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Прогнозирование и профилактика осложнений в отдаленном послеоперационном периоде у больных с признаками дисплазии соединительной ткани

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ua
XII o6,racruoft
(r.Tnepr
BbrcraBKe "Zso6perareJrb-paur{oHilJrrr3arop-20I5"
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IV MeN4yuapoAnoil Hayr{Ho-rpaKTl,IqecKoft
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Bonpocbr z [epcneKTr4Bbr pa3Br4Tr4.s MeAr4ur.rHbrrr (r. Oucr<, IL05.2017)
na
XX MocKoscxoM Me)KAyHapoAHoM Calose zso6pereuuit vt r{HHoBaurzoH-
HrIX
ua
rexnororzfi "Apxutreg-201J" (r.Mocxna, l6
XVII
9.05.2017);
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uvfil <Conpeveuuar
27
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MeAr4r{r.rHa: aKTyanbHbre
Bonpocbr) (r.Honocu6upcrc,
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Ha Mex4yuapo4uofi uayuHofi r<ou Sepeu
uuu
<<LluuoBar-{noHH bre MeAr4 uHH c Kr4e
rexHo,rorr4u>, (r.Mocxea 30.05
ua MeN4yHapoAHoM
(r. Mocrcna, flepaufi
ua
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Pesynomambr nccned
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14
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HMeHHo lraxoBofi
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cycraBa; 15,3o [aur4eHTor o6palla,rucb rro rroBoAy paueHlrft MsrKrrx rxaHefi r{ opraHoB,
a I 1,03 - no rroBoAy oxoroB.
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(p<0,001).
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BbrpaxeHHHx 6o,reelrx oqyrqeunfi
41,730 raqr{eHroB r{3 KoHrpo,uuofi rpynrrbr 6uro xapaKrepHo or-
cyrcrBr4e 6oresux oruyqeHkrit (p<0,001).
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naur{eHToB
c lucn,'razueit
coel},rHl,I-
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c Ar4cnJra3uefi coeruHr{TerrbHoft
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14
CHr4xeHue KaqecrBa )KA3HI4
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pa3a qaue Bcrpeqar'rocb B ocHoeHofi rpynne (p<0,001).
s
9,79
B ocnonuofi fpynne s
7,59
pa31, yBenuqunaOb AOJIT J'II'I[' )KaJIOBaBIIII4XCfl Ha yMepeHHOe HapymeHl4e TpyAoBbIX
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TKaHI4
(p<0,05). flaqueuru c Ar4cura3uei4 aoeg1rrgure.uruofi
s 5,87 pa3a qarue orMeq;url y
ce6n BbrpaxeHHoe Hapymeuue 6sruoBbrx
quil (p<0,05). CneAyer orMerrrb, qro B ocHoBHofi rpynne e 1,85 pa3a qaue,
$ysxrreM
B
KoHTpoJIbHofr, ec:rpeqalTocb HapyureHr4e coquaJrbHoil
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Hapy[teHnt{ c0tlua,irbnofi aAanfa:urrl y
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MoJ'IoIbIX naIII4eHToB c Al4cnna3neil coeAunnre,rr,Hoil TKaHI4 yKa3bIBaJII4 Ha coxpaHq-
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6olenrrx ouyrqeHufi, vro n 33,28 paza
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rperr4 xr.{pyprzqecK}.rx 6o,rruux.
uMeB[II4x npI{3HaKI4 Al4crlJra3r4u coe[vrHr4relluofi TKaHr{, 6u,ra orMeqeHa arvrtrurrHafl
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6o;ru He [pereprelo 3Haql{TeJrbHbrx r{3MeHeHr4il no cpanHeHr4to c AaHHbrMr4 rrrrr4JrerHefo KaraMHe3a. Arvur.rqnafr vppa!.nauu.s 6o,ru s 7,59 pa3a r{aqe Bcrpeqanacb B ocHosHoff fpynne, qeM B KoHTpoJrbHoft (p<0,001). B ocHoeHofi
rpyilile
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peHHoe yxyAUreHI,Ie caMoqyBcrBr{r Bcrpeqa,Tocs s 6,99 pa3a qalrle, a BbrpaxeHHoe
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nurelluofi
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uz, 6u,1o xapaKTepHo yBenuqeHl4e
B
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ce6n
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ce6q HesHaqurerlbHoe Hapyuesne dnrontrx Synxrlrafi (p<0,001).
rIaIII4eHToB c At'IcnJla3uefi
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TKaHH orMer{aJ'rr4
lee rperu
y ce6r HapyueHr4e coqn-
To BpeMt KaK B KoHTponrHofi rpynrre raKr{x 6o,rr,ssrx 6rrro s
2,06 paza MeHbrre (p<0.001). RupaNeHFroe HapyrueHr4e collr4aJrbutrx Synrcuufi s ocHoeHo[ rpyrrrre BcrpeiJarocr s 12,73 pasa qaute, qeM B KoHrponbHoft (p<0,001). CreAoBareJIbHo, BbItBJIeHI4e
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paJIbHbIX rIpI43HaKoB AI4crIJIa3r,rkr coe1nHr4re"rtt,nofi TKaHU cBr4AereJI[,crByer o BblcoKoM
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s orAaJa nor [ocJreonepaul4oHHoM [epr4oAe.
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21.03.2018. TexnuqecKprM pe3ynbrarona cnoco6a flBilflerefl
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sesufi B orAareHHoM nocreonepaur4oHHoM rrepr{oAe. Oura nogpo6uo r43Jro}r{eHbr
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HO3OIOII4IICCKI4 M ENI4HI4UAM.
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:a6o,renaunr" BblpaxeHI{bIe 6o,reelre ouryuIeHr4r,
uru
HapylxeHt{e
BbInaAeHI'Ie
KocMert4q
ecxvtit geSexr,
SyunUuz, cHr,rxeHr4e KaqecrBa }Ku3Hu nauaeura) s
2,37 pasa qaule Bcrperlaercny \a\LteHToB c Ar4cnJra3ueil coeAunulersnofi
TKaHr4
(p<0,001). Ha,ruurre BbrpaxeHHbrx 6oreelrx oqyrqeurafi, n or4aleHHoM rrocreonepaql4oHHoM nepuoAe, 6rr,ro BbpBJreHo
Al4clna3l4efi coeAusure"rmsofi rKaHr4
noKarll43auvfl rrItr4 r4ppaP4auus,6onu
y
6ruo
48,59Yo xupyprr4rrecKr4x
6olrsrrx
c
xapaKTepHo (p<0,001). Arznuuua.r
n 1,8 pasa qaqe Barpeqaracb y npoonepv-
poBaHHbIX naUI4eHroB c Al{cnnaswefa coeguHr4Te,usofi rKaHr{ (p<0,001),
Hepe:5
n r{epe3 l0 ner nocJ'Ie onepaur4r,r naqneHTbr c Ar4cnna3ueil coenuuure,rluofi trcaHI4 AocroBepHo qaHe I4elrL,I'fbrna,rz npo6JreMbr c coqua,Tu galqueiz. rpyaoycrpofi crBoM r{ BbrrrorrHeHr4eM
2.
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VcraHoereHo, tITo AJIfl xl4pyprr4qecKr4x 6o,rusrrx c
ocJIo)KHeHui.t
BbrcoKr,rM
v otgaJIeHHoM nooJleonepaquoHHoM nepuoAe
pucKoM pa3lurLrfl
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Bblpa)(eHHrtx 6o,reeblx oqyqeHrafi (r:0,20 ycn.e4.), arr4rrr4qHoir uppagva\uv
J'IoKar'ILr3auLrq
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bo,resofi cr4HApoM (r:-0,27 yc,r.eg.)
14
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CKI4X NPI43HAKOB U3MEHflCTC.'I B 3ABI4CI4MOCTI4 OT AABHOCTI4 ONEPATI,IBHO|O BMC-
urarei'Ibcrea
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An-s npr43Haron i'nupaxeHHoe HapyrxeHne bHrosux SynKrlufi" (J(xi):7 ,97 ycn.eA.), ,,He3HarilrreJrbHoe HapymeHi{e rpy.4oBbrx Qyuxqafi"
(J(xi):6,5g yc,r.ea.) u He3uaqr4_
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20
nOCJTe
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Ha BbrAar{y rrareHra P@ ua zso6pereHne
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Bpauau xupyprr4rrecKoro npo$nnn peKoMeHAoBarb
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npoSa,raxrr4Kr4 ocJrorxseHr.rft B orraJreirHoM rroc,'reonepalll4oHHoM nepl4ore y
6olnHrrx c AI,IcnJ'Ia3ueil coeAugnrelluoil TKaHn", 3aKJ'IroqarcuJuitcs B coqeraHHoM rrpoBeAeHnr4 Sz:zorepaileBTuqegKofo
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para HI,IKOMeA B cpeAHr4x Bo3pacrHbrx Ao3r4poBKax, [pr4 groM AJrr{TelTbHocrb co-
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npeBbllxars 12 mefi, a rroBTopusrfi rcypc rer{eHr,rr rrpoBoAt{Tcr He paHee,
qeM qepe3 3 N4ecqqa c MoMeHTa oKoHqaHr,rr npeAbrAyrllero sosAeficrnua (nareur
ua a:o6pereHue Ns2637401 or 03,08.2016).
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CO
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[Tencr] / Mypra 8.B., I4nauon 0.H., ApuHven P.C.o Pu6anona M.B.o
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Mypra B.B.o Pynrrnqena f.H., Kpecrnaurun 8.M., Paccrcason JI.B., BunorpaAoB A.@.0 llsaHon 0.H.0 Mapacauon H.C., Konqena A.B., Xyrcon C.
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rpyAoB no HrofaM IV rueNlyuapo4Hofi HayqHo-rrpaKlrrqecKofi rcouSepeHrrurr
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HayqHbrx crarefr 34oponne u o6pasonauue n XXI BeKe.2017, T. 19..1\b 10.
c.26-28.
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ApuHveno P.C. BospacrHafl ArrHaMrrKa ArrarHocruqecKofi rleHnocru AaHttltx ooreKTLIBHofo ocMoTpa AJtq orIeHKn prrcKa pa3BrrTrrs oc.noxsenr.rfi
npu reqeHl{Ir xupyprurrecnofr naro.norun y naqr{eHToB c AtrcrrJrasuefi coeAuHureJnHofi TKaHr{ / Mypra B.B.o Apnn.ren P.C., }Kyron C.B. [Tencrl ll
Xypuan Hayqubrx crarefi 3goponre u o6pasonaHrre n XXI BeKe. 2017. T,
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Apuuuen, P.C. KaraMHecrr,rqecxue oco6eHHocrr4 6oreeoro cr.rHApoMa y naqueHTOB C /XI4CrrJ'ra:Ueii COe:U4I{r4TeJ.rbHoil rKaH14, nepeHeoruUX XLrpypfL{qeCKI4e
BMerraleJrbc'rBa fTexcrl / Lftaprcon P.ll., Apuuqen P.C. ll WHnosauuonHufi noreHqr{a,r Teepcxoro perr4oHa. I1o4 peg. E.A.Oupcoeofi, C.B.Xyrcoea - Tnepr:
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!]/l}rilA3]l1lrr COeAr4HrrTe,rrUOfi TKaHU, B 3aBUCr{MOCTr4 OT CpOKa AaBHOCTT{ Onepauuu. [Texcrl ll llpuroNeur4e K xypHiury MexAyHapoAHbrfi xypnan 3Kcnepr4MeHrarrbHoro o6pa:oBaHre, 2017 - l\b 5 * C. 36
ApuHuen, P.C. OrAa.neHHbre pe3yJrbrarbr xupypruqecKoro JreqeHnfl rraqueHToB c rrpH3HaKaMIr ArrctrJra3u[ coeAuHrrrerrHofi TKaHrr [3.nercrpogurrft
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pecypcl: HayqHaq crarbq / Mypra 8.8., I4nauos IO.H., Apuuven P.C.,
PsI6arona M.B.o Xtyron C.B. ll ConpenaeuHure npodJreMbr HayKrr r.r o6pa-
23
2017 - .l\lb 5. Pexupr Aocryrra: URL: http://www.scienceedu catio n .rul rul article/view ? id:267 47 (aara o6pa ue Huq : 03. 09. 20 I 8)
Apunven, P.C. Cnoco6 orlenKrr pucKa pa3Br,rrnfl ocJrolrHeHuft n orAaJreH3oBaHrq
9.
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Mypra B.B.o )Kyrcon C.B., Pnl6axoea M.8., CanaoftnoBa H.[O. ll flaresr
P@ Ha u:odpereuue J\b 2664455 or 06.03.2018
ApuHven P.C.o llporpamMa AJrs oueHKr.r pucKa pa3BnTrrfl orAaJreHHbrx
ocJrox(HeHrir y xupypruqecKnx Oo.nrnrrx c [pu3HaKaMrr AucrrJra3nrr coeAuHr.rreJrbHofi rKaHrr [Tencr] / Apun.ren P.C.o )Kynon C.B. ll Cnugere"ru-
crBo rocyAapcrnennofi perr.rcrparluu Ha rrporpaMMy Arq 3BM
2017 61697
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| or 21.06.2017.
Apunuen P.C., K.nHnHno-aHaMHecrrqecKas xapaKTeprrcrr{Ka xupyprrqecKlfx 6o.nr,Hrrx B KaraMne:e [Terccr] / Apuuven P.C., Xylcon C.B. ll CnuAereJrbcrBo rocyAapcrneHnofi perrrcrpauru Ha 6ary AaHHbrx Nb
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Apzuuen, P.C. Cuoco6 npoSuJraKTLrKA AJrHTeJrbHoro 6oreeoro cHHApoMa B
orAiLTeHHoM rrocJ'Ieorepaul4oHHoM rieprroAe y [aqzeHToB c AI4cnJ.Ia3I4efi coeAraszremuoil TKaHI4 / tlupxon P.H., Apun,{ee P.C., Mypra 8.8., Xyxon C.8.,
PH6axosa M.8., Canaoiirona H.K). f'Ierccr] ll 3ansrca Ha BbrAarry rareHra Ha
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8 I 08 I
33 or' 06,03.20 I 8
Apuuuer, P.C. PerpocrreKTr.{BHar orreHKa cror4Mocru rTeqeHr4r B xr4pyprr4r{ecKoM crarlr4oHape narlr4eHToB c Ar4cnJra3r.refi coeAuHurerruoft TKaHr.r [3,'rerrpouuufi pecypc]: HayrlHat crarbt / rlupr<oe P.H., Apuuuea P.C., Xyxon C.B.
// MeNgyuapo4Hrrft
vuft.
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