Puc. 8. Xeneaucro-xrcroaHell nonWn shyowerpIe. FpononHoe
TB-cxanuponane: 1 ~ wana, 2 pacumpernan nonocrs, 3—noman,
Pue. 9. Xenesiero-¢spoanui nomun nnowerpee. Moanomnoe
TB-cxarmponaie: | ~warke, 2~ ron.
ue. 10. fla Spanx nontna axnoMorpem. Nonepedwioe TA-oxa
mporavne: 1 wowe6os nysupe, 2~ Marka, 8 ~ nonin.
lonepeunbix cKaHOrpaMMax sBAKETCR bopMa OGPA-
308aHMA,, TeM BbiLLIe BeposTHOcT NosMna. OsalisHast
(opma nonunos Ha nonepesiibix ckaHorpammax oGy~
GnagnnBaeTCA BICOKMM TOHYCOM MbiLILS! MATKM 14
ca@annparem nx 8 nepenne-saavieM nanpasnennn,
>Kenescr0-KiCTOsHEe Noni Ha CkaHOrpaNMaK
onpenenrioroa kax cpenvedi unui nosbiWieKHO!t SxoreH-
HoctH o6pasoaaitin, auiameTp KOTOpEIX penKO NpeBEi-
waer 1,5 om (puc. 8). BryTperisisi 4x cTpykTypa OnHO-
PonHas i 8 aHavWtTensHoM sutcne cnyvaee npencTaane:
Ha MHOXECTAOM TONNE AKOXOreHHN BRMONCH
Minorga nosaqv Gonbumx nonunos MoxeT HaGMOAaTb-
Co HeKOTOpHh akyCTUVeCKHit aebsbokr youNENA,
Kenesucto-vG6posrible nonvinbl HepesKO MMeIoT
AosonbHO Gonbulmne pasMepbs, JaNnMAR No ANNE
BCIO NONOCTb MaTKH (puc. 9). B OTAeNbHbIX HAO MONe-
iiax anaMerp Nonvina MOXeT focTHrate 2,5-3,5 cM.
‘OKxoreHHOGTh KeNesHcTO-duGposibix NONMNOB B OC-
HoBHOM nOBLIWeHHaA, crpykTypa B GonbulMHCrEe
enysaee onnoponwian, OpWaKo B oTmEMbNLK CnyARX B
124
Puc. 11. Anovionaroanei nonun sxgouorpes. a ~ npononsuoe TB-
‘cxanuponanine, 6 ~ nonepowioe TB-ckanuosavue: 1 — Moweaot y=
‘wp, 2= war, ronan,
Hux HAGNIOAAIOTEA ENUHMYHBIE WIN MHOKECTBCHHEIC
RONOCTH, AMAMeTP KOTOPLIK MoOxeT AOCTHTATD 0,6 CM.
SBykonpOBOAMMOCTE xKeNesMCTO-UOPOSHEMK NONM-
los OBbIUHAN, B CARH ¢ HEM HenOCpe”ACTBEHINO 3a HU.
Mu He HaGnionaeToA HM axycTa4eckoro adbdexra you-
neHMsl, HM OcNaGNEHHA,
‘@u6posHiie onus uMeIOT araslorUMHO® akyoTH-
eckoe cTpoeHHe, o”HaKO CTpyKTypa Mx Gonee OnHO-
ona (pic. 10). Tak kak ykasaHHiie nonuntt xapaKr
PHAYIOTCH NOBLIMIEHHOA NNOTHOCTHIO, TO MHOTAa NO
340M HK MOXKET OTMEMATEGA HeKOTOPLA AkyCTHNe:
Kui aibebexr ocnaGneHus
Benvuna aneHomaToaHux nonunos pasnKuna,
Vnorna onW GuiBaior oe» GonbulMM, noCTUrAR B
ayamerpe 4 cm. BhytpeHHss Wx CrpykTypa AOBONSHO
OnHOpOAHaR, sxoreHHOCTS cpeaHAR, B napeHxUMe
NOAWNOB MOryT BCTPEHATECA OT;ACNbIe OxOHeraTHB-
Hble OGpasoBannsi anamerpom 0,2-0,5 om (puc. 11)
Hepenko nosanu nonunos MoKeT oTMeYAThCR HeKO-
Topuilt akycrMMeckHi ad CocTasnneT 65,6%
[16]. ExeroaHo @ muape Ha 100000 xeHUINH OT Paka
rena mark ymmpaer 9-10, a8 Haweit Crpanie 7-8 xeH-
tapas (22)
Hau6onee Yactoim KnuHHYecKHM nposBAeHHEM
aka ovifoMerpia stanneTca noABNeHMe aHoMa
Hblx KDOBAHBIX BbIRENeHII M3 NoNOBEIK nyTelt. OAKa
Ko no jlabiibiM BJT, OrpuraKoRof [23] & nepu- nocT-
MeHonayae on BCTpeNAIOTOR TONbKO y 7,8% KEL,
Y nauvienrox ¢ Gecclmnronmein TeHeHHIeM saGonena~
hus 8 nlocTMeHONaysanbHOM nepKone HacToTa paKa
angomerpun coctaenser 3-7 cnyuaes Ha 1000 KeH-
uy [4]
‘warnocruka paka aknomerpia npentcrasnser on
peseneHntie tpyaHocTh. OG sToM canaerenLcreyior
nannbie JIA. Awpadstia [16], Koroptiit ykasbiBaer:
HecMOTps Ha TO, “TO pak SH/OMeTPHA TpeGyET KAK
MoxHo Gores palHero NpoBepeHUR CooTBETCTBYIO-
leit Tepanin, Tem He Melee OT NoBeHMA nepeLx
npwaHlakos 3aGonematins 110 NOCTAHOBKH OKOHYareN~
Horo quarHosa npoxoAMT npUGHUaHTENBHO 6 Mec.
Muorosmicnenmbie vcenenoBaHun, BbinonHeHHise
npenmyulectseHo sapyGextiinn asropamn, cane
TenscTRyIOT, 470 OCHOBHOE BHMMAHMe Np AKarHoC-
uke paka SHAOMETPUA OTBOANTCS ONPeneNeHHIo
‘Tonuwiti M-3x0, [aniible ntTepaTypts, CyMMMpOBAH
ute @ [4], noxazuinaior, “ro ToMluMHa M-3x0 B MeHO-
126
Puc. 17, Pax ayzowespus. Nonepeswoe TB-ckanmponare: 1 ~ ar
a, 2~ pacunpenoan nonoct, 3 onyxon.
nayae, npesuiuiaiouias 0,5 om, paccMarpigaerca Kak
BenyLii sxorpadbivecknit npMsHaK HAHHOlt NaTono-
run. Mbl MpuePANBAeMCA HECKONKO HHO TONKA
pena HW NlonaraeM, 470 M0606, OCOBeHHO NoKaNb-
Hoe, yronuenne M-9x0, cocTasnaioutee 0,3 cm H 6o-
nee, OMKHO PaccMaTpHBATHOR KAK NaTONOrMvECKOe
fBNEHME, HE UCKMIONAIOUIee BOSMOXHOCTE Paka 9H0-
erp.
H.B, Xapyenko [24], nase 3a OCHOBHOM KpHTepHit 6
penponykrTHBHoM 4 nepumeHonaysanbHOM nepHonax
pt oGcnenoBannn, npoBeneHHoM 8 dase panneit
cexpeumn, Tonuny M-ax0 He Gonee 0,6 om, npmusia
K BLIBOAY 0 HMAKOMA MHcOPMATHBHOCTH AAHHOTO YrbT-
paaeykosoro napameTpa 8 AMarHoCTAKe Paka OH20-
MeTpiin. TONOCTE BbinBNeHU paccmaTpHRAeMOl a~
TOROTHH NO @ AANHEIM 8 PeNnPOAYKTHBHOM NepHoAe
cocrasnna 48,3% u 8 nepnmeronaysanbHoM ~ 56,8%.
Tlostomy mut cuuTaeM, “TO Ans yaysuienis sstarHoc-
‘TwKH paka M1 ApyTHX HeonnacTHNecKMX NpO\YeCcos,
“AYE OpMeHTMPOBATEGA HE TONLKO 1a TOMLMHY, HO
Wa crpyktypy SHaoMerpus., KOTOPAR B AKHOH dase
MerICTpyaNbHOro WNknIa, KaK Ke OTMeHaNOCL paltee,
AOMKHa Bbitb OAKOPOAKO! M rMnosxoreHHO!,
Ha ocHore ananuga peaynsratos axorpadbin npa
KapuMHOMe SHAOMETPHA yCTAHOBNEHO, TO TONUMHA
M-9xo np sToii naronormn 8 90% cnyyaes npesbilwua-
na 1 em #8 10% KoneGanace or 0,5 20 1 om [25]
B GonbumnHcTae Ha6mopeHAA sxoreHKocTe onyxonA
Gbina_nnGo nosuuIeHtioA (45%), nuGo cpeaNeit
(45%); norunxentian ee oxoreHHocTe KoHCTaTHMpoBaHa
‘TonbKo b 10%. Hanmane xnAKOCTH B oMOCTH MaTKA
ormeveno y 50% ConbHbix. Hapywienne yenoctHocTA
cyGaxnoMerpnoMAHO' aoXOreHHOM 3oHts (Fano) BbI~
pneHo y 10% NayWeHTOK ¢ onyxoNesOH uHBasHel
manomerpns..
C nauieti ToNKH apeHn, HanGonee XapaKrepHtiMnn
npyahakam paka HAOMeTpUA AANsIOTCA CrenylowNe:
1) neonHopoaHOCTS BHYTPEHHeH CTPyKTyps! OGpasoRA~
nai (pic. 16); 2) HeposHocTs KoHTyPOB (pHC. 17);
_—————<—<— Ynwtpasaykoban AnarHOCTHKa MMNePIMACTHYECKHX 1 ONYKOMEBBIX NPOLECCOB SH/AOMeTpHs um
3) Gonee abic
ued Maren (pu. 18); 4) Gonswne pas
Hi, CocTaBNAIOUINe NONOBHHy nM Gonee TonuyAHEt
mar«n (puc. 19); 5) noBbIMIeHHas sByKONPOBOAKMOCTH;
6) Hanmine >KNAKOCTHUK BKMONEHHMA HenpaBHAbHo‘
Popmbi m pasnn4Hol Bennunnts (pc. 20); 7) aamerHoe
yaennveHne paamepon opasonaHns npM AUNAMUNeC-
Kom HaGniogeHni 8) orcyrcrane YeTkoro H906paKe:
His KOHTYpoB MaTKH BCNeACTBME Nepexona onyKone-
Boro npouecca Ha CMeXHbIe OpraHbl
Buinontenibie HaMM HocneAOBANIHA NoKasanM, 47O
pv NpAMeHeHHH TpaHcsarnHanbHoll axorpacbin wu:
HuManbHas TonuMHa rAnepnnasMpoRaHHorO 3HAO-
MeTpHA, yoTAHOBNeHHOrO NM MCnONsoBAHHN saH
Horo Merona, Goctasina 0,3-0,5 cm, aWamerp noni
na — 0,2-0,4 cM, AMaMeTp paxoBom onyxonn
0,5-0,8 om
B uenoM npasinbHeil Marios naronorun 9110
Merpus Hamu Gbin nocrasneH @ 95,6% Ha6nioneHiii,
Tp 9TOM TONHOCTS BbiNBeHHA ranepnnasin oHAO-
MeTpMA okasanact Pasko 88,2%, nomumnos — 94,4%
W paKa ~ 82.8%,
Npenctasnoniue gaHHLe cenpeTenLcTayior,
70, HECMOTPA Ha BbICOKYIO MHKbopMATHEHOCTD BxO-
Tpabiw, pH ee NPMMeHEHHM BOSMOXHE KAK NOXHO-
NONOXUTENbHbIe, TAK M NOXHOOTPHUATENbHLIe pe-
aynbratel. 3a naTonorio a#n0MeTpHA (NOxXHONONO-
XMTeNbHBIe PeayNbTaTb!) 8 OCHORKOM NpUHAMaIOT
HeGonbwine CyOMYKOSHBIE MHOMbI, BHYTPEHHIA oH
fomeTpmos | craniin pacnpocrpanenna, BHYTDAMa-
TOWHBIE CHHEXHM, XPOHMNECKHAlA SHOMETPIT, HOP-
Manbitii HAOMETPHIA NPM sanepxKe MeHCTpyaUHit
8 KnuMakTepHieckom nepwone, yuacTkH HeoTTOpr-
HyBerOcs SHAOMETPAA NPM AMCOYHKUROHANSHEK
MaTounbix KpOBOTeNeHHAK M MCcNenOBAHMH, NpoBE-
AeHHOM Ha Cone KPOBAHEK BURENeHW 13 NOsOBEIK
nyTel. NpnWHol NoxHOOTPHUATeNbHBKX peaynbTa-
TOB Yale BCTO ABNAIOTOA MHOKECTACHHEE KANLLM
Hutposaliibie m sHavitTenbHbm pasMepos MuoMaToS:
ble Yanbl, 3aTPYAHMOUME BMayaNHaAUMIO NonOCTH
Markit, BHYTPHMATONHEIe KOHTPAYeNTHBH
Otimitt cyGMyKOSHBIe MOMaTOSHBIE yan OT
Nonmnoa MOXHO Ha OCHOBAHVM CneAyIOULNX NpHaHa-
Kos: 1) bopma mMoMbs Ha nponONbHb»x oKaHorpaMMax
OGbisHO Kpyrnan, a npn nionnax ~ oBanbias, 2) npM
MMOMaxX MOXHO HaGhionaTs 4x HenocpemcTaeHHyio
Bs13b C MMOMETPHEM, 8 TO BpeMs KAK NPM nonAnax
Gonbumneree cnyvaeB onpenennerca serkan pail
ua Mexny HMMM M CTeHKaMn nONOCTH MaTKM,
B ornenbitix cny4anx npn o6cnenosalini 8 nepebie
ANN NOcHe OKOHMAHINA MeHCTpyaUHH ranepaxoreHHan
20na, o6ycnoanenta aHAOMeTPMOSOM | cram, MO-
>xeT GhiTb OWMGONHO NPHHsTA 3a runeprinasiio 91/0:
Merpinn. Zia andsbepenuvanbrol quarnocrakn sayx
YkagaHHbix MaTOMOTMMECKHX COCTOSIHAI Ms! PEKOMEH-
AYeM nposectn noBTopHoe ynsTpasByKoaoe Wccne;o:
Banne ® KoHUUe STOO! tbaab! MeHCTPYANLHOTO WMAKrI.
Buingnenne & 9TH AH MeHCTpyabHOrO WAKA rAnep-
Puc. 18. Pax sunowerpe,Flonepestoe TB-ckanvposanve
a, 2 ~ onyx
Puc. 19. Pax sumouerpue. Nonopewoe TB-ckavmpovanne:
Teomplont
Puc. 20.
ruuomerpie.Hlonepesioe TB-cxaHponanie: 1 ~ Mar
a, 2~onysone,
127 mW Knuneckoe pykosoncrso 10 yibTpassyKoBoii AMarHocTHKe
‘9XOFeHHOM 3oHbI 3a npenenamn M-oxo GyneT yKaab-
aT Ha Hanmane 9xAOMeTpUOSA.
Tipw xponnuockom oHsometpire npu o6cnepnoRa-
Hut Bo BTOpOA dbase MeHOTPYANbHOFO UMKNA B IONE
M-9X0 HHOFAA BLIFRTSIOTCR BK/IOYEHHA NOBBILEHHOM
SKOFeHHOOTH, CKOKUE B CBOEM 9XOFPAhHYECKOM 430-
Gpaxenun ¢ nonwnamn oHAOMeTpHIA. OAHaKo 8 OTA
uve OT MONUNOB OHM B OCHOBHOM HMeIOT MeHee NpA-
BUMBIIYO OPMy HW He BLIABNsOTCA NPA NoBTOPHOM
oGcnegoeanin, NPoBeAeHHOM B Nepabie AHH Nocme
oxOHWaHMS MeHCTpyAlInn.
Vinorga np MHOKecTHeHHLX CuHEXUS Ha CKAHO-
rpaMax Moxer HaGmoqatbcs KApTHHa, HanOMUHaIo-
was runepniasiio aHgOMeTpMA, BCReACTEMe NOAB-
eH! B JOH PacnonoxeHus M-3xO MHOXECTREHHDIX
KUCTOSHEX BKMOYEHI. OcHOBHOS OTNMUME [BYX 9THK
Naronorwvecknx OGpasosaHnii CocTOHT B TOM, 4TO
pv runepnnaann axAOMeTpUs OHM HeCONBUIMe = TO
NeuHbIe, B TO BPEMA KAK NPM CHHEXHAK Wx BENMMIMHE
Moxer /OCTHraTb 0,2-0,3 oM B ANaMeTpe.
Kak yxe TOBOpiNock, 8 KIMHUMECKOIt NpAKTHKe
JANA BbIABNEHMS NATOAOTHH BHAOMETPUA HapsIAY C
axorpaduell sale Acero MCTONBSyIT ANarHOCTHMEC
kOe BbICKABNMBAHNe CTeHOK NonocT Marky. OpHakO
Mp OTOM BOSMOXHEI MOXHOOTPHUYATENLHbIe Pe-
aynbrarbl, OANO Ma NpHMKH NOXxHOOTPHUATENbHBIX
peaynbraron MOXeT ABHTCA CkyMOCT> COCKOGA pH
AWarHOCTMECKOM BbIGKAGAMBAHMN CTeHOK nonocTH
Mark nipit HeGonbulNx pasMepax HEonMacTHMHECKOrO
pouecca W Henonananue naTonoruecKnx anemeH-
‘OB & MKPoNpenapar AAI FMcTONOrWueCKOro WCCNe-
nopanua. B noAOGHEIK cny¥asx YenecooGpasHo M60
OcyuecTaMTe AMHAMMNeCKOe HaGNioAeKHe, 160
nponssecrn oSs0pHyI0 rucTepocKonio Ges pacuiM-
peHUA LueliKH MaTKH 8 COMeTAHMH C NpMLeNbHO! 6H0~
Rowell narosiormieckn vaMeHeHHorO yuacTka. MIpu-
MeHenne janoi4 npouepypel 8 oTHx cnywasx CyukeCT=
BeHHNO NOBBIUIAET TONHOGTS Mar HOCTHKH,
NponegeHibie HMM CKPHHMHrOBHIe yibTpAsByKO-
Bue UccnenoBaHuA (akoNO 27 THIc. MecnenoBANIA,
cM, able TaGnnuy) rloKagamM, 470 axorpaciia MOXxET
cnocoBcrRoraTs cyILlecTaehHOMy CHUKeHMIO 3a60/1e~
‘BaeMOCTH PakoM SHAOMeTPHA, a Taloxe Bonee pakHe-
My BbisIBsIEHINO HAHKOM naTonOrMM.
B HacTomulee BpeMs M3BECTHO, 470 B GosbLIMHCT-
be CnyYaeB PAK SHAOMETHA ABsIFETCA BTOPHYHDIM 1
BOsHUKaeT Ha one NpeApakosbix saGonesaniii. TaK,
TM. Cagenbeea u B.H. Cepos [25] HaGmonann ne-
exon MOGpoKaYecTBeHHEX HeonnacTMNecKuX Npo-
ecco 8 pak y 79% GonbHbix, 91.8. Boxman [15] ~ ¥
73% wT.B, Cantona [26] - y 26%. I-M. Casenbesa u
B.H. Cepos [25] x npeapakostia sa6onenanusm oT-
HOCST aTHNMNeCKyO rnepniasiMio, aneHoMaTooHL1e
Nommnia, KeNeaNCTO-KACTOSHY!O rHnepriniasnio B Me-
Honayae (ocoBeKHO peKUnHaMpyIoUly) win pasBuA-
luyioca Ha done HeriposHaoKpHMNEX HapyweHnir.
Apyrme aus naronorma aHsOMerpus NepexoaRT B
pak Kpaiine penko [25].
128
Yanrbiean AOCTATONHO BbiCoKyIO UAcopMarua-
HocTs axorpadin 6 AMarHocTiike naTonorin 3HROMe-
TPMA, ECTECTEEHHO BOSHUKaeT BONDOC 06 ox>ébeKTHB-
HocTH e@ NPAMeHEHMS ANI MpobusAKTHKM aKa yka~
saHHOd noKaNnsayn.
Zina peureniia nocrasnennom sagan mei [7] npo-
atanwauporanu vacToTy paka SHAOMeTpHA 3a No-
create 5 ner Ha6monenni y KeHUYMH, y KOTOPLX
npnmeHsnact axorpadus (1-a rpynna), He npuMeHs-
jack MAW C MOMeHTa HCCHeAOBaHKA NpoUIO Gonee
2ner (2-9 rpynna). B pesynstare npoBenehHoro aa
uga ycTaHoBneHo, 470 pak Tena MaTkN BO 2-H rpynine
auinENeH y 16 GonbHbIX (MHTeHCMBHEI noKasaTeNb —
56,6). B rpynne KeHUIMH, NPOWOAWHX ynETPAaByKO-
Boe WecneAoBaHne (1-H rpynna), pak oHAoMerpHA
koHoTaTaponally 4 (MHTeHCHBHbIA NoKasaTen ~ 9,4)
Crenosarensio, o1H AaHHele CBMAETeNbETBYIOT, 1TO
Ipnmenenne axorpacbni m cBoespeMeHHoe BbinENC~
hve 4 yaaneHne noGpoKavecrseHHoro Heormiacta4e-
oKoro npouscca NoasonMAO CHNaHTE YacTOTy BOSHHNK-
HoBeHHs paka sHpoMeTpmA B 6,2 pasa,
Hapany © THM OTMeveHO, 4TO WcnonbsoBaHKe
‘axorpacan cnocoBeraosano Takxe Gonee pannicit
nmarwoctuKe paka a#0MeTpuA. TaK, Ao NpAMeHeHMA
‘9xorpacan pax | cranun Guin yoraHoBnen y 50%
Gonbitnx, I craqun — y 32%, Ill cranun —y 4% wIV cra~
uu - y 8%. B nocnepHne 5 net npameHeHiia axorpa~
chun 9TH nokazaTenn COcraBusM CooTBETCTBEHHO 75,
20, 5 0%. CneqoBarenbHo, s7u jaMnbie caMjeTent-
Crayior, 470 CHcTeMaTHMeCKoe UcNONLsOBAHHe 9x0-
Fpadun cnocoGcrsoBano noBbIWIeHMIO YacTOTS
BcrpetiaemocTu paka | cranui Ha 50% u yMeHbUseHiN0
saGoneeaemocrn paxom lil-IV cranvii e 1,5 pasa.
Hecomionitilt npaxruyeckuit ‘aHTepec npesicras~
FRET BLIICHEHNO NUM CHIKEHMA HacTOTb! Paka H-
‘oMeTpi nip ucnomBaoBAHiI axorpacbun. VissecTHO,
‘UTO ua BCex MOHPoKANECTBEHHEX HEOTMACTUYECKHX OO
PagoBannis HaNGonbUWeR NoTeHUANLHO!A CrocobHOS-
‘ThIO K SNlOKAYeCTEeHHOMY NepepoxneHHio oBnayaior
aTunMyeckaa runepriaavsi v aneHoMmarosHeie NOs
bl. OAHAKO, Kak BYANO M3 TAGAUYBL, OHH BCTPeNAIOTCA
ApvGnnaurenbHo & 3 pasa pexe, vem pak Tena MaTKI,,
WW NlogToMy He MoryT HMer pewaioulero sHayeHHA B
BOSHMKHOBOHHAN AAHHOH NaTonorMM. flpyrol4, no Bcelt
BepOATHOCTH BEAYLLEM NPUYMHOA CHMOKEHMA YacTOTEL
OHKOMIOTHNECKOA BaONeRAeMOCTH sIBUIOCS CBOeEDE~
MeHHOe BuiRBNIEHME M4 yAANeHWe xeneaMCTO-KACTOS-
Holi ranepnnasin, Koropaa xors m pexe nopBepraerca
NOKAYECTREHHOMY fepepOx~AEHING, YeM aTUMNMeCKAN
Funepnnaaus W agleHoMaroaHile Nonunb, HO BOTPeHa-
eros sHaswTenbHo Yauye.
Onpenenesnbid npaxrayecknit wHrepec npeacras-
aioT AAHHbIe SxOrpadMit y Tex 4 KEHULINN, Y KOTOPHIX
npoBonwnach sxorpadua, a satem Guin ycraHoBnen
anoKavecTRenHbid npouecc. Cnenyer ormerMt, TO
ha y OBHOH Ha Hux NPM 9xXOFpaduu,, NPOBEAEHHOM 0
BOSHMKHOBEHUA Paka OHOMETPHA, HE OTMeNANOCL
OTKNOHeHMH CO Cropont! M-3xo. OOpaujaer Ha cebA YauTpasByKoBaA BnarNOCTAKA FANEPIMIAGIAYECKHX 1 ONYXONERHIX NPOMECCOR BKAOMETPHA
BisMMaIHe, 410 BO BoEX STAK HABMOREHHMAXOT HOCHER:
Hero yaurpassykoBOrO UeeMenOBAHN pO MOMENTA
BLIRBNEHKS paKa MpoUIO OT T roma B Mec AO 2 se.
Orpnuisrensinnie peaynsrarel y o1x Gombuutk, 10
Maeno BH. Zlemanona nC. Kpacnxoaoi [7], mo-
{yt Gast OSycnoenensl TpeNs OCHOBHEIMH MpHsIMHa-
Mi: NOsBMeHMEM NaTONOrIK SknOMeTPHA roc;e
AposeneHun oxorPAduH; HEAOCTATONHO AbICOKOM
Paspowarouye cnoco6HOcrHIO ConpeMeHHOF! yrsT~
PasByKOHOA annaparypel W HeBOaMONHOCTHHO RI
ONT HEBONGUIHE, a TAKKE Mano OTAMNAIOUIMOCA OF
mnomerpna oGvemite OGPasosaHns; BOSHIKHOS
HweM gnokayecrBeHHora NpoyEcca Ha oHe HOp-
MansHoro unit arpodysockoro aKgoMerpha. No
‘cneqnce, no MEH 1.B. Boxsara [15], wa6monaer-
cay Kax:IO7 HeTHEpTOH BonsHOr
Baxhoe npaKtitieckoe aitasonve Meer peUIcHHE
Sonpoca 0 TOM, 4epes KAKNe BPEMEHHUE MHTEepBANE
HeoGxoMMO NpOBOAVTS ynbrpassyKoROE uCCHEAO-
Bane, 4TO5u! NO MuHinMyMa CHuOHTE HeBnaronpHAT-
ule HoxoABI Nw paccmarpHeaeMok narosoran. Ho-
cnenosanus, npopemeHHie B.H. flemnaonum 4
C.N. Kpacviosoii {7}, aaior oooBaHMe Nonarare, 470
(#0 ONxHO NpoBOANITECS He pexe | pasa 1,5 roma.
310, 6 OHO CTOpoHb, NOsBONMT CBOeE=pEMeHHO BI-
seuTe noSpoKavecTseibie HOBOOSpasoAAHR 4 AacT
BOSMOKHOCTE MaEEKATD Wx BnOKAYECTEEHHON TPAHC~
sbopmaunn, ac ApyFOrl ~ suarHoCTApoBATe pax 340
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Hita He na hone npenpaKortix saGonemanni
B Hacrosujee npems OcHORHDIM MeToOM ypane~
ua naronormveckinx o6pasoBanii onoMeTpIA ABE
@TCR BbIcKADNABANWNE CreHOK NONOCTH AeaTKH. Mpa
‘TOM, Kak ykastieaior IM. Canenbeea 1 BT. BpayceHko,
[27], naxe spaan AocTar04N0 BLICoKO KBamUKpwKa~
uw yaacton poGiTecs nonHOro ynaneHINA SkAORMET HR
TONDKO y 35% SonuHtX. Bones Hanexiii MeTORON
signslevcn xupypraveckan racrepockoniis, QnvaKo,
aK NOKAgWIBAIOT HaWLIA CCHENOBAHAR, NPA MENON
B0BaKKH 9TOFO MeTONA OGvEMHBIE OBpasosaltia
okaaiiBawron HeyAaNeHHLMM NpKHEAMaMTENLHO y
10% Gonsix. B ocHosHoM 910 HaGmoAaeTes npn
Gonbwix nonwnax, KorRa oAHa us _noBepxHocTelh
Nonuna OWMBONKO NpuiiMaeTeR 3a CTeHKy NONOCTA
MaTkH, MAH pH MHOMAX, 3aTPyAHMOUWX NpoBene-
Hine wccnenosanin. Nootomy np NonOxWTENDHEX,
AaWMEX SxOTPAdAN M OTPAYATENLHBX PeaymbraTax
AnarHocTMMecKoro BeIcKAGnMBAHKS, rHcTepocKoNM-
YecKOro WAM MoponOrWNeCKOrO HccneAOBAKUA
cneayer nponssoauTe nosTopHoe ynbTpaseykoBoe
o6cnenonanne,
B saknovenne cnenyer ewe pas nonNepKHyTy, SO
oxorpadua npencTaBnser YeHHIA weTOR, MonONesO-
BaHHe KOTOPOTO NosBONRET NONysiTs BAKHYIO HH
cbopmauinio NpH HeoNnacTHMeCKNK SaGoneBAHHAK BH
Aomenpus
129 10
"
12.
130
Kusweiockoe pyKowone
0
Kosok auarnocrn
Jintepatypa
Tye AJA, Snavenme axorpagan a usenet narono-
rn oi¥OMerpHHE: ABTOpEM>. AMC. .. KAMUL, MER, HaYK.
M., 1988, 19.6
Crpykos A.B., Sleantae C.F. Menonsouanne npanesa
FrianbHOd axorpAcuA Js HAGMOAEHK sa pyMONAN
KOT WaMOHOHMS SHAOMETPIE Y 3AOPORHIX KENT HA
pporaxeri Menerpyanchore yRKa // Yaurpaseye.
‘var, axyus, eat negwar. 1992. Ne 1, C. 23-25.
Fempen A, Normal sonographic features of the ute-
rus // Ultrasound and the utorus / Ed. by R. Qsmer,
A. Kulak, N.Y The Parthenon Publishing Group, 1995.
Pit
Menaeaes M.B., Xoxonuti BI. Yaurpaseykosan qua-
THOCTHKa paka axAoMeTpAR # MeHOrayse (0630p MA
‘oparypn!) // Ynwypasnye. warn. 1995. Ne 3.
C. 14-20,
Demon B.H., lonsxona P.B, Yasrpasayronan xapax-
‘repuctuxa sajoMerpus 6 weHORayse // YNsTpABByK.
yarn, 1996, Nes. C. 46,
GoGo MO, Pont ynurpassyxosoh romorpadinn a
fausinnetins naTonOrMMeCKHX NOUECCOR BHAOMETpHA Y
alWeNToK MoHONaysanLKoro nepmona: AsToped)
Awe. .. Kany. Mea, HayK. M., 1995. 19 6.
Hemnpor 8.H., Kpacixosa CM. Pak awomerpan ~
pooMoxHe NYTH ero NpOdMAAKTAKK // YauTpasByKO>
Boe HccnenoBaine, KnanaecKne neKLuAK NO ysIbTPA-
‘shyKoanh AuariocTaKe B akywepcTee, cHHeKoNoran H
nepunaronoria, M., 1994, C. 66-78.
JleGenes B.A, CoBpemennixe weronbt nMarwoCTAKK
onunoa sHnoMeTpUs // AeyuL H cuH. 1985. No 6
©. 65-67,
Gruboeck K., Jurkovic D., Nawlon F et al. Endometrial
thickness and volume in patients with postmenopausal
bleeding // , Ultrasound Obst. Gynecol. 1994. V. 4,
Suppl. 1.P. 157.
Karlsson B,, Norstrom A., Granberg S., Wikiand M.
The use of endovaginal ultrasound to diagnose
invasion of endometrial carcinoma // J. Ultrasound
Obst. Gynecol. 1992. V. 2. Ne 1. P. 35-39.
Rudelstorfer R., Nanz S., Bernaschek G. Vaginal
sonography and its diagnostic value in patients with
postmenopausal bleeding // Arch. Gynecol, Obstet
1990. V. 248. P. 37-44,
Crpxaxos AH., Hapsiqos A.M. Knasnnseckan Tpavio-
arviansias axorpadbus. M., 1994
19,
14,
19,
21
22,
23.
2a,
25
26.
27.
Degenhardt F, Bohmer S. Early detection of
‘endometrium cancer by vaginol ultrasound /f J. Ulta:
sound Obstet, Gynecol, 1995.V.5. Suppl. 1.2 31
Schwogat P, Kircher H., Mull-Holzner E. Sonographic
lassitication of postmenapausal endomettium // J. Ut
rasound Obstet. Gynecol. 1991. V. 1, Suppl. 1. P.61
Boxmati $1.8, Jlekuwti no onononaa. Tamxert, 1985,
304 6,
‘Auwpaibsts A, Cranniapraan posits ana xoemnKa pa
ka angomeTpu: JMC... NOK. eA. Haye. M., 1989. 40.6
Typae M.K., Xun 9.K. Sa6ononaemocts pakom vena
aa 8 QcTONCKOK CCP // Mavep. cma. *Kapyanoma
ngomerpua, T6Macu, 1988. C. 14-15,
Mepkonann TIL, Havanngise H.M., Podaxanse 3.0. mp.
OcaBerHooTH pacnpocrpaHeHNA Paka Tena MATRA B
Fpyann 3a 23 (1985-1987) roma // Marep. vein. "Kap
uymowa stinonérpun”. Toxnnon, 1988. C. 13-14.
‘Tromenawana B.7,, Teamuvana FLA., Havanese HM.
Wap. Aywanuka sadonenaewocta paxom sari KaK
RoKASATENb NnAHUPOBAHUS NpombunacravecKora O6-
‘cnenowanus Hacenenns // Marep. cian. "Kapuanora
‘nigomerpns”, Tounucy, 1988. C. 19-20.
Silverberg E., Hubera J. Cancer statistics // J. Clin,
Cancer. 1988, V, 38. Ne 1. P. 5-9,
Yekanoaa M.A., Mupoxosa -7., Wonoxoa B.M., Kap=
hon C.A, BoawoxioctH ynurpagayxouor HarHocTHKA
BratleKonoruu // Ywrpasays. ANarH. axYU. MH, REAM
ar, 1998, Ne 4, C, 107-116.
Mepkenan J1.V., Nepkavann TI, Cocronue 1 nep-
Cchekriets pageuris npoGnenb KapuWHones SHAOMET-
pus // Marep. cunan. "Kapuvmonsa sgomerpi", TOM
‘uc, 1988. C, 3-9,
Orpsraxoea B.A, Anarwocumeckast rakiwKa mpi aHO-
Maik bla TOUX xPOROTENOHUSE. B NEpA- MNOCTAE=
onayse: Antoped). ANG... Kal. Men, HayK. Ma, 1996.
226.
Xapucnro H.B. Boamoxuocta sxorpachii 8 NepaMMHoA
HyTowAOWU AMarHOoTHKAX Paxa suAOMoTpMA: ADTO-
ped. uc... Kal, Mea. HayK. M., 1996, 21 c.
Canansena CM., Cepos BH. Npenpax sizomerpun,
M,, 1980, 168.6.
Caaniioga TB. Pax syqomerpus Havananon cranan //
gy, uray, 1988. Ne S.C. 19.
Canoneena FM., Bpeycenko B.T. Merouya racrepo-
cron, Moroaieckve peromennaunn. M., 1979. 92. Tectosbie Bonpocbi
yMEpEHHE TOM! M-ox0 MATKL CREAYOT OcyLHE-
A. 3 oGnactn awa marie
B. 8 oGsacrn nepemerixa axe
B. a mocre maxomeanssioro suavenns N-oxe
F epio nce
Makcnman.tiie siicnoxiie Svasenlia TonUyAKeA HoH
MeneHHora M-ox0 Mark ropes, MeHeTpyaKHel npH
TpancabAoMMvanbuOM cKaNuposanAM y AAuUEHTOK
Penponykraoro sospacra He npenslaIe:
ATs
B. 10 sam
B. 15am
20mm
D250
3. Sawenns NM-axo Marin 8 HopMe y MaLIMeHTOK B NocT-
MeHonaysansHom nepuone
Ho npeseiuraior:
ALT sit
B.S ons
B.5 wnt
Fix
As ranepnnaaan annomerpun ape ynuxpaseyKono
iccnenoaaiun xapaxrepno:
A. yronuyanne M30
5. Heonnopamas crpysrypa M-ox0
B. osoimmas copa M-ax0
F gepno ace
Yraxnte snddbepenuiariono-snarwoCHUNecKA axo-
Fpacbiveckiia nprsiiaK npM noaMNaK IHKOMETDHA 1
(cymyxoaHOM renOMaTOSHOM YSne:
‘A. pastepls siyrpsmarountix opaaowaNnii
6. hopnsa anyrpamarosiine oGpasonaiah
B. ssammocanss ¢ mHomerpneM
F sepno aco:
Xapaxrepitim axorpagmieciam npvaninKore xpoinne
koro sHnoMerpTa RANRETCR
‘A. pacwinpenne nonocris saTkh
6. runepsxoreniise aknoveHns Ha ore rHnoaxo-
FewHoro comepxnivoro nonocTH Mark
B. HepoBHbif HapyxcHit KOHTYP M-3x0 ¢ riunepaxo-
TenHniais BxNIONEHIUAM NO RepiN>EpH
F. Bepno soe
BL " Kamanueckoe pykoB0Acrao no ynerpassykosoll anarnocTuKe
Iv
YJIbTPASBYKOBOE UCCJIEMOBAHUE
AUYHUKOB
1. YIbTPASBYKOBOE MCCIEAOBAHVE
SAMSHVKOB
1.1, Axaromus smunnKos
Susink npenctaBser NOcKOe OBANbHOe (MHHa-
neBNgHOe) Teno AAMHOA oKOND 35 MM, WHPHHO!
25 mm mToAuMHOH 15 Mm. ZpMHHaA OcL AMUHMKa pac~
nonoxeHia BepTKanbHo. B Hem pasniiaior Ba No-
mWoca: BEPXHUIK, TPyOHIM, HECKONLKO aKpyMeHHEs,
WHinxHI, Conee 3a0cTpeHHbit, CoenMHEHHEI C na-
Tepasibibim YOM MarkH GBASKON lig. ovarium pro-
prium. JlaTepantias noBepxHoct auuHiAKa npANexuT
k GoKoBOA Crenke Tasa. MeawantHan cropona o6pa-
leva B TagoByIo NonocTD, SamHee peGPo CBOGOAHO.
Nepearee pe6po wan Gparkeesnnilt Kpali npescras-
niet COG Bopora (hilus) susHuKa. Ha sHavuTenb-
HOM NpOTseKeHMIM 3a 4acT siM4HiNKa NOKPBITA TPY6OA,
KOTOpas, NOAKUMARIC, CBOUM AUCTANBHEIM OTZENOM
(fimbria ovarica) MHtTMNaHo KoHTaKTHpyeT © BEPXHHM
omocom snsnnka (pic. 1). K Tpy6HOMy nomocy npH-
kpennsercs W lig. suspensorium ovarii ~ cknasika Op10-
nibs, cnycKaiouasica K susHKy CBepxy oF linea ter-
minalis pelvis 1 saxmovaioujan 8 ceGe anunnKossie
cocyabi 1 Hepat
Kaxxaulli ausnnk COCTOUT U3 KOpKOBOFO H MOsrO-
foro BeulecTsa. Kopa noxpsira ogHocnoiinbim on
Tenwem, CoepMHuTenbHOrKaHHas OCHOBA KOPKOBOrO
poujecTea HagbiBaeTcA CTPOMOM. YacTe KOpKOBOrO
Bewectea, HenocpencTseHHo npineraioulan K No-
BepxHOCTHOMy anMTeNMO, HasbIBaeTCR Geno4Hot
o60no4KoH (Genuiit uBeT OGycnoBNeH cnaGol BacKy-
aspusauvell). Mosros0e seujecTB0 HesennKo no
cpasneHiio ¢ KopKosuim. B Hem comepxuTcs He-
Bonbioe KONMNECTBO MaAKOMBILIeYHEX KNETOK,
132
chupanoiile aprepnn w o6wuprioe seHosHoe cnine-
venue
1.2, Yastpassyxopaa avaromua sini-
HKOB
Tipu ynurpassykosor uccnenoBannn opranos ma~
oro Taga sM4HNKN OnpepenHOTEs B HerocpencTBeH
How GnugocrH oT MaTKH B BAe HEOONBWIUX RANDOM
xeHine sissIaeTos| BapNAGENbHbIM,
Tak, Ha 9xorpaMMax HOBOPOXNeHHOH jeBO4KH
SMHIHKH ONPEAEHBIOTEA BLICOKO y CTEHOK MasIorO Ta
3a kak OGpaaoBaHns OBANbHOA opmbl, OAHOPORHO!
CTpyktypbi, cpeaeli sxoreHHocTu, pasmepaMn
15 x3 x 2,5 mm 1 OGeeMom 1 om’ [2]. C soapactom
NPONCXOAHT yBENNNEHNE pasMepos ANNHMKOB M 43-
MeHeHne ux NloKanusayan. OCOGeHHO MHTeHCHBHEA
pocr sunka HaGnionaerca nepen MeHapxe. B 12 neT
SIMMHHKH PACnONaraIOTCA HECKOMBKO BHIWe AHA MaT~
Ku, @ Wx BeNMunHa cocTanaeT 8 cpenHem
24x 18x20 mm. (Duc. 3). C Hasan MeHApxe SMM
kW Qocturaior oGnacTH MaTOUHLIX yrnoB, a wx OGLEM
Cocrassser & cpeakem 2,2-3,5 ow" [3, 4],
Hawuiian ¢ 4 ner 8 auunuKax MoryT Onpenenareca
eANHUMHIe orTMKyN 8 BME OKPyrnbIX axoHera~
1,7 nilaca externa sinsta, 8a. liaca extema insta, 9- pica rectouteina, 10 exca
Puc. 8. Toavca6gommansnoe wccnenosarue suri (1) e90%cH
12ner.
THBHEIK BKMIONEHHi AVAMeTPOM AAO 5 Mia. C 12.seT Bb-
siensioTos (bonnakynsipHbie CrpyKTypEs AMAMeTpOM 10
8-9 mm [3]
Y xeHuIH AeTOPOAHOTO BospACTA HOPMANLHLIC Hit
HiKA Ha SxOrpaMMaK BbiENAIOTEA KaK OOpasoBaHinn
oBanbHOiA cbopmes, HMeIOULWE CDeNHIMi ypOReHE OxOreH-
ocTa, B UeHTpe TkaHs simiHinka aKyCTHMeCKH OfHOPOA-
Ha, a no nepycbepnn npeAcTasneria HecKoNDKHM,
(0Gmi4H0 oF 5 110 10), axoHeraTHBHEMM CTpyKTyDAMM,
KoTopbie npencrasnsioT COBot onmaKynspHe anna-
par — cospesaiouyne (rpaadoti) nv arpeanpyiouyHeca
éonnuxyssi (3). MMeHHo cbonnukynsipHbi annapar s6-
si9@ToA BxOrpaduveckiiM MapKepOM AIMAHIAKA (DUC. 4),
B penpoaykrnsiiom sospacte oxorpadmveckne
PaaMepbi sVHMIKOB COCTABNHOT & GpenHeM 30 MM
8 nun, 25 mm — Buimpuny 15 MM — a TOMUAHY. On-
ako B SaBMCMMOCTH OF basti MeHoTPyANLHOFO YAK-
133 Puc. 4. Donnxynspreit annapar suseanea xeHupss penpagyKrHs-
oro sospacra. Tpancaarieansnoe wecnenoeanwe: 1~ danny
a Wk pasMepsl MOTyF apbApOwAT B GNIEAyUIAK
npenenax: or 25 10.40 mea 8 snuny, OF 15 0 30 mea
‘8 wnpunty # oT 10 90 20 mM B TonUMAHy. ApredaKT
acbibexTaBlol oTpaxarenbioi nowepxHocTH [5] He-
SHAWATeNLHO YMeHBWACT PAIMepbI AIMUHMKOB, a KOP-
PenALWONHEI KOIdNUMeNT MexAY Hx HoTHMHHAMAA
1 oxorpacbavecKnmn pasmepamn pase 0,97 [6]
Ha nonepesHtix oxorpamMax sisHMKKM COCTaBNaIOT
1/3-1/4 nonepesnnKa Markn. [pn atom pasmepbi
Apasoro 4 NeBOrO SMYHMKOB CyUleCTBeHHO Apyr OT
Apyra we ornMuanorca,
HanGonbuie pasmepei ¥, cooTBeTcTBeHHO, o6veM
AMHNKOR HaGMONAWTER y KEMAH B BOspacTHOH
rpynne oT 30 flo 49 ner. B HopMe ObeM sin4HinKa He
Apeatiuiaer 8 ov!, npHieM B onanKynapHo’ dase
OW coctapaner 4-6 cr” [7], nlocne oBynsiumn 8 cpen-
Hom 3 om? [ 6, 8]
‘Sxorpadus Maer YHHKANLHYIO BOSMOXHOCTE NpO-
nent» ga branonorH¥eckHMn WaMeHeNAsMN, NpO~
TeKAIOUIMMI B SIHYHMKAX BO BPEMS MeHCTPyaNIbHOrO,
unkna, a wneHttio, 3a Cospenannem donnnkyna, oBy-
siauuneli, BO3HAKHOREHMEM, PassnTHeM M perpeccom,
xenroro Tena,
B paneh @onnukynspHon dase or 10 0 20 npw-
opamanbibix (OMNKysOs HasMHaNoT CBoe paaBATHNe
[9]. OcHosHas wx wacca eckope, eure 8 crapiin npe-
altrpansHoro passviran, npeTepnesaer arpeTHyeckHe
wameneHins
Tlockombxy OoWWT 4 KAIeTONHDIe CNOW, OKPYKAIO-
we ero, He MOryT Bhitl MAeHTHe>HUMPOBAHE! M3-3a
BeCbMa Manbix paaMepos, TO 9xOrAdM4ECKOe BbIAE~
ene cbonnikyna BOSMOXHO AML Np NosBNeHA
HOM nionocta, Te. Ha cTagHn pasBuTH rpaacova
nysvipbka. MH TpakcearnianbHom McoNeAOBAKnn
TaKMe CTPYKTYpbl MOXHO BLIGHT C TOrO MOMeHTa,
Korma OHM AocTHraioT 2-3 MM 8 AMaMeTpe,
pw Tpavica6pomnvanssiom ~ 4-5 wn.
Craain rpaacbosa nyabipbka 8 yonoanax HopMan-
Horo MeHCTPyaNbHOro WiAkNia 3.OPOBON KEHLIAHEL Pe~
134
Puc. 8. flowniasast eannuayn expan) Ha 10 te menerpyian
Horo yokra. Tpancadgomunansoa uccnenonaNve
AponyKTUBHOrO BospacTa AOCTHTa”OT 8 opeAKEM 5
cbonnikynos 3 10-20 paseeaiouynxca [10]. HaGnio-
AeHWe 3a HMMA MOXxHO HawHaTs ¢ 5 AHH UNKNA,
Ho Tonbxo 6 nepnoht ¢ 8 no 12 neH» yaaeTcs OKOHYa-
TeNbHO MAeHTAK>HUMPOBATE HOMUHAHTHEI donni-
kya, KoTOpwili npesbiuiaeT 8 aTO speMA 15 mM B AMa-
merpe (pic. 5), nockonbky 8 aGcomoTHoM GonbiMH-
cae cnyvaes (8 93% no anim Hilgers [11]) npn He-
CTamynuposantix ynKnax TOMKO op donnnKyn
APOXOANT NoMHbi UWKKN PASBMTHA OT NpMMOpAMAN.-
Horo 40 NpeoAynsTOpHoro, oBynMpyeT 4 Npespaula-
ec B xenToe Tem0. PassitTHe OCTANbHEIK onmMKy-
nop ocTatlasnnBaeTcs, MoH, AOCTHTHY®, Kak NABH
no He Gonee 10 MM 8 AMaMeTpe, nonBepraiorcs aTpe-
THyeckm uamenenvam [7]. Cnenyer oTMETHTS, TO
MponoMKMTeNbHOCTS aTpeaMn (OT MOMeHTA NPeKpA-
lujenina pocra 0 nonHoro voHesHoBeHinA dbonnnkyna)
HevaBectia, [ostomy B TeNeHe morenHoBOi cbaabi
Wake 8 CheAyIOWYeM MeHCTpYANLHOM WiKEIE B SIA
HuKe NIPHCyTCTBYET HECKOMBKO aTPEaMPyIOULMXCA
Ponnnkynoe H axOrpAdM4eCkn OTAMYMITE Wx OT paseH-
BAIUINXCS HE NPeNCTABNIeTER BOSMOKHEIM. B CBRN
C.STMM HeT EAMHOTO MHEHMS O TON, KAK HaSbIBaTb CO-
BOKYAHOGTD BLIRBAAEMBIK pM ynbTPAsByKOBOM MC:
CEROBAHIIN SMYHAKOS MENKIMK oXOHErATHBHBX BKIO-
Yeni Kak 8 NepEOA, Tak M BO BTOPOA ase UnKna
Dodson [3] npeanoxnn tepmnn “immature follicle”
No Hawemy mHeniio, HanGonee TouHbiM onpenene-
vient ocraeTes “qbonnukynapHuii annapar”
Dommianribi onnkyn nporomxaer yeenwun-
BaTbOn 8 CpenHeN Ha 2-3 mM 8 fleHb MK MoMeHTY OBY-
sym ero AMaMeTp AOCTHTaeT 18-24 MM, COCTABNEA
Bopemyem 20 mm [12, 13].
Makcumanbrbili pasmep aommnantioro dbonnaKy-
ra sBASETCR OAKHM, HO He eAMHCTBeHHEIM U3 NPOFHO-
crmveckux npnaHaKos OpynauMs. TpaxrH¥ecKn BCE
nccnenosarenn (9, 11, 13, 14-16] onnceisaiot nosB-
eHve 3a 24-36 4 0 OBYNSUMM BHYTPM NOMMHAHTHO-
ro connnkyna npucTeHosHO pacnonoKeHHOrO, rM- ro
YabrpasbykoB0e iccNenoBaHKe sW44HUKOB
Ir
Puc. 6. fIpesoeynaropiuat ponnyn 6 nityonocrians ByropKont.
Tpancaarisansuoe uccnogonano: 1 rangers bonnuxy, 2 ~ a
Louocrui 6yropon.
nepaxorenworo nonyrecsuia paaMeparan 5,1~5,7 wna
Onucanioe oGpasoBanne BbinsnneTcn 8 40-80%
(14, 15] npeoaynaropnnx onnnkynos, Benita Ko-
Topbix npesbiuaer 17-18 we, w uATepnpeTapyeTCs
kak siiueHocHbilt 6yropok. (puc. 6). Ho TaKaA WHTep-
Nperauna nonsepraetea comHenio, B vacTHocTH,
Zandt-Stastny w coasr. [17] cHuralor, 470 AliueHoC-
Hutli Byropox, ume pasmeps! or 100 0 150 MKM,
He moxer GtiTb BtiRBeH oxorpadMHecKh:
3a HECKONEKO 4acoB NO OBYNAIIK MOKET OTME-
‘araca nosanenne y cbonnikyna «s1B0RHOTO KOHTYpa»
Onwaxo Dodson [3] HaGnionan “asoiiHol KoHTyp”
cbonnaxyna n 3a HeCKonEKo JEN 40 OBYASLWAN
Euye onhina npraHaKom npubmmKaiowserics oBysis-
Uk MOXHO CunTats BbineneHHe
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