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Kzpoao, CoHrr-l-lerep6ypr Koeo Hcroro rocygopcrBeH Horo MeAhqzHcKoro yHhBepc/Tero \ tl I Ittt lrll 9e V I I BCEPOCCVIVICKVil4 Gardiomedrbs stnyken' Cepe6pnnure .nor.opL,. SANTEgEI INSIG ITEC Spou:oaure cnoHcopbr: @Woulfuoyr Sciring cbE3A HEVIPOXVIPyPrOB C6OPHhK TE3hCOB 02-06 npns2015 roAo Kosoxu [horLrnoaHe cnoHcopbl MEMORIAL HOSPITALS GROUP Cnoncopur: COI]EPXAHZE V Tarruxa xupypruqecr(ol'o reqeHl'rq FlrraJrbrrbrx orryxoaefi Onrrr npuueHenfifl snAoHasa"rrHoft tpauccQenonlanurofi sgqocKorruqecKofr xrlpyprulr upu yganeHnl{ aAeEoM rnnoQnra Koercyu M.A', Kocuwee M'B',Ilowamaee K'E'' I{lLu Bou lu' (Dpo.toe[.C.'. "113 frpnuenenue rou6unnporanHofi Q'rryopllcqeu'rnoft HaBrrrau[n B xlrPyprrlu nnQn'nrrparnBnbrx onyxonefr ronoBHoro Mo3ra roJroBlroro Mo3ra Kadup6exoa P.7., Xaamoe 3'M' PacnpocrPanenHocrb r,tuan ... .107 brrbrx otryxonefi roaosHoro Mogra V Kadwp6ercoe H.P., Radary6exoe P.7., Tatuvamoe III. H., EercuasapoeX.)I{. .-. Bopouuua LI.A., @ouourcuua JI'A' Pery.nrrarrr xnpypruqecKoro JlerreHrrfl MerruHruoM KpbrnbeB ocnosHoft Kocrn c PocroM B opoury KaruuoecrcuilA.B., Vepuoe C'B', fiuumpuee A'E'' fopro.rorro"oE.B.,3imoeA'B', VtrcaxoeaE'K' "' 110 Brnxalmue u orAaJrenubre p$ynBTarbl JIerIeHHq 6onrnrrx c rnHocapKoMaMrr Kana.veuc B..fl , Vtumuu A' IO', O'tnutuu B' E'' \[e]aueuxoc.A. '... f.rnocaprcottr roJroBHoro uorra: nrno6lacroMorlo'4o6nbrfi n verrnurnoMorrogo6nrrft Bapnanrbr orryxonu K.nnnu.recrte upoqBneHuq orryxo'nefi rroAropKoBblx y3noB Kadarpoe LLI.V., XyameeaE'A', Itouoeanoe A'H'''''''''' 108 Pacuupennan rpanccQeuouAarbHaq 3HAocKonl{qecKafl 3HnoHa3aJrbllafl xupyprlls cyflpacennflpnbrx Kpanno0apuHrl',roM Kawuuu II.I, @ouuuee ,[' B', Kymun M'A'' Il[apunoe O' A' ' ' 108 SnAocrconn'rec r'Hoe yAaneHne aAeH Ka,ruuuu II.IL, Qouuvee,[.8', H ' Kadawee E. A.., Arexce ee C' H', AcmaQteea II LI'' lllapunoe O' U'' - - Bopouuua I'I.A " 109 Kotomsuxoe B.C.' 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T, Tautuamot IIL H., Eexuasapoe X..X( P e c ny 6.nurcauc rcuil u ay u u ot i 4 e u mp u e i p ox upw zuu, Tau.txeum, Vs6exucmau llpoae4eu perpoc[eKTr,rBHbtr; aHaJrr{3 fr{crocrpyrcrypbr rJrr{uurbHbrx orryxonefi roJroBHoro ruo:ra 478 6omttlx, ua- xoAr{Brrrlxcr Ha craulroHapHoM JreqeHr.ru s PHLFD( sa ne- puot 2013-2014 rr. Bospacr 6oruHlx cocraBlrJr or 1 roAa Ao 72 ner, r43 Hlrx nr{rla Myr(cKoro [oJra- 14 (44,8%); rrrlrla )r(eHcKoro rorra - 155 (32,4%), Aerr{ - 109 (22,8%). Bceu 6onrnhrM [poBeAeHbr xr{pypruqecKue BMeruareJrb- cTBa B BI{A9 KOCTHO-UIaCTr{IIeCKOI I4nr,r 4erOUlpeCCr{BHOfi TpenaHaIIvI{. flo roranu:aqlrr{ [onyruapus. 6sttru BoBJreqe- rur n 316 (66,1%) cJryrraeB, 143 Hlitx [paBocropoHuI.rfi upo- qecc- 148 (30,9yo), neBocropoHHr.rfi- 168 (35,1%o),rrc nolnafl. Aonr cocrornaT5 (l5,7Yo), nr,rcowrax p.ona- 49 (l0,3oA), reMeHHarr Aonr - 40 (8,4o ), 3arburorrHrur - 3 (0,62yo), correraHrae - 146 (30,6%). 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Ecnr4 6parr pacnpocrpaHeHHocrb IIo BO3paCTHbrM rpynnaM, ro acTpour{ToMa rraqe BcTperra- nacb y MyxGrI,IH - 122 (25,5yo), y xenrqun - 8 5 ( I l, 8%), y Aerefi - 33 (6,9%); onuroAeuApornr{oMa Bcrperrarracb y Myxcrr.rH - 5 (l,0oA), y xeHrurrH - | (0,2o/o), y Aerefi - He BburBJreHo; rJrr{o6nacroMa y MyxcruH - 32 (6,7Yo), y xeHrrlr4H - 22 (4,6yo), xopuouAuaurrJroMa y Mfrcrlrn - 3 (0,63yo), y xeHrrlr.rH - | (0,2l%o), ouen4ulroMa y MyK- (1,2%); MeAyrrno6rracroMa y Nryxcrr{H - 15 (3,1%\ } x(eH- ruuu 6 (1,,250 ), y 4erefi - 44 (9,2%). Taruru o6pa3oM, IrpoBeAeHHbIit taattu aH€urLI3 uoKa- 3blBaer, rrro pacnpocTpaHeHHocrb HIIr€uIbHbIx ouyxonefi acrporlr{rapHoro p.rrAa 6onrure [peBaJlupyer y flaul{eHroB MyxcKoro nofia; r{3rrro6nennoft roKaJrr{3aq[eit urnalr- r{brx olyxonefi ,'IB[.'IeT0.'I JIo6Ha.f, noKaJrLI3aqI4t JIeBOro IIonyuapuir. KIII4HI4TIE C KI4E IIP O'I B IIEHVTA ONYXOJIEIZ fIOAKOPKOBbIX y3JIOB Kadotpoa il.V, Xyxtaeea E.A., Konoaa,toa A,H. Hayvuo-uc cn ed oeamen ac rcui uH c mu mym neilpoxupypeuu uu. axadeuurca H. H. Eypdenrco, Mocxea B ocnone pL3BLr'tuA KJrIrHI4qecKrrx upoannenrafi npx o[yxoJurx [oAKopKoBbrx y3noB Jrexar 2 uexanusua: l) ua- pymeHl.re oTToKa JIIrKBopa BcJreAcrBrre cAaBJreHLIrI oIDl xoJrbro nlrKBopolpoBoA-srqlx rryrefi; 2) nopaNeuue ory-- xoJrbro He[ocpeAcrBeHHo noAKopKoBbrx cTpyKTyp LI 3a crrer KoM[pe ccuu/ uu$unrrpa\r4u npI4JIe)KaqI]x crpyKr]? (cpe4Hero Mo3ra, 3plrreJrbHbrx rpaKToB, 4raenqeQallnoE o6racru). Marepuaarr rr MeroAbr. flpoauancupoBaH KoM[IIeKc KnuHr{qecKr.rx clrMrrroMoB y 131 naquerra c orrpaHr.rseF HbrMr4 orry(oJurMr{ [oAKopKoBbx crpylcryp, xoroprre 6rru o6cne4onanrr r{ rrpoouepupoBaHbr no uoBoAy olp(o.rs sl*fuI uefipoxupypruu c 1985 no 2014 r. Brrno4. Conpeuennrre ArrarHocrl{rlecKlre cpeAcrrtt (KT r,r MPT ronoBHoro uosra) rro3BoJurror c 6onrruofi ro+ HocTbIo onpeAeJltTb IpaHIitrIbI uoAKopKoBbIX y3noB B Hopve r{ AlrarHocrr{poBarb roqFryro ronorpaQruo onyxonefi, n rol qucJle I.rx coorHorueHl{e co cMe]I(HbIMLI cTpyrcrypaMr.r. Knr.rnrl.recKr.re npo.rrBneHlur onyxolei noAKopKoBr'rt y3noB xaparcrepr{3yrorcr MHo}I(ecrBoM cI,IMrIToMoB. rlacrtrn npo.'IBneHl4f, TOrO I,IJIII LIHOTO CLIHApOMa LI CTeneHb ero Bblpa )I(eHHOCTII 3aBI{CLIT OT IIpeLTMyITIeCTBeHHOIO paCnonoxeEril orryxonlr B upeAeJrax noAKopKoBbx y3noB, nor4eficrnna flpoqecca Ha aHaToMLrtIecKLIe crpyl(rypbl, pacnofloxer{Frl (no coceAcTBy>, HapyrreHr{eM nriKBopoqupKyntqu[. Hau6onee nocrotHHbIMLI cLIMrrroMaMLI .aJulrorct rt rIepTeH3LIOHHAfl, fry{pAMrrJ.H€Ur CI{MnTOMaTI{Ka, SKCTparrFF Mr{rHbre paccrpoficrna AsrDKeuui1 pa3rrr{rrHbre Bapr4arti paccrpofi crna rryBcrBl{TenbHocrlr, rJl€t3oABr4rarenbHble r pymeHnJ{ (p < 0,05). PACIIII4PEHHA' TPAHCCOEHOT4AAnbHA' 3HAOCKOnr4rrECKAt 3HAOHA3AJIbHA' XVIP Y P f VIA C YIIPAC E JI JUIP HbI X KPAHI4OOAPI4H| IIOM RunuHuu If.Jf., (Domuveo,{.8., Kymua M.A., Ilfapunoa O.I:1. Hayvno-uc c.t ed oe amenucxu fi uH c mu mym ue ilpoxupypzuu uv. axadeuuxa H. H. Eypdeuxo, Mocrcea Marepnanrr H MeroAbI. C 2008 r. nauu 6rrno pr{poBaHo 1I8 uaqrzenroB c cyqpacenJurpHbrurr pIIHTI{OMaMLI C I{CIIOJIb3OBaHI{eM nepeAHero pao rpaHcc(penozg€rJrbHoro sHAocKoruqecKoro 3HAoHa3a AocTyIIa. 02/06/2Ot 5 -06/Oa