Вы находитесь на странице: 1из 7

.. , .. , .. , .. , ..



, ,
, 
2040%,
50% (. 1).

, , 
7585% [44, 50].

[19, 24, 25].

, 
9 16 . 1994 . (635 )
2004 . (652 , . 1), 

3140 ; 
30 .
, 

,
[11],
[2, 20, 33], [20, 22].

(. 2). ,
1984 . 589 
361 (61,3%) , 1994 .
424 (66,8%), 2004 . 
493 (75,6%) (13, 23 <0,05).


1

,

.., .., 1981

1027

.., .., 2000

2025

.., .., 2001

2025

K .., .. ., 2001
.., .., 2002

75
2450

.., .., 2002

2530

.., .. ., 2002

2530

.., 2002

2040

K .., .., 2002

2050

James B. Spies, 2002

2040

Schindler A.E., 1999

75

Cramer and Patel, 2000

84

Wildemeersch D., Schacht E., 2002

77

. 2.

. 1. ,

#1 (25)2006

123

. 3.

, 
10 (.
3).

,

, ,
( 
) [6, 9, 10, 27, 29, 47, 48].
80% 
[18, 27, 48].
90%
( 40 ) [18, 46].
, , 


( 12%, 
0,1%). 
[1, 6, 10, 12,
13]. 
, 
(. 4), 

. 4. 1994 2004
. * - 1994 (<0,05)

KK (
)



(
)

,
,


,
,

124

#1 (25)2006


(4150 ). , 1994 . 
4150 
(42,9%), 2004 .
65,1% (<0,05).


(. 5).
, 
,
(, , , 
, 
.) 

. , , , 
, 

, 
,  
[5, 6, 10, 22, 36].


, ,

.

215 
1994 , 232
1999 . 258 2004 ., 
(. 6), 
, 
, 

, .
,
, ,
, 
,
, 
.
,
, :
;
;
;

.

: 
, , 

.
:
1. .
2. 
.
3. , 14 
.
4. ( 
) .
5. ,

.
6.

.

. 5. ,

. * - 1999
(<0,05).

. 6.


,
.

,

.

[7, 14, 43, 44, 50], 
,
, , 
, , , 

#1 (25)2006

125


, .

,
[7, 18, 24, 50]. 

(. 2).

,
 ( 
), 

, ,

.


(),
20 
[16].

,

, , , , 
..

, 
.
 
, , 
, 
(). ,
25 3

26,5%.
,
, ,

, 
( , ).




().
,
, 
[33]. 
 
,

. , 
( 
1,
), ,
, 
.

(
,
), 
.  
3050%.
,
 
, ,

( 
).
35 .
, 


. 


.

, 
.

. 
. 

, ,
.

,

[8, 15]. 


.


, ,
, ,
.


:

.

.
: 

.

:
1) ;
2) ( 67);
3) 
;
4) .

,
 
, 3 
10 [6, 7, 10, 27, 29, 37, 49].

,
, 

. 
.


,

, .


126

#1 (25)2006


, 

[10].



, :
1 2 ;
2 ;
3 12 .


: 
; 3 
5

, 
.

.7.

10

1. 1994 (<0,05);

2. 1999 (<0,05)
( , ),
,



,
, 
, :
,

( , 
;
) 
;

;
[17].
, 

;
7 

, (58 
.
) 

,

(41 , . 7).
,
,

(1 )
[1, 11, 12, 30].
 , 
1979 . [3, 13, 30, 47] 
.
. 1990 . 

 J. Ravina 
:



;
: 


;
[3,

47].

.
;
1995 . Lancet J. Ravina . 
( 

, ,


[12, 31, 40].
..), 
1997 .
.
, 

100000 [11, 31, 34, 46].
1986

( ), 
:
1990 . [38, 48]. 


;

;

;
( 6 ) [28, 29,

49].
;

#1 (25)2006

127



;
;
,

.
,

8096% [18].
, , 
5075% [1, 3, 8, 1113, 30, 31, 34, 45, 47, 51].


, :
, 
, [12].

, 
0,51% , 
,
[12, 26, 32, 35, 42, 45, 47]. 
.


, 
57 , 
, , 
[3, 12, 13, 21, 34, 41].

, :
1. ( ,

).
2. 14, 
25 .
3. 5 .
4. 3 .
5. 
.

6. .

() :
1. .
2. .
3. 
.
4. .
5. .
6. 
.
7. .
8. , . . ,
.
[3]
,

. , 

, 
[39, 42, 46].
10 
, 
.


,
[4,
10, 23]. ,
,
76100% [28, 48]. 

.
.. (2004) , 


5 , 
. 


. 8

128

#1 (25)2006



.
, 

,

(, ),
, ,
,


, 

.

(. 8)
(
). , 

, : 
,
. 

, , 
, 

, 

, .
,
, 
, , 
,
, 
. 


,
, 
,
, 
.

1. ..
2002; 8 (2): 1113.
2. .., ..
2002; 1: 5355.
3. .., .. #
2004; 5: 68.
4. .. #
#
. : #; 2004.
5. .., .. #

2005; 3 (23); 104106.
6. .., ..
2003; 4 (78):
3337.
7. .. : #
#
?
2002; 7; 3638.

8. .. #

#
. #
2005; 2; 6472.
9. .., ..,
.., ..,
..
, #
.
2005; 3 (23);
211215.
10. .., .., #
.. .
2002; 4: 2831.
11. .., ..,
.., .. #
2005;
1: 7478.

12. .., .., #


.. #
.
2003; 4: 1217.
13. .., ..
#
#
.
2005; 4: 911.
14. ., ., #
., # . #
#
: .
2004; 4; 3031.
15. ., ., #
., # .
#

.
2004; 1; 3234.
16. .., .., #
..
##
.
2001; 1: 4045.
17. .., . .,
.. ##
, #

#
.
18. ..
2003; 3; 8083.
19. .. #
. 1998; 1
(#); 17.
20. .., .. :
; 2001: 394397.
21. Basile A., Lupattelli T. Radiology
2004; 231 (3); 923.
22. DAngelo A., Amso N.N., Wood A.
Eur. J. Obstet. Gynecol. Reprod. Biol.
2003; 110 (2): 245246.
23. Davies A., OConnor H., Magon A.L.
Br. J. Obstet. Gynaecol. 1996; 103:
915920.
24. Fedel L., Bianchi S., et al. Fertil.
Steril. 2004; 82 (2): 450453.
25. Ford S.M., Johnston C.J., et al.
Cardivascular
nad
International
Radiological Society of Europe,
September 20#24. Antalya; 2003: 157.
26. Gabriel H., et al. AJR Am. J.
Roentgenol. 2004; 183 (3); 733736.
27. Garry R. Which hysterectomy? A
detailed comparison of laparoscopic,
vaginal and abdominal hysterectomy.
Menorrhagia. Shett S., Sutton C.
(Eds.). Isis Medical Media Ltd.; 1999:
239252.
28. Goldberg J., Pereira L., Berghella
V., et al. Am. J. Obstet. Gynecol. 2004;
191 (1); 1821.
29. Goldfarb H.A. In.: Tolandi T. (Eds.)
Infertil R141.

30. Hascalik S., Celik O., Sarac K.,


Hascalik M. Acta Obstet. Gynecol.
Scand. 2004; 83 (7): 682685.
31. Helmberger T.K., Jakobs T.F.,
Reiser M.F. Abdom Imaging. 2004; 29
(2); 267277.
32. Hovsepian D.M., Siskin G.P., Bonn
J., et al. J. Vasc. Interv. Radiol. 2004;
15 (6); 535541.
33. Isaacs J.D. Gonadotropin#releasing
hormone analogs. Clinical reproductive
medicine. Cowan B.D., Seifer D.B.
(Eds.).
Philadelphia#New
York:
Lippincott#Raven Publishers; 1997;
225229.
34. Khaund A., Moss J.G., McMillan N.,
et al. BJOG 2004; 111 (7); 700705.
35. McLucas B., Adler L. J. Vasc. Interv.
Radiol. 2004; 15 (7); 773774.
36. Nabeshima H., Murakami T., Sato
Y., et al. Tohoku J. Exp. Med. 2003; 200
(3); 145149.
37. Olsson J.H., Ellstrom M., Hahlin
M.A. Br. J. Obstet. Gynaecol. 1996;
103; 345350.
38. Phillips D.R. Fibroids and menor#
rhagia: the role of myolysis.
Menorrhagia. Shett S., Sutton C.
(Eds.). Isis Medical Media Ltd.; 1999:
165174.
39. Pron G., et al. J. Vasc. Interv.
Radiol. 2003; 14 (10): 12431250.
40. Ravina J.H., Bouret J.M., Ciraru#
Vigneron N., et al. Press Med. 1998; 27
(7): 299.
41. Saito S., et al. Masui 2004; 53 (4):
391395.
42. Sandhu A.K., Hassan W.Y. Saudi
Med. J. 2004; 25 (5); 669670.
43. Sheth S., Sutton Sh. Menorrhagia.
Isis Medical Media; 1999.
44. Shozu M., Murakami K., Segawa T.,
et al. Cancer Res. 2004; 64 (13):
46774684.
45. Smith W.J., Upton E., et al. Am. J.
Obstet. Gynecol. 2004; 190 (6):
16971703.
46. Spies J.B. J. Vasc. Interv. Radiol.
2003; 149 (10): 12191222.
47. Spies J.B., Cooper J.M.,
Worthington#kirsch R., et al. Am. J.
Obstet. Gynecol. 2004; 191 (1):
2231.
48. Sutton C.J.G. Menorrhagia. Shett
S., Sutton C. (Eds.). Isis Medical Media
Ltd.; 1999: 253264.
49. Vilos G.A., Daly L.J., Tse B.M. J.
Am. Assoc. Gynecol. Laparosc. 1998; 5:
289292.
50. Wildemeersch D., Schacht E. Eur. J.
Contraception report Health Care 2001;
6: 93101.
51. Zhu X.Q., Shi Y.F., Zhou C.Y.
Zhonghua Zhong Liu Za Zhi. 2004; 26
(3): 168172.

#1 (25)2006

129