e (a??ii anoaiiaeaii noaae?th
caoai?thaaiiy 8 aeiaaeeao), ui coiiaeaii iecueeei ??aiai iiceoeaii?
ioe?iee – 50,0% oa iecueeith niaoeeo?/i?noth – 66,7%.

I?e ioe?ioe? eiiieaeno iciae, ui aecia/aee ae?aaiic ??? noaae??,
oi/i?noue iaoiaeo ia ia?aaeuoaaea 68,7%. A iieacieee /ooeeaino?, ??ai?a
iiceoeaii? oa iaaaoeaii? ioe?iee aoee iaeieae/eie (10,0%; 50,0%; 70,0%
a?aeiia?aeii). Aeinoaoiueith /ooeea?noue OCAe aoea eeoa i?e iiooeo
aaiaoiaaiieo iaoanoac?a aei ia/?iee (93,2%).

Oaaeeoey 5.

*anoioa ae?aaiinoe/ii – aaaeeeaeo iciae aecia/aiiy noaae?? ia?aeiii?
a?ia?iao?iie

1 Iooeeia iaiaaeaia ie?eith ? iiai?noth aeaeaeaia

i?ae /an iia?aoe??

2. Iooeeia ?iciianthaeaeo?oueny ca iaae? ie?ee, i?ioa iiai?noth
aeaeaeaia i?ae /an iia?aoe??

Ia?oueny ia oaac? i?noeaaa ?iciianthaeaeaiiy iiaiooai?o, a naia:
iaiao?aoe?y /a?ac aeanio ie?eiao oanoe?th a ia?a?aiaeueio ee?oeiaeio;
?io?eueo?aoe?y (aai iooeeii? o?iiae) iicaie?eiaeo noaeei. Aeeiiaii
a?iin?th iooeeie aai a?aeaoeiny ?io?aiia?aoe?eia eieaeueia iioeiaeaeaiiy
eainoee c ?ico?eaiiyi iooeeiieo ian o iaaeao oeaieo. A e?aeia?e cii?
?acaeoe?? oa ia a?aenoai? ia aeyaeaii ?aceaeoaeueieo aoeiiaeo ee?oei. 16

3. Iooeeia a iaaeao /a?aaii? ii?iaeieie

A iayaiino?:

a) Ii?oieia?/ii aa?eo?eiaaia o?aaeaiiy e?ioaoe/ieo aoce?a ai??o
ia?aai?oaeueii? aai a?eueo a?aeaeaeaieo a?oi.

a) ?ico?eaiiy iooeeiieo ian aei aai i?ae /an o??o?a?/iiai ao?o/aiiy ca
iaae? oeaieo. Iaiao?aoe?y iooeeiii? i/a?aaeie.

a) ?iieaioaoe?y ii i/a?aaei?.

a) Iae?i ? i?e?ineii?/ia iooeeia iioe?th?oueny /a?ac e?aeiao ciio
?acaeoe??.

ae) ?acaeoaeuei?noue iooeeie oneeaaeiaia /a?ac iayai?noue eieaeueii?
?io?eueo?aoe?? a aeeoo?ai aaaeeea? no?oeoo?e 9

4. Iayai?noue aaiaoiaaiieo iaoanoac?a, e??i ci?i, oa?aeoa?ieo aeey ???
noaae??, aeyaeythoueny iaoanoace a eaaai?, ia/?ieo, neaeao, aieiaiee
iicie. 7

5. A?eaoa?aeueia o?aaeaiiy ie?ie ia /an ae?aaiinoeee –

O aecia/aii? noaae?? IE? EO oaeiae, ye ? OCAe, a?ae??ciy?oueny a?aeiinii
aeuith niaoeeo?/i?noth oa ??aiai iaaaoeaii? ioe?iee o ii??aiyii? ?c
oi/i?noth oa ??aiai iaaaoeaii? ioe?iee. sse ? i?e OCAe, aoei
a?aecia/aii, ui aoaeiaa iooeeie caeaaeeoue a?ae ?? noaae?? oa ?ici???a.
Oae, iaaaeee? iooeeie aoee aiiiaaiieie ? iaei a?ae??ciyeeny ca
u?euei?noth a?ae ie?eiai? ia?aio?ie, a/a eiio?anooaaiiy ni?eyei
aeyaeaiith iooeei ca ?aooiie ??ciiai “ineaaeaiiy” eiio?anooaaiiy
ii?iaeueii? oa iooeeiii? oeaieie i?e iaeiaeiaiio nooiai? “i?aeneeaiiy”
i?ioyaii ia?oi? oaeeeie aeine?aeaeaiiy. Aeeiai?/ia niinoa?aaeaiiy ca
cia/aiiyi u?eueiino? aeicaieeei aeyaeoe ae?eyiee o oiau? ia?aio?ie
ie?ee. O aeayeeo aeiaaeeao ?ae i?iyaeyany caaaeueiei ca?eueoaiiyi ie?ee
?c caa?aaeaiiyi oi?ie oa aiiiaaiiino? no?oeoo?e, iaeiae a aen?aeuei?e
ieiuei? i?aai ie?oaeth?oueny, iacooa ci?uo?oueny aia?aae oa iaae?aeueii
(2) aai ie?ea iaaoaa? iie?oeeee?/iiai eiioo?o.

Iooeeie ??? noaae?? o ia?aaaaei?e a?eueoino? aeiaaee?a aoee iai?aeii?
oi?ie, i?e IV noaae?? iaee iai?aaeeuei? eiioo?e. Ca aoaeiaith oe?
iooeeie aoee iaaiiiaaiieie. No?oeoo?i? ci?ie iiynithaaeeny i?ioeanaie
iae?ioecaoe??, ? ?o cia?aaeaiiy iaei ea?oaoee aeaeyae.

Iacaaaeath/e ia aeaye? oo?oaeiaiiy a ae?aaiinoeoe? iaoanoac?a o
e?ioaoe/i? aocee oa iooeeiieo o?iia?a aei IA oa IIA. Oi/i?noue iaoiaeo o
aecia/aii? noaae?? eieeaaeanue a iaaeao 91,4 – ( 100,0% i?e IE? (?en 1)
oa 90,6 – 96,8% – iao?iaeanoiie (?en 4).

Ae?aaiinoe/ia aoaeoeai?noue I?O aoea oaeith ae i?e aecia/aii?
?iciianthaeaeaiiy iooeeiiiai i?ioeano ye ? i?e EO. IE? i?iyaeyany ia
O1- oa O2CC ci?iaiei neaiaeii, ia??ai?noth eiioo??a ie?ee, o ?yae?
aeiaaee?a – ca?eueoaiiyi i?aaio o ?ici??ao. Iaie anoaiiaeaii, ui ia
?nio? niaoeeo?/ieo I?O iciae (ii?oieia?/ieo, ca oa?aeoa?ii I? – neaiaeo,
aaee/eiao O1 aai O2), ye? a aeicaieeee iaeiicia/ii cana?ae/eoe
a?noieia?/io i?e?iaeo i?ioeano.

?I ia O1 CC oi?io? I? – neaiae iaiaeii??aeii? ?ioaineaiino? ca ?aooiie
aaii?aa?/ieo aiaieu c i?aeneeaiei neaiaeii oa iae?ioe/ieo – ?c
a?ii?ioaineaiei. Iniaeeai oea oa?aeoa?ii aeey iooeei aaeeeeo ?ici???a.
Ia O2CC a?ia?iao?iie aeathoue, ye i?aaeei, a?ia??ioaineaiee I? – neaiae.
Oi/a o?aaa a?aecia/eoe, ui ?ioaineai?noue neaiaeo a?ae aiaieu
aioo??oiueiiooeeiiiai e?iaiaeeeao iia`ycaia ?c nooiaiai
a?io?ainoi?iaoe?? aaiiaeia?io o /an?.

Ia O1CC iiaiooai?aiiy iaee na?aaeith ?ioaineai?noue neaiaeo i?ae oaeith
a?ae iiceiai? oeaieie oa a?ae ei?e ie?ee. Ia O2CC aiie aeaaaee, ye
i?aaeei, neaiae i?aeaeuaii? ?ioaineaiino?, aeecueeee aei ei?eiai?
?a/iaeie. 31 iooeeia a?eueo /?oei a?coae?coaaeanue ia O1,- a 23 – ia
O2CC . Oi/a o 4 aeiaaeeao (3 ea?oeeiiie a ? noaae?? oa iaeia o ??
noaae?? o?aaeaiiy) iooeeie aoee ?ci?ioaineai? c

?en 4. Oi/i?noue OCAe, ?EO oa I?O o aecia/aii? noaae?? IA oa ??
?aoeeaeeao.

?en 5. *ooeea?noue OCAe, ?EO oa I?O o aecia/aii? noaae?? IA oa ??
?aoeeaeeao.

?en 6. Niaoeeo?/i?noue OCAe, ?EO oa I?O o aecia/aii? noaae?? IA.

ie?eiaith ia?aio?iith ia O1 – oa O2CC oa aeyaeyeenue eeoa ca ?aooiie
eiioo?o ie?ee. Iecueea i?ioiiia u?euei?noue o?a?icii? oeaieie oa ??
iiaeiaaeai?noue o /an? O1 aea? iiaeeea?noue aeyaeoe ia oiiia?ai?
inaaaeieainoeo ?I o aeaeyae? ciie a?ii?ioaineaiiai neaiaeo, ui
a?coae?co?oueny ia O1- oa O2CC .

I?e I?O aeieeee o? ae i?iaeaie, ui ? i?e EO uiaei ae?aaiinoeee o?aaeaiiy
e/a, ine?eueee aeiaeai c aeua caaaeaieo iaoiae?a ia aea? iiaeeeaino?
i?iaiaeeoe aeeoa?aioe?eio ae?aaiinoeeo i?ae o?aaeaiith ?
a?ia?ieaciaaiith e?ioaoe/iith oeaieiith, ? iniiaiei e?eoa???i i?e
ioe?ioe? o?aaeaiiy e/a ? ca?eueoaiiy ?o ?ici???a oa ooai?aiiy
eiiaeiia?ao?a.

Ae?aaiic ?aoeeaeeao iooeeie A?eueina aoei o 19 oai?eo. ?acoeueoaoe
eiiieaeniiai ianoaaeaiiy cana?ae/eee, ui oeueo?acaoeiaa aeine?aeaeaiiy
iaaeinoaoiuei aoaeoeaia o ae??oaii? oeueiai caaaeaiiy. Aeonoe/i? aaaee:
iaoai?eci, iaoe? eeoeiaieea, ui aeeiiothoue ie?eiaa eiaea, –
ia?aoeiaeaeathoue io?eiaiith ?ioi?iaoeaieo cia?aaeaiue ( 7
inaaaeiiaaaoeaieo caeeth/aiue ) oi/i?noue – 57,9%; /ooeea?noue – 61,1%.

Oi/i?noue oa /ooeea?noue i?e eiii’thoa?i?e oiiia?ao?? oa I?O aoee cia/ii
aeueie (94,7 oa 100% a?aeiia?aeii). Oi/a, ye ? i?e OCAe, aoei iaeia
inaaaeiiiceoeaia caeeth/aiiy, eiee i?neyiia?aoe?ei? ci?ie aoei i?eeiyoi
ca a?aeiiaeaiiy iiooiaiai i?ioeano.

Ia ii/aoeiaiio aoai? i?noeaaee ?aoeeaeea oa?aeoa?ecoaaany aiiiaaiiith
no?oeoo?ith oa /?oeeie eiioo?aie, aea c /anii eiai no?oeoo?a
ci?ithaaeanue ia iaaiiiaaiiio, a a?aenooi?noue o?a?icii? eainoee oa
aeniaineaiee ??no i?ecaiaeeee aei ?icieaaiiy iaae i?ae ?aoeeaeeaii oa
ioi/oth/eie eiai no?oeoo?aie.

I?iaiae?coaaaoe io?eiai? ?acoeueoaoe, aoei ?ic?iaeaii aeai?eoie
aeei?enoaiiy ae?aaiinoe/ieo iaoiae?a OCAe, EO, I?O aeey aecia/aiiy
noaae?? IE? oa iooeeie A?eueina (oaae. 6), iiooeo ?aoeeaeea?a
iao?iaeanoii (oaae.7).

Ia ia?oiio aoai?, i?e aecia/aii? noaae??, ie i?iiiio?ii aeei?enoiaoaaoe
OCAe, ine?eueee oeae iaoiae i?iaeaiiino?oaaa aenieo oi/i?noue o
anoaiiaeaii? ae?aaiico ?aeo ie?ee (93,1% – IE?; 93,2% – IA). Aea iecuee?
iieacieee oi/iino? i?e ooi/iaii? ?iciianthaeaeaiino? iooeeiiiai i?ioeano
ia aeicaieythoue aeei?enoiaoaaoe eiai aeey aecia/aiiy noaae??
caoai?thaaiiy.

Ine?eueee ?aioaai?anueea eiii’thoa?ia oiiia?ao?y i?iaeaiiino?oaaea
a?eueo aenie? iieacieee ae?aaiinoe/ii? aoaeoeaiino? i?e aecia/aii?
noaae?? caoai?thaaiiy, ca ?aooiie aecia/aiiy ?iaac?? aei noi?aeieo
i?aai?a, iaoanoaoe/iiai o?aaeaiiy e?ioaoe/ieo aoce?a oa a?aeaeaeaieo
aaiaoiaaiieo iaoanoac?a, ?? ?aeiiaiaeiaaii aeei?enoiaoaaoe ia ae?oaiio
aoai? ianoaaeaiiy. Iaoith ae?oaiai aoaio ? oi/ia anoaiiaeaiiy noaae??
caoai?thaaiiy. Aea nooo?aei iaaeie?eii oeueiai iaoiaeo aeyaeeiny
aecia/aiiy iooeeiiiai o?iiao aei ie?eiaeo noaeei.

Oiio iaie cai?iiiiiaaii o?ao?e aoai ianoaaeaiiy c aeei?enoaiiyi iaai?oii
– ?aciiainii? oiiia?ao??. Oeae iaoiae aeicaiey? iaeaea ?c 100%
a??ia?aei?noth anoaiiaethaaoe iayai?noue iooeeiiiai o?iiao. Iaoith
oeueiai aoaio ? ooi/iaiiy noaae?? caoai?thaaiiy.

Oaaeeoey 6.

Aeai?eoi canoinoaaiiy OCAe, EO oa I?O o aecia/aii? noaae?? iooeeie ie?ee

Aoai

aeine?aeaeaiiy Iaoiae

aeine?aeaeaiiy Iieacaiiy aei

aeine?aeaeaiiy Iaoa

aeine?aeaeaiiy

I OCAe I?aeic?a ia iayai?noue iaoieia?? na/iaeae?eueii? nenoaie
A?coae?coaaiiy iooeeie

Aecia/aiiy iciae iica-ie?eiaiai ?iciianthaeaeaiiy

II EO Iaaecia/ai? ?acoeueoaoe

? aoaio ianoaaeaiiy. Iaiao?aei?noue oi/iiai aecia/aiiy noaae??
Aecia/aiiy noaae??

III I?O A?coae?caoe?y iooeeiieo

o?iia?a a noaeeiao Ooi/iaiiy noaae?? IE?

Aeey iiooeo ?aoeeaeea?a iao?iaeanoii OCAe aeyaeeanue iaaeinoaoiuei
aoaeoeaiith (oi/i?noue 57,9%), oiio oeae iaoiae ie ia aaaee aei
ae?aaiinoe/iiai aeai?eoio.

Ia a?aei?io a?ae OCAe ae?aaiinoe/ia ni?iiiaei?noue EO oa I?O noaiiaeea
94,7%, a iaeiiio aeiaaeeo aoea i?eiouaia a?ia?ae?aaiinoeea
(i?neyiia?aoe?ei? ci?ie ni?eeiyo? ye a?aeiiaeaiiy iooeeiiiai ?inoo),
oiio iaie aoei cai?iiiiiaaii iaeiiaoaiiee aeai?eoi iiooeo. Ia ia?oiio
i?noe? iinoaaeaii I?O, ine?eueee oeae iaoiae aeinoaoiuei ?ioi?iaoeaiee
oa aeicaiey? oieeiooe caeaiai ii?ii?iaiiy iaoe??io?a o ?ac? oni?oiiai
e?eoaaiiy. Ine?eueee iniaeea?noth iaoiaeo ? iaio oi/ia aecia/aiiy
?iaac?? aei noi?aeieo i?aai?a, i?ae i?e EO, iaie aoei aaaaeaii
ooi/ithth/ee aoai (IA) ?c aeei?enoaiiyi ?aioaai?anueei? eiii’thoa?ii?
oiiia?ao??. Oeae aoai aeioe?eueii aeei?enoiaoaaoe eeoa i?e anoaiiaeaiiio
ae?aaiic? ?aoeeaeeao iooeeie A?eueina, i?e noii?aieo ?acoeueoaoao I?O
uiaei ?iaac?? aei noi?aeieo i?aai?a, ine?eueee i?e iaeiiio EO
aeine?aeaeaii? /a?aaii? ii?iaeieie aeica ii?ii?iaiiy nyaa? a?eueo i?ae
60 ieCa

Oaaeeoey 7.

Aeai?eoi canoinoaaiiy EO oa I?O o anoaiiaeaii? ae?aaiico ?aoeeaeeao
iao?iaeanoiie.

Aoai

aeine?aeaeaiiy Iaoiae

aeine?aeaeaiiy Iieacaiiy aei

aeine?aeaeaiiy Iaoa

aeine?aeaeaiiy

I (A) I?O Iaoe??io i?ney iia?aoeaiiai e?eoaaiiy c i?eaiaeo iao?i-

aeanoiie A?coae?caoe?y ?aoeeaeeao iao?iaeanoiie oa aecia/aiiy eiai
?iciianthaeaeaiino?

I (A) EO Iaoe??io i?ney iia?aoeaiiai e?eoaaiiy c i?eaiaeo iao?i-

aeanoiie .

Iaiao?aei?noue ooi/iaiiy iioe?aiino? iooeeie ia noi?aei? i?aaie
A?coae?caoe?y ?aoeeaeeao iao?iaeanoiie oa aecia/aiiy eiai
?iciianthaeaeaiino?

I?aenoiiaoth/e ?acoeueoaoe aeine?aeaeaiue iaiao?aeii a?aecia/eoe, ui
aeaio i?iaeaio ia ne?ae aaaaeaoe inoaoi/ii ae??oaiith. Iiaeaeueoee
?icaeoie iaeaaeiaiiy aeey i?iaaaeaiiy OCAe, EO, I?O; ?ic?iaea iiaeo
eiio?anoieo ?a/iaei iio?aaothoue aeaeueoiai iaoeiaiai aea/aiiy, ui
ni?eyoeia a?eueo i?aeaeueoe oi/i?noue aecia/aiiy oa noaae?thaaiiy ?I e
ciaioeoe e?euee?noue ae?aaiinoe/ieo iiieeie.

Ia i?aenoaa? iaea?aeaieo ?acoeueoao?a ae?eoee aeniiae?a:

AENIIAEE

1.Oeueo?acaoeiaa aeine?aeaeaiiy o aecia/aii? noaae?? ie?eiai –
ee?oeiiiai ?aeo a?ae??ciy?oueny aenieeie iieacieeaie niaoeeo?/iino?
(76,2 – ( 100,0%) oa ??aiy iaaaoeaii? ioe?iee (88,% – 96,3%) i?e
iaaeinoaoi?e /ooeeaino? (25,0 – 68,8%). Iecueeee iieaciee caaaeueii?
ae?aaiinoe/ii? oi/iino? (74,1 – 89,7%) coiiaeaiee oo?oaeiaiiyi
eiinoaoaoe??: i?i?inoaiiy iooeeiith ie?eiai? eainoee (I -II no.);
o?aaeaiiy ie?eiai? oa ieaeiuei? ii?iaeienoi? aai (II – IIIA no.);
iaoanoacoaaiiy a e?ioaoe/i? aocee (IIIB – IIIC).

O aecia/aii? noaae?? ie?eiai – ee?oeiiiai ?aeo aeey ?aioaai?anueei?
eiii’thoa?ii? oiiia?ao?? i?eoaiaiia ia?aaa?oaiiy niaoeeo?/iino? (93,2 –
( 100,0%) oa ??aiy iaaaoeaii? ioe?iee (94,2 – ( 100,0%) iaae /ooeea?noth
(66,7 – 92,9%) oa ??aiai iiceoeaii? ioe?iee (72,2 – ( 100,0%).
Ia?aaaaeia a?eueo?noue ae?aaiinoe/ieo iiieeie noino?oueny e?ioiaaiieo
iaoanoac?a oa iooeeiieo o?iia?a a ieaei?e ii?iaeieno?e oa ie?eia?e aaiao
( IIIA,A,N no.).

O ii??aiyii? ?c EO I?O ia? aacia?a/i? ia?aaaae o a?coae?caoe?? iooeeiieo
o?iia?a (IIIA no) aei ie?eiai? oa ieaeiuei? ii?iaeienoi? aai (oi/i?noue
– 98,3% i?ioe 89,7%; /ooeea?noue 87,5% i?ioe 25,0%). Iaeiae,
eiinoaoaoe?y i?i?inoaiiy aei noi?aeieo i?aai?a ia iniia? ?acoeueoao?a
I?O iinooia?oueny ia?aae oaeith ia iniia? EO ( oi/i?noue 96,6% i?ioe
98,3% ).

O ae?aaiinoeoe? iao?iaeanoii ae?aaiinoe/ia aoaeoeai?noue EO oa I?O aoea
iaeiaeiaith (93,7%), ia?aaeuoth/e oaeo aeey OCAe iaeaea ia 12%. I?e
aecia/aii? noaae?? caoai?thaaiiy, aiaeia?/ii aei ie?eiai – ee?oeiiiai
?aeo, aeieeathoue oo?oaeiaiiy a ae?aaiinoeoe? iaoanoac?a aei e?ioaoe/ieo
aoce?a, noaeeiieo iooeeiieo o?iia?a i?e EO, i?i?inoaiiy aei noi?aeieo
i?aai?a i?e I?O.

O ae?aaiinoeoe? ?aoeeaeea?a iao?iaeanoii OCAe ia iiaea aaaaeaoenue
?aeeiei iaoiaeii ianoaaeaiiy. Iaa?oue i?e iaaaoeaieo ?acoeueoaoao OCAe
i?ioyaii ia?oiai i?a??//y i?ney ?aaeeeaeueiiai aeaeaeaiiy iooeeie
aeioe?eueii uii?ny/ii aeeiioaaoe I?O (ye aeueoa?iaoeao EO).

I?iiaiaaa ae?aaiinoeea ia?aeiieo iiaiooai?aiue IE? oa a?ia?iao?ii
ia?aaeaa/a? o?e iine?aeiaieo aoaie ianoaaeaiiy oai?eo. Ia ia?oiio – i?e
i?aeic?? ia iayai?noue iaoieia?? na/iaeae?eueii? nenoaie ne?ae
aeeiioaaoe OCAe c iaoith a?coae?caoe?? iiaiooai?aiiy oa aecia/aiiy iciae
iicaie?eiaiai ?iciianthaeaeaiiy. EO, ye ae?oaee aoai ianoaaeaiiy,
ae??oo? caaaeaiiy aecia/aiiy noaae?? iiooiaiai i?ioeano. I?O aeioe?eueii
aeey ooi/iaiiy iayaiino? iooeeiiiai o?iiao a noaeeiao.

7. Ianoaaeaiiy ae?oae i?aeaeaieo ?aaeeeaeueiiio e?eoaaiith c i?eaiaeo
iooeeie A?eueina, ?icii/eia?oueny c I?O, ine?eueee oi/i?noue niiia?ao??
o a?coae?caoe?? ?aoeeaeea?a iao?iaeanoiie ia ia?aaeuo? 57,9%. EO iiaea
aeiiiaieoe ?acoeueoaoe I?O o a?coae?caoe?? iaoanoac?a o eaaai? oa
iioe?aiino? i?ioeano a noi?aei? i?aaie.

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

Aeueai E.I., Ai?aeeaiei E.I., Aoaaeia O.A., Ioaao/eeia E.I.,
“Aeiiia?aoeeiiiia ii?aaeaeaiea noaaeee ceiea/anoaaiiuo iiooieae ii/ae ia
iniiaaiee eiiiuethoa?iie e iaaieoii-?aciiainiie oiiia?aoee” //
Oe?a?inueeee aeo?iae iaei?iaaceaii? oa aiaeineii?/ii? o??o?a??, Ee?a,
1997, Volume 1, ?4, n11 – 14.

Ai?aeeaiei E.I., “Eco/aiea aiciiaeiinoae ?aioaaiianeie eiiiuethoa?iie
oiiia?aoee e iaaieoii-?aciiainiie oiiia?aoee a aeiiia?aoeeiiiii
ii?aaeaeaiee noaaeee ceiea/anoaaiiuo iiaiia?aciaaiee ii/ae o ac?ineuo e
aeaoae” // Ca??ea iaoeiaeo ?ia?o Anioe?aoe?? ?aae?ieia?a Oe?a?ie.
I?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y “Oi?ieaeueia ?aae?ieia?y” /
Ee?a, 1997 ?., n.76 – 78.

Aeueai E.I., ?iaiaeei A.A., Eaaeianeay E.TH., Ai?aeeaiei E.I., Eica?aiei
O.I., Oaeaea A.A., Eaaieia A.I., “Yooaeoeaiinoue OCE, EO, I?O i?e
iao?iaeanoiiao” // Ca??ea iaoeiaeo ?ia?o Anioe?aoe?? ?aae?ieia?a
Oe?a?ie. I?iiaiaaa ae?aaiinoeea, i?iiaiaaa oa?ai?y, / Ee?a, 1997, Aeione
1 , n.71 -73.

4. Ai?ae??iei E.I., Oaeaea I.A., “Ae?aaiinoeea oa e?eoaaiiy iooeeie
A?eueina o ae?oae a Oe?a?i? i?ney aaa??? ia *AAN” //Iao/iua o?oaeu
Oe??IEEI? “10 eao iinea aaa?ee ia *AYN”, Eeaa, 1996a., n.62-63.

5. Aoaaeia O.A., Aeueai E.I., Ioaao/eeia E.I., Ai?aeeaiei E.I.,
Nu/iaaO.A., “?aioaaiianeay eiiiuethoa?iay e iaaieoii-?aciiainiay
oiiia?aoey a aeeaaiinoeea e noaaee?iaaiee iiooieae ii/ae” Oac. aeii.
Aai?oio?i?aae?ieia?y. ?anioae?eainueea iaoeiai-i?aeoe/ia eiioa?aioe?y. /
Euea?a, 16 – 17 o?aa. 1996 /, Ee?a, 1996, n.48.

6. Eaaeianeay E.TH., Aaeeoeeay I.A., Eaueoeia A.I., Ai?aeeaiei E.I.,
Eica?aiei O.I., Oaeaea A.A. “Oeueo?acaoeiaia enneaaeiaaiea (OCE) a
auyaeaiee ?aoeeaeeaia iiooiee Aeeueina” // Oac. aeii.
Aai?oio?i?aae?ieia?y. ?anioae?eainueea iaoeiai-i?aeoe/ia eiioa?aioe?y.

/ Euea?a, 16 -17 o?aa. 1996 /, Ee?a, 1996, n. 66-67.

7. Aeueai E.I., Ai?aeeaiei E.I. “Aeeaaiinoeea iiooiee Aeeueina o aeaoae
ia Oe?aeia iinea aaa?ee ia *AYN”. Oac. aeiee. Iaaeaeoia?iaeiay eiio.
“Nia?aiaiiay EO e I?O a iiiaii?ioeeueiie eeeieea”, / Iineaa, 11 – 12
iiya?y, 1997. n.182 – 184.

8. I.Dykan, K. Gordiyenko, ’’Diagnostic imaging in staging of Wilms
tumor’’. Abstr. 20th International Congress of Radiology, / New Dtlhi,
19th – 23rd Sehtember, 1998 / India, 1998, p.200.

9. I.Dykan, K. Gordiyenko, ’’Diagnostic imaging in staging of Wilms
tumor’’. Abstr. European Congress of Radiology, / Vienna, 7 -12 March,
1999 / Austria, 1999, p.236.

AIIOAOe?ss

Ai?ae??iei E.I. I?iiaiaa? iaoiaee aeine?aeaeaiiy o aecia/aii? noaae??
ceiye?nieo iiaiooai?aiue ie?ie oa ?aii?e ae?aaiinoeoe? ?aoeeaeea?a
iooeeie A?eueina. – ?oeiien.

Aeena?oaoe?y ia caeiaoooy iaoeiaiai nooiaiy eaiaeeaeaoa iaaee/ieo iaoe
ca niaoe?aeuei?noth 14.01.23 – i?iiaiaaa ae?aaiinoeea, i?iiaiaaa
oa?ai?y. – Oe?a?inueeee iaoeiai-aeine?aeiee ?inoeooo iieieia?? oa
?aae?ieia?? IIC Oe?a?ie, Ee?a, 1999.

Aeena?oaoe?th i?enay/aii i?aeaeuaiith aoaeoeaiino? aeiiia?aoe?eii?
ae?aaiinoeee ceiye?nieo iiaiooai?aiue ie?ie oeyoii aecia/aiiy noaae?? oa
?aiiueiai anoaiiaeaiiy ae?aaiico ?aoeeaeeao iooeeie A?eueina ca
aeiiiiiaith no/anieo i?iiaiaaeo iaoiae?a ianoaaeaiiy: OCAe, ?EO, I?O. Ia
i?aenoaa? ianoaaeaiiy 109 oai?eo: 58 aei?ineeo ?c ie?eiai – ee?oeiiei
?aeii, 32 ae?oae c iao?iaeanoiiith ? 19 ae?oae c ?aoeeaeeaii iooeeie
A?eueina. Ia i?aenoaa? iaea?aeaieo ?acoeueoao?a aeiaaaeaii, ui OCAe
/a?ac iecueeo oi/i?noue, ia iiaea aeei?enoiaoaaoeny aeey inoaoi/iiai
aecia/aiiy noaae?? caoai?thaaiiy oa iiooeo ?aoeeaeea?a iao?iaeanoiie,
oi/a aeineoue oni?oii iiaea aeei?enoiaoaaoenue aeey iiooeo ia?aeiieo
iooeei. Oi/a oi/i?noue ?EO oa I?O o aecia/aii? noaae?? oa iiooeo
?aoeeaeea?a iooeeie A?eueina aeinoaoiuei aeniea, aeine?aeaeaiiy aeiaaee
iaiao?aei?noue aeei?enoiaoaaiiy iaio iaoiae?a /a?ac iiaeeea?noue
aeieeiaiiy oneeaaeiaiue o a?aeie?aieaii? IIIA, IIIC oa IVA noaae?e. Ia
i?aenoaa? i?iaaaeaii? ?iaioe aia?oa o a?o/eciyi?e i?aeoeoe? aeai?eoie
aeey anoaiiaeaiiy noaae?? caoai?thaaiiy oa iiooeo ?aoeeaeea?a
iao?iaeanoiie.

Eeth/ia? neiaa: iooeeie ie?ie, ?aioaai?anueea eiii’thoa?ia oiiia?ao?y,
iaai?oii – ?aciiainia oiiia?ao?y, oeueo?acaoeiaa ae?aaiinoeea,
aecia/aiiy noaae??, ?aoeeaeea iao?iaeanoiie.

AIIIOAOeEss

Ai?aeeaiei E.I. Eo/aaua iaoiaeu ianeaaeiaaiey a ii?aaeaeaiee noaaeee
ceiea/anoaaiiuo iiaiia?aciaaiee ii/ae e ?aiiae aeeaaiinoeea ?aoeeaeeaia
iiooiee Aeeueina. – ?oeiienue.

Aeenna?oaoeey ia nieneaiea o/aiie noaiaie eaiaeeaeaoa iaaeeoeeineeo
iaoe ii niaoeeaeueiinoe 14.01.23 – eo/aaay aeeaaiinoeea, eo/aaay
oa?aiey. – Oe?aeineee iao/ii – enneaaeiaaoaeueneee einoeooo iieieiaee e
?aaeeieiaee IC Oe?aeiu, Eeaa, 1999.

Aeenna?oaoeey iinayuaia iiauoaieth yooaeoeaiinoe aeiiia?aoeeiiiie
aeeaaiinoeee ceiea/anoaaiiuo iiaiia?aciaaiee ii/ae ioo?i ii?aaeaeaiey
noaaeee e ?aiiaai onoaiiaeaiey aeeaaiica ?aoeeaeeaa iiooiee Aeeueina n
iiiiuueth nia?aiaiiuo eo/aauo iaoiaeia ianeaaeiaaiey: OCE, ?EO, I?O. Ia
iniiaaiee ianeaaeiaaiey 109 aieueiuo: 58 ac?ineuo n ii/a/ii – eeaoi/iui
?aeii, 32 aeaoae n iao?iaeanoiiie e 19 aeaoae n ?aoeeaeeaii iiooiee
Aeeueina. Ia iniiaaiee iieo/aiiuo ?acoeueoaoia nenoaiaoece?iaaii
e?eoa?ee ii?aaeaeaiey noaaeee ii/a/ii – eeaoi/iiai ?aea, iiooiee
Aeeueina e a? ?aoeeaeeaa aeey OCE, EO e I?O. Aeieacaii /oi OCE, ec – ca
ieceie oi/iinoe ia iiaeao eniieueciaaoueny aeey ieii/aoaeueiiai
ii?aaeaeaiey noaaeee caaieaaaiey e iienea ?aoeeaeeaia iao?iaeanoiiu,
oioy aeinoaoi/ii oniaoii iiaeao eniieueciaaoueny aeey iienea ia?ae/iuo
iiooieae. Ioia/aii, /oi no?iaiea iiooiee caaeneo io noaaeee e ?acia?ia.
Oae, iaaieueoea iiooiee aiiiaaiiu e iaei ioee/athony ii ieioiinoe io
ii/a/iie ia?aioeiu, a\a eiio?anoe?iaaiea niinianoaiaaei ii?aaeaeaieth
iiooieae ca n/ao ?aciiai “ineaaeaiey” eiio?anoe?iaaiey ii/a/iie e
iiooieaaie oeaie i?e iaeeiaeiaie noaiaie “oneeaiey” ia i?ioyaeaiee
ia?aie ieioou ianeaaeiaaiey. Aeeiaie/aneia iaaethaeaiea ca iieacaoaeyie
ieioiinoe iicaieeei ii?aaeaeeoue o/anoee iaoieiae/aneie ieioiinoe a
oieueia ii/a/iie ia?aioeiu. A iaeioi?uo neo/ayo ?ae i?iyaeeny iauei
oaaee/aieai ii/ee n nio?aiaieai oi?iu e aiiiaaiiinoe no?oeoo?u, iaeiaei
a aeneaeueiie i?iaeoeee i?aai ie?oaeyaony, iacooa niauaaony eia?aaee e
iaaeeaeueii eee ii/ea i?eia?aoaao iieeoeeeee/iue eiioo?. Onoaiiaeaii,
/oi ia nouanoaoao niaoeeoe/iuo I?O i?eciaeia (ii?oieiae/aneeo, a
caaeneiinoe io I? – neaiaea, aaee/eiao O1 eee O2), eioi?ua a iicaieeee
iaeiicia/ii ii?aaeaeeoue aenoieiae/aneoth i?e?iaeo i?ioeanna. Ie iaeei
ec auoaia?a/eneaiiuo iaoiaeia ia aea?o aiciiaeiinoe i?iaiaeeoue
aeeooa?aioeeaeueioth aeeaaiinoeeo iaaeaeo iaoanoaoe/aneei ii?aaeaieai e
aeia?ieace?iaaiie eeioaoe/aneie oeaiueth, e iniiaiui e?eoa?eai i?e
ioeaiea ii?aaeaiey eeioaoe/aneeo oceia yaeyaony oaaee/aiea eo ?acia?ia e
ia?aciaaiea eiiaeiia?aoia. Oioy oi/iinoue ?EO e I?O a ii?aaeaeaiee
noaaeee e iienea ?aoeeaeeaia iiooiee Aeeueina aeinoaoi/ii auniea,
enneaaeiaaiey aeieacaee iaiaoiaeeiinoue eniieueciaaiey iaieo iaoiaeia,
iineieueeo iiaoo aicieeiooue o?oaeiinoe a ?aca?aie/aiee IIIA, IIIC oa
IVA noaaeee. Naieioeea ?aoeeaeeaia ianeieueei ioee/aaony io oaeiaie o
ia?ae/iuo ceiea/anoaaiiuo iiooieae. Ia ia/aeueiii yoaia ianoiue
?aoeeaeea oa?aeoa?ecoaony aiiiaaiiie no?oeoo?ie e /?oeeie eiioo?aie, ii
ni a?aiaiai aai no?oeoo?a eciaiyaony ia iaaiiiaaiioth, a ionoonoaea
oea?iciie eainoeu e yeniaineaiue ?ino i?eaiaeeee e ?iciuaaieth a?aieoeu
iaaeaeo ?aoeeaeeaii e ie?oaeathueie aai no?oeoo?aie.

Ia iniiaaiee i?iaaaeaiiie ?aaiou aia?aua a ioa/anoaaiiie i?aeoeea
i?iaaaeaii eioaa?aeueioth ioeaieo e ii?aaeaeaiea aiciiaeiinoae eiiieaena
iaeiaaceaiuo iaoiaeia eo/aaie aeeaaiinoeee (OCE, ?EO, I?O) a
aeiiia?aoeeiiiii ii?aaeaeaiee noaaeee ceiea/anoaaiiuo iiaiia?aciaaiee
ii/ae e ?aiiae aeeaaiinoeea ?aoeeaeeaia iao?iaeanoiiu, ?ac?aaioaii
iao/ii iainiiaaiiua aeai?eoiu aeey onoaiiaeaiey noaaeee caaieaaaiey e
iienea ?aoeeaeeaia iao?iaeanoiiu.

Eeth/aaua neiaa: iiooiee ii/ae, ?aioaaiianeay eiiiuethoa?iay
oiiia?aoey, iaaieoii – ?aciiainiay oiiia?aoey, oeueo?acaoeiaay
aeeaaiinoeea, ii?aaeaeaiea noaaeee, ?aoeeaeea iao?iaeanoiiu.

SUMMARY

Gordiyenko K.P. Irradiate methods in determination of stage of renal
malignant tumours and early diagnostics Willms tumour’s recurrences. –
Manuscript.

Thesis for the Degree of Candidate of Medical Sciences on speciality
14.01.23 – radiodiagnostics, radiotherapy. – Ukrainian Scientific
Research Institute of Oncology and Radiology, Ministry of Health of
Ukraine, Kyiv, 1999.

Thesis presented deal with increasing of effectiveness of pre – surgical
diagnostics of renal malignant tumours as a result of determination of
stage and early diagnostics of Willms tumour’s recurrences on the basis
of modern irradiate methods: US, CT, MRI. There were 109 patients in the
project: 58 adult with renal – cell carcinoma, 32 children with
nephroblastoma and 19 children with recurrence of Willms tumour. Our
results have proved that ultrasound method doesn’t have enough accuracy
and can’t be used for final determination of disease stage and screening
of nephroblastoma recurrences, but could be successfully used in search
of primary tumours. Our data proved necessity of using of booth CT and
MRI benign in mind that besides of high accuracy of both methods in
stage determination and search of Willms tumours recurrences some
difficulties in determination of boundaries of IIIA, IIIC, IVA stages.
Scientifically proved algorithms for determination of disease stage and
screen of recurrence of nephroblastoma was developed on the basis of our
investigation.

Key words: renal tumours, determination of disease stage, computer
tomography, magnetic – resonance tomography, sonography, nephroblastoma
recurrences.

Нашли опечатку? Выделите и нажмите CTRL+Enter

Похожие документы
Обсуждение

Ответить

Курсовые, Дипломы, Рефераты на заказ в кратчайшие сроки
Заказать реферат!
UkrReferat.com. Всі права захищені. 2000-2020