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1. ȺɤɭɲɟɪɫɬɜɨɇɚɰɢɨɧɚɥɶɧɨɟɪɭɤɨɜɨɞɫɬɜɨɉɨɞɪɟɞɚɤɚɞɊȺɆɇɗɄȺɣɥɚɦɚɡɹɧɚ ɚɤɚɞ ɊȺɆɇ ȼɂ Ʉɭɥɚɤɨɜɚ ɚɤɚɞ ɊȺɆɇ ȽɆ ɋɚɜɟɥɶɟɜɨɣ— Ɇ ɂɡɞ-ɜɨ
©ȽɗɈɌȺɊ-Ɇɟɞɢɚª—ɫ
2. Xiangqun Li1, Prognosis and long-term neurodevelopmental outcome in conservatively treated twin-to-twin transfusion syndrome /Xiangqun Li1, Seiichi Morokuma, Kotaro Fukushima, Yuka Otera, Yasuo Yumoto, Kiyomi Tsukimori //Pregnancy and Childbirth. — 2011. — P. — 11:32/
3. Harper, D.C. Long-term neurodevelopmental outcome and brain volume after treatment for hydrops fetalis by in utero intravascular transfusions / D.C. Harper [et al.] // Am. J. Obstet.
Gynecol. — 2006. — Vol. 195. — P. 192–196.
4. Banek CS, Hecher K, Hackeloer BJ, Bartmann P: long-term neuordevelopmental out-come after intrauterine laser treatment for severe twin-twin transfusion syndrome. Am J Obstet Gynecol 2003, 188:876–80.
5. Ʉɨɧɨɩɥɹɧɧɢɤɨɜ ȺȽ ɇɨɜɵɟ ɬɟɯɧɨɥɨɝɢɢ ɜ ɞɢɚɝɧɨɫɬɢɤɟ ɥɟɱɟɧɢɢ ɢ ɩɪɨɮɢɥɚɤɬɢɤɢ ɝɟɦɨɥɢɬɢɱɟɫɤɨɣ ɛɨɥɟɡɧɢ ɩɥɨɞɚ ɢ ɧɨɜɨɪɨɠɞɟɧɧɨɝɨ ɚɜɬɨɪɟɮ ɞɢɫ «ɞɨɤɬ ɦɟɞ ɧɚɭɤ ȺȽ ɄɨɧɨɩɥɹɧɧɢɤɨɜɆɢɧɡɞɪɚɜɢɫɨɰɪɚɡɜɊɎ—Ɇ—ɫ
PREGNANCY IN WOMEN UNDERGOING INTRAUTERINE CORRECTION ANTENATAL PATHOLOGY OF FETUS
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Ʉɥɸɱɟɜɵɟ ɫɥɨɜɚ ɭɥɶɬɪɚɡɜɭɤɨɜɚɹ ɫɨɧɨɷɥɚɫɬɨɝɪɚɮɢɹ ɲɟɣɤɚ ɦɚɬɤɢ ɛɟɪɟ ɦɟɧɧɨɫɬɶ
ȼɜɟɞɟɧɢɟɋɨɧɨɷɥɚɫɬɨɝɪɚɮɢɹ—ɷɬɨɧɨɜɚɹɬɟɯɧɨɥɨɝɢɹɭɥɶɬɪɚɡɜɭɤɨɜɨɝɨɫɤɚ ɧɢɪɨɜɚɧɢɹ ɩɨɡɜɨɥɹɸɳɚɹ ɩɪɨɜɟɫɬɢ ɨɰɟɧɤɭ ɬɤɚɧɟɜɨɣ ɷɥɚɫɬɢɱɧɨɫɬɢ ɜ ɪɟɠɢɦɟ ɪɟ ɚɥɶɧɨɝɨ ɜɪɟɦɟɧɢ ɩɪɢ ɩɨɦɨɳɢ ɤɨɦɩɪɟɫɫɢɢ ɭɥɶɬɪɚɡɜɭɤɨɜɵɦ ɞɚɬɱɢɤɨɦ Ⱦɚɧɧɚɹ ɬɟɯɧɨɥɨɝɢɹɜɩɨɫɥɟɞɧɢɟɝɨɞɵɫɩɪɚɜɟɞɥɢɜɨɩɪɢɜɥɟɤɚɟɬɤɫɟɛɟɜɫɟɛɨɥɶɲɟɜɧɢɦɚ ɧɢɹ ȼɨɡɦɨɠɧɨɫɬɶ ɞɨɢɧɜɚɡɢɜɧɨɣ ɨɰɟɧɤɢ ɮɢɡɢɱɟɫɤɨɣ ɩɥɨɬɧɨɫɬɢ ɢɫɫɥɟɞɭɟɦɵɯ ɫɬɪɭɤɬɭɪ ɹɜɥɹɟɬɫɹ ɫɭɳɟɫɬɜɟɧɧɨ ɡɧɚɱɢɦɵɦ ɞɨɩɨɥɧɟɧɢɟɦ ɤ ɫɬɚɧɞɚɪɬɧɵɦ ɭɥɶɬɪɚ ɡɜɭɤɨɜɵɦɬɟɯɧɨɥɨɝɢɹɦ
Ɍɟɪɦɢɧɷɥɚɫɬɨɝɪɚɮɢɹ ɜɩɟɪɜɵɟɛɵɥɩɪɟɞɥɨɠɟɧJ2SKLUHWDO>@ɢɨɛɨɡɧɚɱɚɟɬ ɦɟɬɨɞɵ ɨɰɟɧɤɢ ɫɨɫɬɨɹɧɢɹ ɛɢɨɥɨɝɢɱɟɫɤɢɯ ɬɤɚɧɟɣ ɩɨ ɢɯ ɠɟɫɬɤɨɫɬɢ ɫ ɩɨɦɨɳɶɸ ɭɥɶɬɪɚɡɜɭɤɨɜɵɯ ɫɤɚɧɟɪɨɜ Ɏɢɡɢɱɟɫɤɨɣ ɨɫɧɨɜɨɣ ɷɥɚɫɬɨɝɪɚɮɢɢ ɹɜɥɹɟɬɫɹ ɦɨɞɭɥɶ ɘɧɝɚ ɯɚɪɚɤɬɟɪɢɡɭɸɳɢɣ ɫɜɨɣɫɬɜɚ ɦɹɝɤɢɯ ɬɤɚɧɟɣ ɫɨɩɪɨɬɢɜɥɹɬɶɫɹ ɪɚɫɬɹɠɟɧɢɸ ɢɥɢɫɠɚɬɢɸɩɪɢɭɩɪɭɝɨɣɞɟɮɨɪɦɚɰɢɢɉɪɢɧɰɢɩɦɟɬɨɞɚɨɫɧɨɜɚɧɧɚɨɰɟɧɤɟɢɡɦɟ ɧɟɧɢɹ ɱɚɫɬɨɬɵ ɷɯɨ-ɫɢɝɧɚɥɚ ɜ ɢɫɫɥɟɞɭɟɦɨɣ ɬɤɚɧɢ ɩɪɢ ɨɤɚɡɚɧɢɢ ɧɟ ɧɟɟ ɞɨɩɨɥɧɢ ɬɟɥɶɧɨɝɨɞɚɜɥɟɧɢɹɊɚɡɧɵɟɮɪɚɝɦɟɧɬɵɬɤɚɧɢ ɩɪɢɧɚɞɚɜɥɢɜɚɧɢɢɫɨɤɪɚɳɚɸɬɫɹɩɨ-ɪɚɡɧɨɦɭɜɫɥɟɞɫɬɜɢɟɧɟɨɞɢɧɚɤɨɜɨɣɷɥɚɫɬɢɱɧɨɫɬɢɢɨɬɪɚɠɚɸɬɫɹɧɚɷɤɪɚɧɟɪɚɡɥɢɱ ɧɵɦɰɜɟɬɨɦ Ʉɚɱɟɫɬɜɟɧɧɵɟɢɡɦɟɧɟɧɢɹɫɬɪɭɤɬɭɪɵɬɤɚɧɢɨɰɟɧɢɜɚɸɬɫɹɩɨɰɜɟɬɨɜɨɣ ɲɤɚɥɟ ɧɚ ɦɨɧɢɬɨɪɟ ɭɥɶɬɪɚɡɜɭɤɨɜɨɝɨ ɫɤɚɧɟɪɚ ɱɬɨ ɩɨɡɜɨɥɹɟɬ ɨɰɟɧɢɬɶ ɠɟɫɬɤɨɫɬɶ ɢɫɫɥɟɞɭɟɦɨɝɨ ɭɱɚɫɬɤɚ Ɍɚɤ ɥɟɝɤɨ ɞɟɮɨɪɦɢɪɭɸɳɢɟɫɹ ©ɦɹɝɤɢɟª ɭɱɚɫɬɤɢ ɩɪɨɤɪɚ ɲɢɜɚɸɬɫɹ ɜ ɨɬɬɟɧɤɢ ɤɪɚɫɧɨɝɨ ɤɨɪɢɱɧɟɜɨɝɨ ɢ ɠɟɥɬɨɝɨ ɰɜɟɬɨɜ ɚ ɦɚɥɨɞɟɮɨɪɦɢ ɪɭɸɳɢɟɫɹ©ɬɜɟɪɞɵɟªɭɱɚɫɬɤɢ—ɜɫɢɧɟ-ɝɨɥɭɛɵɟɨɬɬɟɧɤɢɍɱɚɫɬɤɢ©ɫɪɟɞɧɟɣªɷɥɚ ɫɬɢɱɧɨɫɬɢɨɤɪɚɲɢɜɚɸɬɫɹɜɡɟɥɟɧɵɟɰɜɟɬɚ[2].
ɗɥɚɫɬɨɝɪɚɮɢɹ ɛɵɥɚ ɜɧɟɞɪɟɧɚ ɜ ɤɥɢɧɢɱɟɫɤɭɸ ɩɪɚɤɬɢɤɭ ɜ ɧɚɱɚɥɟ 0-ɯ ɝɨɞɨɜ
;;ɜɟɤɚȼɩɟɪɜɭɸɨɱɟɪɟɞɶɟɟɧɚɱɚɥɢɩɪɢɦɟɧɹɬɶɞɥɹɞɢɚɝɧɨɫɬɢɤɢɡɥɨɤɚɱɟɫɬɜɟɧ ɧɵɯɨɩɭɯɨɥɟɣɜɱɚɫɬɧɨɫɬɢɧɨɜɨɨɛɪɚɡɨɜɚɧɢɣɩɟɱɟɧɢ[1].ȼɩɨɫɥɟɞɭɸɳɟɦ ɞɥɹɞɢ ɚɝɧɨɫɬɢɤɢ ɡɥɨɤɚɱɟɫɬɜɟɧɧɨɣ ɩɚɬɨɥɨɝɢɢ ɩɪɟɞɫɬɚɬɟɥɶɧɨɣ ɳɢɬɨɜɢɞɧɨɣ ɦɨɥɨɱɧɵɯ ɠɟɥɟɡɦɟɬɚɫɬɚɬɢɱɟɫɤɨɝɨɩɨɪɚɠɟɧɢɹɥɢɦɮɚɬɢɱɟɫɤɢɯɭɡɥɨɜɞɪɂɡɜɟɫɬɧɨɱɬɨɨɩɭ ɯɨɥɢɢɨɩɭɯɨɥɟɜɢɞɧɵɟɩɪɨɰɟɫɫɵɚɬɚɤɠɟɜɨɫɩɚɥɢɬɟɥɶɧɵɟɢɡɦɟɧɟɧɢɹɦɨɝɭɬɫɭɳɟ ɫɬɜɟɧɧɨɦɟɧɹɬɶɷɥɚɫɬɢɱɧɨɫɬɶɩɨɪɚɠɟɧɧɨɣɬɤɚɧɢɉɨɞɜɟɪɠɟɧɧɵɣɩɚɬɨɥɨɝɢɱɟɫɤɢɦ ɢɡɦɟɧɟɧɢɹɦ ɛɢɨɥɨɝɢɱɟɫɤɢɣ ɫɭɛɫɬɪɚɬ ɦɨɠɟɬ ɛɵɬɶ ɛɨɥɟɟ ɠɟɫɬɤɢɦ ɬɟ ɦɟɧɟɟ ɷɥɚ ɫɬɢɱɧɵɦɢɥɢɧɚɩɪɨɬɢɜɛɨɥɟɟɦɹɝɤɢɦɚɡɧɚɱɢɬɢɛɨɥɟɟɷɥɚɫɬɢɱɧɵɦɩɨɫɪɚɜɧɟ ɧɢɸɫɧɨɪɦɨɣɌɚɤɞɥɹɨɩɭɯɨɥɟɣɢɯɪɨɧɢɱɟɫɤɢɯɜɨɫɩɚɥɢɬɟɥɶɧɵɯɢɡɦɟɧɟɧɢɣɫɩɨ ɫɥɟɞɭɸɳɢɦ ɪɚɡɜɢɬɢɟɦ ɮɢɛɪɨɡɚ ɚ ɡɚɬɟɦ ɢ ɫɤɥɟɪɨɡɚ ɬɢɩɢɱɧɚ ɜɵɫɨɤɚɹ ɩɥɨɬɧɨɫɬɶ ɢɧɚɱɟ ɝɨɜɨɪɹ ɠɟɫɬɤɨɫɬɶ Ɉɫɬɪɨɟ ɜɨɫɩɚɥɟɧɢɟ ɧɚɩɪɨɬɢɜ ɦɨɠɟɬ ɩɪɢɜɨɞɢɬɶ ɤ ɫɧɢ ɠɟɧɢɸɩɥɨɬɧɨɫɬɢɬɟɤɛɨɥɟɟɜɵɫɨɤɨɣɷɥɚɫɬɢɱɧɨɫɬɢɩɨɪɚɠɟɧɧɨɣɬɤɚɧɢɂɧɮɨɪ ɦɢɪɨɜɚɧɧɨɫɬɶ ɨ ɫɬɟɩɟɧɢ ɮɢɡɢɱɟɫɤɨɣ ɩɥɨɬɧɨɫɬɢ ɡɨɧɵ ɢɧɬɟɪɟɫɚ ɢɦɟɟɬ,ɧɟɫɨɦɧɟɧ ɧɨ,ɤɥɢɧɢɱɟɫɤɨɟɡɧɚɱɟɧɢɟ
Ɉɞɧɚɤɨɧɟɬɨɥɶɤɨɩɚɬɨɥɨɝɢɱɟɫɤɢɟɬɤɚɧɢɧɨɢɧɨɪɦɚɥɶɧɵɟɬɤɚɧɢɦɨɝɭɬɨɬɥɢ ɱɚɬɶɫɹɦɟɠɞɭɫɨɛɨɣɩɨɷɥɚɫɬɢɱɧɨɫɬɢɢɠɟɫɬɤɨɫɬɢɱɬɨɬɚɤɠɟɦɨɠɟɬɢɫɩɨɥɶɡɨɜɚɬɶ ɫɹɩɪɢɭɥɶɬɪɚɡɜɭɤɨɜɨɦɢɫɫɥɟɞɨɜɚɧɢɢ[3].
ȼ ɝɢɧɟɤɨɥɨɝɢɱɟɫɤɭɸ ɩɪɚɤɬɢɤɭ ɷɥɚɫɬɨɝɪɚɮɢɹ ɛɵɥɚ ɜɧɟɞɪɟɧɚ ɬɚɤɠɟ ɫ ɰɟɥɶɸ ɭɥɭɱɲɟɧɢɹ ɞɢɚɝɧɨɫɬɢɤɢ ɡɥɨɤɚɱɟɫɬɜɟɧɧɵɯ ɧɨɜɨɨɛɪɚɡɨɜɚɧɢɣ ɉɟɪɜɵɟ ɪɟɡɭɥɶɬɚɬɵ ɩɪɢɦɟɧɟɧɢɹ ɭɥɶɬɪɚɡɜɭɤɨɜɨɣ ɫɨɧɨɷɥɚɫɬɨɝɪɚɮɢɢ ɜ ɝɢɧɟɤɨɥɨɝɢɢ ɛɵɥɢ ɨɩɭɛɥɢɤɨɜɚ ɧɵ ɧɟɦɟɰɤɢɦɢ ɭɱɟɧɵɦɢA. Thomas et al >@ ɜ ɝɨɞɭ Ⱥɜɬɨɪɵ ɨɛɫɥɟɞɨɜɚɥɢ ɡɞɨɪɨɜɵɯɠɟɧɳɢɧɢɩɚɰɢɟɧɬɨɤɫɩɚɬɨɥɨɝɢɟɣɲɟɣɤɢɦɚɬɤɢɩɚɰɢɟɧɬɨɤɩɪɨɲɥɢ ɬɪɚɧɫɜɚɝɢɧɚɥɶɧɨɟ ɭɥɶɬɪɚɡɜɭɤɨɜɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟ ɩɪɢ ɤɨɬɨɪɨɦ ɛɵɥɚ ɩɪɟɞɩɪɢɧɹɬɚ ɩɨɩɵɬɤɚɩɪɨɜɟɫɬɢɨɰɟɧɤɭɭɩɪɭɝɨ-ɷɥɚɫɬɢɱɧɵɯɫɜɨɣɫɬɜɰɟɪɜɢɤɚɥɶɧɨɝɨɤɚɧɚɥɚɲɟɣ
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ɤɢ ɦɚɬɤɢ ɜ ɧɨɪɦɟ ɢ ɩɪɢ ɨɩɭɯɨɥɟɜɨɦ ɩɪɨɰɟɫɫɟ Ɉɰɟɧɤɚ ɩɨɥɭɱɟɧɧɵɯ ɪɟɡɭɥɶɬɚɬɨɜ ɩɨɡɜɨɥɢɥɚ ɚɜɬɨɪɚɦ ɭɬɜɟɪɠɞɚɬɶ ɱɬɨ ɷɥɚɫɬɨɝɪɚɮɢɹ ɩɨɡɜɨɥɹɟɬ ɞɢɮɮɟɪɟɧɰɢɪɨɜɚɬɶ ɡɥɨɤɚɱɟɫɬɜɟɧɧɵɟ ɢ ɞɨɛɪɨɤɚɱɟɫɬɜɟɧɧɵɟ ɩɚɬɨɥɨɝɢɱɟɫɤɢɟ ɩɪɨɰɟɫɫɵ ȼ ɩɨɫɥɟɞɭɸ ɳɟɦɬɪɚɧɫɜɚɝɢɧɚɥɶɧɚɹɫɨɧɨɷɥɚɫɬɨɝɪɚɮɢɹɫɬɚɥɚɜɧɟɞɪɹɬɶɫɹɞɥɹɞɢɚɝɧɨɫɬɢɤɢɷɤɬɨ ɩɢɱɟɫɤɨɣɛɟɪɟɦɟɧɧɨɫɬɢ>@ɦɢɨɦɵɦɚɬɤɢ>@ɪɚɤɚɹɢɱɧɢɤɨɜ>@ɷɧɞɨɦɟɬɪɢɹ>@
ɉɪɢɨɪɢɬɟɬɜɢɫɫɥɟɞɨɜɚɧɢɹɯɢɜɧɟɞɪɟɧɢɢɭɥɶɬɪɚɡɜɭɤɨɜɨɣɷɥɚɫɬɨɝɪɚɮɢɜɚɤɭ ɲɟɪɫɤɭɸɩɪɚɤɬɢɤɭɩɨɜɫɟɣɜɢɞɢɦɨɫɬɢɩɪɢɧɚɞɥɟɠɢɬɩɨɥɶɫɤɢɦɭɱɟɧɵɦ>@M.
Swiatkowska-Freund ɫɨ ɫɜɨɢɦɢ ɤɨɥɥɟɝɚɦɢ ɢɫɩɨɥɶɡɨɜɚɥɢ ɭɥɶɬɪɚɡɜɭɤɨɜɭɸ ɷɥɚɫɬɨ ɝɪɚɮɢɹɞɥɹɨɰɟɧɤɢɫɨɫɬɨɹɧɢɹɲɟɣɤɢɦɚɬɤɢɩɪɢɪɨɞɚɯɢɩɨɤɚɡɚɥɢɱɬɨɨɧɚɹɜɥɹɟɬ ɫɹɧɟɬɨɥɶɤɨ ɨɛɴɟɤɬɢɜɧɵɦ ɦɟɬɨɞɨɦ ɨɰɟɧɤɢ ɦɹɝɤɨɫɬɢ ɬɤɚɧɢ ɜ ɨɛɥɚɫɬɢ ɜɧɭɬɪɟɧɧɟɝɨ ɡɟɜɚ ɧɨ ɢ ɩɨɦɨɝɚɟɬ ɪɟɲɢɬɶ ɜɨɩɪɨɫ ɨ ɧɟɨɛɯɨɞɢɦɨɫɬɢ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɞɥɹ ɢɧɞɭɤɰɢɢ ɪɨɞɨɜ ɩɪɨɫɬɚɝɥɚɧɞɢɧɨɜ ɢɥɢ ɨɤɫɢɬɨɰɢɧɚ ɉɪɚɤɬɢɱɟɫɤɢɢɦɟɧɧɨɨɧɢɜɩɟɪɜɵɟɞɨɤɚ ɡɚɥɢɢɧɮɨɪɦɚɬɢɜɧɨɫɬɶɷɥɚɫɬɨɝɪɚɮɢɢɞɥɹɩɪɨɝɧɨɡɢɪɨɜɚɧɢɹɷɮɮɟɤɬɢɜɧɨɫɬɢɫɬɢɦɭ ɥɹɰɢɢ ɪɨɞɨɜɨɣ ɞɟɹɬɟɥɶɧɨɫɬɢ >@ ȼ ɞɚɥɶɧɟɣɲɟɦ ɪɚɡɜɢɬɢɟ ɩɪɢɦɟɧɟɧɢɹ ɦɟɬɨɞɚ ɜ ɚɤɭɲɟɪɫɬɜɟ ɩɨɲɥɨ ɜ ɞɜɭɯ ɧɚɩɪɚɜɥɟɧɢɹɯ ɦɨɧɢɬɨɪɢɪɨɜɚɧɢɟ ɫɨɫɬɨɹɧɢɹ ɲɟɣɤɢ ɦɚɬ ɤɢ ɩɪɢ ɢɧɞɭɤɰɢɢ ɪɨɞɨɜ[9, 10, 11]; ɞɢɚɝɧɨɫɬɢɤɚ ɢ ɩɪɨɝɧɨɡɢɪɨɜɚɧɢɟ ɩɪɟɠɞɟɜɪɟ ɦɟɧɧɵɯ ɪɨɞɨɜ[12, 13, 14, 15, 16].
Ɉɛɨɫɧɨɜɚɧɢɟɦ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɷɥɚɫɬɨɝɪɚɮɢɢ ɜɨ ɜɪɟɦɹ ɪɨɞɨɜ ɹɜɥɹɟɬɫɹ ɜɨɡ ɦɨɠɧɨɫɬɶ ɩɨɥɭɱɟɧɢɹ ɞɨɩɨɥɧɢɬɟɥɶɧɨɣ ɢɧɮɨɪɦɚɰɢɢ ɤ ɬɪɚɞɢɰɢɨɧɧɨɦɭ ɜɚɝɢɧɚɥɶ ɧɨɦɭɢɫɫɥɟɞɨɜɚɧɢɸɨɩɪɨɰɟɫɫɟɫɝɥɚɠɢɜɚɧɢɹɲɟɣɤɢɦɚɬɤɢ>@Ʉɚɤ ɭɠɟ ɨɬɦɟ ɱɚɥɨɫɶ ɩɪɢɨɪɢɬɟɬ ɩɪɢɦɟɧɟɧɢɹ ɷɥɚɫɬɨɝɪɚɮɢɢ ɩɪɢ ɢɧɞɭɰɢɪɨɜɚɧɧɵɯ ɪɨɞɚɯ ɩɪɢɧɚɞ ɥɟɠɢɬ ɩɨɥɶɫɤɢɦ ɫɩɟɰɢɚɥɢɫɬɚɦ ɜɨɡɝɥɚɜɥɹɟɦɵɯM. Swiatkowska-Freund [9, 10].ɇɚ ɩɟɪɜɨɦ ɷɬɚɩɟ ɫɜɨɢɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ɨɧɢ ɫɪɚɜɧɢɥɢ ɪɟɡɭɥɶɬɚɬɵ ɨɰɟɧɤɢ ɲɟɣɤɢ ɦɚɬɤɢ ɩɨ ɲɤɚɥɟBishop ɢ ɷɥɚɫɬɨɝɪɚɮɢɢ[9].ɗɬɨ ɩɨɡɜɨɥɢɥɨ ɢɦ ɭɬɜɟɪɠɞɚɬɶ ɱɬɨ ɷɥɚɫɬɨ ɝɪɚɮɢɹ ɩɪɟɞɫɤɚɡɵɜɚɟɬ ɪɟɡɭɥɶɬɚɬɵ ɢɧɞɭɤɰɢɢ ɪɨɞɨɜ ɥɭɱɲɟ ɱɟɦ ɜɥɚɝɚɥɢɳɧɨɟ ɢɫ ɫɥɟɞɨɜɚɧɢɟȼɞɚɥɶɧɟɣɲɟɦɨɧɢɩɨɩɵɬɚɥɢɫɶɨɛɴɟɤɬɢɜɢɡɢɪɨɜɚɬɶɨɰɟɧɤɭɪɟɡɭɥɶɬɚ ɬɨɜɷɥɚɫɬɨɝɪɚɮɢɹ ɜ ɷɬɨɣ ɚɤɭɲɟɪɫɤɨɣ ɫɢɬɭɚɰɢɢ ɩɭɬɟɦ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɢɧɞɟɤɫɚ ɷɥɚ ɫɬɨɝɪɚɮɢɢ ɢ ɷɬɨ ɜ ɨɩɪɟɞɟɥɟɧɧɨɣ ɫɬɟɩɟɧɢ ɢɦ ɭɞɚɥɨɫɶ[10].ɉɨ ɢɯ ɦɧɟɧɢɸ ɫɬɚɧ ɞɚɪɬɢɡɚɰɢɹ ɩɨɤɚɡɚɬɟɥɟɣ ɯɚɪɚɤɬɟɪɢɡɭɸɳɢɯ ɫɨɫɬɨɹɧɢɟ ɲɟɣɤɢ ɦɚɬɤɢ ɩɨɥɭɱɚɟɦɵɯ ɩɪɢ ɷɥɚɫɬɨɝɪɚɮɢɢ ɜɨ ɜɪɟɦɹ ɛɟɪɟɦɟɧɧɨɫɬɢ ɦɨɠɟɬ ɩɨɦɨɱɶ ɨɩɬɢɦɢɡɢɪɨɜɚɬɶ ɢɫɩɨɥɶ ɡɨɜɚɧɢɟ ɩɪɨɫɬɚɝɥɚɧɞɢɧɨɜ ɢ ɨɤɫɢɬɨɰɢɧɚ ɩɪɢ ɢɧɞɭɤɰɢɢ ɪɨɞɨɜ ɇɟɫɤɨɥɶɤɨ ɩɨɡɠɟ ɜɵɜɨɞɵ ɤ ɤɨɬɨɪɵɦ ɩɪɢɲɥɢ ɩɨɥɶɫɤɢɟ ɫɩɟɰɢɚɥɢɫɬɵ, ɛɵɥɢ ɩɨɞɬɜɟɪɠɞɟɧɵ ɜ ɢ ɜ ɞɪɭɝɢɯ ɢɫɫɥɟɞɨɜɚɧɢɹɯȼɫɟɚɜɬɨɪɵɟɞɢɧɵɜɨɦɧɟɧɢɢɱɬɨɷɥɚɫɬɨɝɪɚɮɢɹɹɜɥɹɟɬɫɹ ɢɧɧɨɜɚɰɢɨɧɧɨɣ ɬɟɯɧɨɥɨɝɢɟɣ ɩɨɡɜɨɥɹɸɳɟɣ ɛɨɥɟɟ ɨɛɴɟɤɬɢɜɧɨ ɩɪɨɜɨɞɢɬɶ ɩɪɟɞɜɚ ɪɢɬɟɥɶɧɭɸ ɨɰɟɧɤɭ ɲɟɣɤɢ ɦɚɬɤɢ ɩɟɪɟɞ ɢɧɞɭɤɰɢɟɣ ɪɨɞɨɜ ɨɞɧɚɤɨ ɧɟɨɛɯɨɞɢɦɨ ɩɪɨ ɞɨɥɠɢɬɶ ɞɚɥɶɧɟɣɲɢɟ ɢɫɫɥɟɞɨɜɚɧɢɹ ɫ ɰɟɥɶɸ ɫɬɚɧɞɚɪɬɢɡɚɰɢɢ ɦɟɬɨɞɚ
ɋɜɨɟɜɪɟɦɟɧɧɚɹ ɞɢɚɝɧɨɫɬɢɤɚ ɢ ɩɪɨɝɧɨɡɢɪɨɜɚɧɢɟ ɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯ ɪɨɞɨɜ ɨɫ ɧɨɜɵɜɚɟɬɫɹɜɧɚɫɬɨɹɳɟɟɜɪɟɦɹɜɩɟɪɜɭɸɨɱɟɪɟɞɶɧɚɚɤɭɲɟɪɫɤɨɦɚɧɚɦɧɟɡɟɢɤɥɢ ɧɢɱɟɫɤɨɦɨɛɫɥɟɞɨɜɚɧɢɢɜɵɹɜɥɟɧɢɢɧɚɧɚɱɚɥɶɧɵɯɷɬɚɩɚɯɪɚɡɦɹɝɱɟɧɢɹɢɭɤɨɪɨɱɟ ɧɢɹ ɲɟɣɤɢ ɦɚɬɤɢ Ɉɱɟɜɢɞɧɨ ɱɬɨ ɩɪɢ ɷɬɨɦ ɨɰɟɧɤɚ ɫɨɫɬɨɹɧɢɹ ɲɟɣɤɢ ɦɚɬɤɢ ɞɨ ɜɨɥɶɧɨ ɫɭɛɴɟɤɬɢɜɧɚ ɢ ɧɟ ɩɨɡɜɨɥɹɟɬ ɜɵɹɜɢɬɶ ɢɫɬɦɢɤɨ-ɰɟɪɜɢɤɚɥɶɧɭɸ ɧɟɞɨɫɬɚɬɨɱ ɧɨɫɬɶɧɚɪɚɧɧɟɣɫɬɚɞɢɢȼɧɟɞɪɟɧɢɟɜɝɢɧɟɤɨɥɨɝɢɱɟɫɤɭɸɩɪɚɤɬɢɤɭɭɥɶɬɪɚɡɜɭɤɨɜɨ ɝɨɢɫɫɥɟɞɨɜɚɧɢɹɫɢɫɩɨɥɶɡɨɜɚɧɢɟɦɬɪɚɧɫɜɚɝɢɧɚɥɶɧɨɝɨɞɚɬɱɢɤɚɡɧɚɱɢɬɟɥɶɧɨɪɚɫ ɲɢɪɢɥɨɞɢɚɝɧɨɫɬɢɱɟɫɤɢɟɜɨɡɦɨɠɧɨɫɬɢɈɞɧɚɤɨɬɪɚɞɢɰɢɨɧɧɨɭɥɶɬɪɚɡɜɭɤɨɜɭɸɞɢ ɚɝɧɨɫɬɢɤɭɜɩɟɪɜɭɸɨɱɟɪɟɞɶɢɫɩɨɥɶɡɨɜɚɥɢɞɥɹɨɰɟɧɤɢɮɨɪɦɵɢɪɚɡɦɟɪɨɜɲɟɣɤɢ ɦɚɬɤɢ>@ɉɨɷɬɨɦɭɧɟɫɦɨɬɪɹɧɚɬɨɱɬɨɜɩɨɫɥɟɞɧɟɟɞɟɫɹɬɢɥɟɬɢɟɬɪɚɧɫɜɚɝɢɧɚɥɶ ɧɨɦɭɭɥɶɬɪɚɡɜɭɤɨɜɨɦɭɢɫɫɥɟɞɨɜɚɧɢɸɩɪɢɞɢɚɝɧɨɫɬɢɤɟɢɫɬɦɢɤɨ-ɰɟɪɜɢɤɚɥɶɧɨɣɧɟ ɞɨɫɬɚɬɨɱɧɨɫɬɢɢɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯɪɨɞɨɜɨɬɜɨɞɢɬɫɹɫɭɳɟɫɬɜɟɧɧɚɹɪɨɥɶɫɥɟɞɭɟɬ
198
ɫɨɝɥɚɫɢɬɶɫɹ ɫ ɦɧɟɧɢɟɦ ɪɹɞɚ ɫɩɟɰɢɚɥɢɫɬɨɜ—ɧɟ ɜɫɟɝɞɚ ɩɨɡɜɨɥɹɟɬ ɜɫɟɫɬɨɪɨɧɧɟ ɨɰɟɧɢɬɶɚɧɚɬɨɦɢɱɟɫɤɨɟɢɮɭɧɤɰɢɨɧɚɥɶɧɨɟɫɨɫɬɨɹɧɢɟɲɟɣɤɢɦɚɬɤɢɜɧɟɢɜɨɜɪɟɦɹ ɛɟɪɟɦɟɧɧɨɫɬɢ>@
Ɍɟɨɪɟɬɢɱɟɫɤɢɦɨɛɨɫɧɨɜɚɧɢɟɦɜɨɡɦɨɠɧɨɫɬɢɢɫɩɨɥɶɡɨɜɚɧɢɹɷɥɚɫɬɨɝɪɚɮɢɢɞɥɹ ɞɢɚɝɧɨɫɬɢɤɢ ɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯ ɪɨɞɨɜ ɹɜɥɹɟɬɫɹ ɬɨɬ ɮɚɤɬ ɱɬɨ ɩɪɢ ɷɬɨɦ ɩɪɨɢɫɯɨ ɞɢɬɪɟɦɨɞɟɥɢɪɨɜɚɧɢɟ ɲɟɣɤɢ ɦɚɬɤɢ ɜ ɪɟɡɭɥɶɬɚɬɟ ɭɜɟɥɢɱɟɧɢɹ ɝɢɞɪɚɬɚɰɢɢ ɢ ɞɟɡɨɪ ɝɚɧɢɡɚɰɢɟɣ ɤɨɥɥɚɝɟɧɚ ɱɬɨ ɢɡɦɟɧɹɟɬ ɟɟ ɷɥɚɫɬɢɱɧɨɫɬɶ ɱɬɨ ɢ ɦɨɠɟɬ ɨɰɟɧɢɜɚɬɶɫɹ ɩɪɢ ɭɥɶɬɪɚɡɜɭɤɨɜɨɣ ɷɥɚɫɬɨɝɪɚɮɢɢ
Ʉɚɤ ɩɨɤɚɡɚɥɢ ɢɫɫɥɟɞɨɜɚɧɢɹT. Fuchs et al. [12], M. Swiatkowska-Freund et al.
[14], S. Wozniak [16] ɨɰɟɧɤɚ ɫɜɨɣɫɬɜ ɲɟɣɤɢ ɦɚɬɤɢ ɫ ɩɨɦɨɳɶɸ ɷɥɚɫɬɨɝɪɚɮɢɢ ɜɨ ɜɪɟɦɹ ɛɟɪɟɦɟɧɧɨɫɬɢ ɦɨɝɭɬ ɛɵɬɶ ɩɨɥɟɡɧɵ ɩɪɢ ɞɢɚɝɧɨɫɬɢɤɟ ɪɢɫɤɚ ɩɪɟɠɞɟɜɪɟɦɟɧ ɧɵɯ ɪɨɞɨɜ ɧɚ ɫɚɦɨɣ ɪɚɧɧɟɣ ɫɬɚɞɢɢ Ɉɱɟɜɢɞɧɨ ɱɬɨ ɩɪɢɦɟɧɟɧɢɟ ɷɥɚɫɬɨɝɪɚɮɢɢ ɢ ɩɪɢ ɷɬɨɣ ɚɤɭɲɟɪɫɤɨɣ ɩɚɬɨɥɨɝɢɢ ɬɪɟɛɭɟɬ ɪɚɡɪɚɛɨɬɤɢ ɨɛɴɟɤɬɢɜɢɡɚɰɢɢ ɨɰɟɧɤɢ ɪɟ ɡɭɥɶɬɚɬɨɜ ɂ ɩɟɪɜɵɟ ɲɚɝɢ ɜ ɞɚɧɧɨɦ ɧɚɩɪɚɜɥɟɧɢɢ ɭɠɟ ɫɞɟɥɚɧɵ ȼ2013–2015ɝɨɞɚɯ ɧɟɫɤɨɥɶɤɨ ɚɜɬɨɪɫɤɢɯ ɤɨɥɥɟɤɬɢɜɨɜ ɨɩɭɛɥɢɤɨɜɚɥɢ ɪɟɡɭɥɶɬɚɬɵ ɫɜɨɢɯ ɢɫɫɥɟɞɨɜɚɧɢɣ ɜ ɤɨɬɨɪɵɯ ɩɪɢ ɢɫɩɨɥɶɡɨɜɚɧɢɢ ɷɥɚɫɬɨɝɪɚɮɢɢ ɞɥɹ ɞɢɚɝɧɨɫɬɢɤɢ ɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯ ɪɨɞɨɜ ɩɨɩɵɬɚɥɢɫɶ ɭɱɟɫɬɶ ɦɨɪɮɨɥɨɝɢɱɟɫɤɢɟ ɨɫɨɛɟɧɧɨɫɬɢ ɲɟɣɤɢ ɦɚɬɤɢ ɜ ɡɚɜɢɫɢ ɦɨɫɬɢ ɨɬ ɤɨɥɢɱɟɫɬɜɚ ɛɟɪɟɦɟɧɧɨɫɬɟɣ ɩɚɪɢɬɟɬɚ ɪɨɞɨɜ ɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯ ɪɨɞɨɜ ɜ ɚɧɚɦɧɟɡɟ ɝɟɫɬɚɰɢɨɧɧɨɝɨɜɨɡɪɚɫɬɚɛɟɪɟɦɟɧɧɨɣ>@Ɉɱɟɧɶɨɩɬɢɦɢɫɬɢ ɱɟɫɤɢɟɪɟɡɭɥɶɬɚɬɵɩɪɟɞɫɬɚɜɢɥɢK. Köbbing et al>@Ɉɧɢɩɪɨɜɟɥɢɩɪɨɫɩɟɤɬɢɜɧɨɟ ɢɫɫɥɟɞɨɜɚɧɢɟɭɛɟɪɟɦɟɧɧɨɣɉɪɨɜɨɞɢɥɚɫɶɷɥɚɫɬɨɝɪɚɮɢɹɲɟɣɤɢɦɚɬɤɢ ɢɨɰɟ ɧɢɜɚɥɚɫɶ ɤɨɪɪɟɥɹɰɢɹ ɦɟɠɞɭ ɢɡɦɟɧɟɧɢɟɦ ɠɟɫɬɤɨɫɬɢ ɲɟɣɤɢ ɦɚɬɤɢ ɢ ɪɚɡɜɢɬɢɟɦ ɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯɪɨɞɨɜɜɫɪɨɤɢɞɨɧɟɞɟɥɶȺɜɬɨɪɵɩɪɢɲɥɢɤɜɵɜɨɞɭɱɬɨɢɡ ɦɟɧɟɧɢɹɨɰɟɧɤɢɠɟɫɬɤɨɫɬɢɲɟɣɤɢɦɚɬɤɢɦɨɠɧɨɢɫɩɨɥɶɡɨɜɚɬɶɞɥɹɩɪɨɝɧɨɡɢɪɨɜɚ ɧɢɹ ɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯ ɪɨɞɨɜL. Sabiani et al >@ ɩɪɢɦɟɧɢɜHI-RTEɷɥɚɫɬɨɝɪɚ ɮɢɸɩɨɤɚɡɚɥɢɱɬɨɭɠɟɧɳɢɧɫɧɟɛɥɚɝɨɩɪɢɹɬɧɵɦɢɫɯɨɞɨɦɛɟɪɟɦɟɧɧɨɫɬɢɢɧɞɟɤɫ ɷɥɚɫɬɢɱɧɨɫɬɢɲɟɣɤɢɦɚɬɤɢɜɩɟɪɜɨɦɬɪɢɦɟɫɬɪɟɛɵɥɡɧɚɱɢɬɟɥɶɧɨɧɢɠɟɩɨɫɪɚɜɧɟ ɧɢɸɫɠɟɧɳɢɧɚɦɢɫɛɥɚɝɨɩɪɢɹɬɧɵɦɢɫɯɨɞɨɦ
ɋɥɟɞɭɟɬɨɬɦɟɬɢɬɶɱɬɨɜɫɟɢɫɫɥɟɞɨɜɚɬɟɥɢɩɪɟɞɩɪɢɧɹɜɲɢɟ ɩɨɩɵɬɤɢ ɢɡɭɱɢɬɶ ɜɨɡɦɨɠɧɨɫɬɢ ɢɫɩɨɥɶɡɨɜɚɧɢɹ ɭɥɶɬɪɚɡɜɭɤɨɜɨɣ ɫɨɧɨɷɥɚɫɬɨɝɪɚɮɢɢ ɜ ɚɤɭɲɟɪɫɤɨɣ ɩɪɚɤɬɢɤɟ ɦɟɬɨɞ ɫɱɢɬɚɸɬ ɨɱɟɧɶ ɩɨɥɟɡɧɵɦ Ɉɞɧɚɤɨ ɜɫɟ ɭɩɨɦɹɧɭɬɵɟ ɪɚɛɨɬɵ ɦɨɠɧɨ ɨɬɧɟɫɬɢ ɤ ɬɢɩɭ—ɦɧɟɧɢɟ ɨɬɞɟɥɶɧɵɯ ɷɤɫɩɟɪɬɨɜ ȼ ɧɚɫɬɨɹɳɟɟ ɜɪɟɦɹ ɩɪɢɧɹɬɨ ɨɰɟ ɧɢɜɚɬɶ ɥɸɛɨɣ ɧɨɜɵɣ ɞɢɚɝɧɨɫɬɢɱɟɫɤɢɣ ɦɟɬɨɞ ɨɫɧɨɜɵɜɚɹɫɶ ɧɚ ɩɪɢɧɰɢɩɚɯ ɞɨɤɚɡɚ ɬɟɥɶɧɨɣ ɦɟɞɢɰɢɧɵ ɢ ɢɫɩɨɥɶɡɭɹ ɨɩɟɪɚɰɢɨɧɧɵɟɯɚɪɚɤɬɟɪɢɫɬɢɤɢɞɢɚɝɧɨɫɬɢɱɟɫɤɨɝɨ ɬɟɫɬɚ ȼɚɠɧɵɦ ɤɪɢɬɟɪɢɟɦ ɥɸɛɨɝɨ ɦɟɬɨɞɚ ɞɢɚɝɧɨɫɬɢɤɢ ɹɜɥɹɟɬɫɹ ɟɝɨ ɜɨɫɩɪɨɢɡɜɨ ɞɢɦɨɫɬɶ ɉɨɷɬɨɦɭ ɧɟ ɭɞɢɜɢɬɟɥɶɧɨ ɱɬɨ ɩɪɚɤɬɢɱɟɫɤɢ ɧɚ ɧɚɱɚɥɶɧɨɦ ɷɬɚɩɟ ɢɫɩɨɥɶ ɡɨɜɚɧɢɹ ɞɚɧɧɨɝɨ ɦɟɬɨɞɚ ɧɟɤɨɬɨɪɵɟ ɢɫɫɥɟɞɨɜɚɬɟɥɢ ɩɨɩɵɬɚɥɢɫɶ ɨɰɟɧɢɬɶ ɟɝɨ ɫ ɷɬɨɣ ɫɬɨɪɨɧɵ.ɌɚɤF.S Molina et al>@ɩɪɨɜɟɥɢɨɰɟɧɤɭɜɨɫɩɪɨɢɡɜɨɞɢɦɨɫɬɢɪɟɡɭɥɶɬɚɬɨɜ ɢɫɫɥɟɞɨɜɚɧɢɹɭɩɚɰɢɟɧɬɨɤɫɨɞɧɨɩɥɨɞɧɨɣɛɟɪɟɦɟɧɧɨɫɬɶɸɗɥɚɫɬɨɝɪɚɮɢɹ ɩɪɨ ɜɨɞɢɥɚɫɶ ɞɜɚɠɞɵ ɨɞɧɢɦ ɫɩɟɰɢɚɥɢɫɬɨɦ ɚ ɜ50ɫɥɭɱɚɹɯ ɟɳɟ ɨɞɧɨ ɢɡɦɟɪɟɧɢɟ ɜɵɩɨɥ ɧɹɥ ɜɬɨɪɨɣ ɢɫɫɥɟɞɨɜɚɬɟɥɶ Ⱥɧɚɥɢɡ ɪɟɡɭɥɶɬɚɬɨɜ ɩɨɤɚɡɚɥ ɱɬɨ ɧɟ ɛɵɥɨ ɧɢɤɚɤɢɯ ɫɬɚ ɬɢɫɬɢɱɟɫɤɢ ɡɧɚɱɢɦɵɯ ɪɚɡɥɢɱɢɣ ɜ ɢɡɦɟɪɟɧɢɹɯ ɤɚɤ ɩɨɜɬɨɪɧɵɯ ɫɞɟɥɚɧɧɵɯ ɨɞɧɢɦ ɢɫ ɫɥɟɞɨɜɚɬɟɥɟɦ ɬɚɤ ɢ ɜɵɩɨɥɧɟɧɧɵɯ ɞɪɭɝɢɦ ɜɪɚɱɨɦ ɬɟ ɚɜɬɨɪɵ ɞɨɤɚɡɚɥɢ ɜɵɫɨɤɭɸ ɨɛɴɟɤɬɢɜɧɨɫɬɶ ɷɥɚɫɬɨɝɪɚɮɢɢ ȼɵɫɨɤɚɹ ɜɨɫɩɪɨɢɡɜɨɞɢɦɨɫɬɶ (90%) ɪɟɡɭɥɶɬɚɬɨɜ ɭɥɶɬɪɚɡɜɭɤɨɜɨɣ ɷɥɚɫɬɨɝɪɚɮɢɢ ɩɪɢ ɛɟɪɟɦɟɧɧɨɫɬɢ ɛɵɥɚ ɩɨɞɬɜɟɪɠɞɟɧɚ ɜ ɢɫɫɥɟɞɨɜɚ ɧɢɢM. Swiatkowska-Freund et al>@ɚɬɚɤɠɟɪɚɛɨɬɟA. Fruscalzo et al. [25].
ɁɚɤɥɸɱɟɧɢɟɌɚɤɢɦ ɨɛɪɚɡɨɦ ɩɪɨɜɟɞɟɧɧɵɣ ɚɧɚɥɢɡ ɩɭɛɥɢɤɚɰɢɣ ɩɨɫɜɹɳɟɧ ɧɵɯ ɭɥɶɬɪɚɡɜɭɤɨɜɨɣ ɷɥɚɫɬɨɝɪɚɮɢɢ ɩɨɤɚɡɚɥ ɱɬɨ ɞɚɧɧɵɣ ɦɟɬɨɞ ɩɪɟɞɫɬɚɜɥɹɟɬɫɹ
199
ɩɟɪɫɩɟɤɬɢɜɧɵɦɬɤɩɨɡɜɨɥɹɟɬɨɰɟɧɢɬɶɭɩɪɭɝɨ-ɷɥɚɫɬɢɱɧɵɟɫɜɨɣɫɬɜɚɬɤɚɧɟɣɲɟɣ ɤɢɦɚɬɤɢɢɧɟɫɨɦɧɟɧɧɨɧɭɠɞɚɟɬɫɹɜɞɚɥɶɧɟɣɲɟɦɢɡɭɱɟɧɢɢɇɟɨɛɯɨɞɢɦɨɪɚɡɪɚ ɛɨɬɚɬɶ ɤɪɢɬɟɪɢɢ ɤɨɬɨɪɵɟ ɦɨɝɥɢ ɛɵ ɧɟ ɬɨɥɶɤɨ ɨɰɟɧɢɜɚɬɶ ɪɟɚɥɶɧɨɟ ɫɨɫɬɨɹɧɢɟ ɲɟɣɤɢɦɚɬɤɢɜɦɨɦɟɧɬɢɫɫɥɟɞɨɜɚɧɢɹɧɨɢɩɪɨɝɧɨɡɢɪɨɜɚɬɶɯɚɪɚɤɬɟɪɬɟɱɟɧɢɹɩɪɨ ɰɟɫɫɚɉɪɟɞɫɬɚɜɥɹɟɬɫɹɩɟɪɫɩɟɤɬɢɜɧɵɦɩɪɢɦɟɧɟɧɢɟɷɥɚɫɬɨɝɪɚɮɢɢɞɥɹɞɢɚɝɧɨɫɬɢɤɢ ɢɫɬɦɢɤɨ-ɰɟɪɜɢɤɚɥɶɧɨɣɧɟɞɨɫɬɚɬɨɱɧɨɫɬɢɩɪɟɠɞɟɜɪɟɦɟɧɧɵɯɪɨɞɨɜ
Ʌɢɬɟɪɚɬɭɪɚ
1. Elastography: a quantita-tive method for imaging the elasticity of biological tissues / J. Ophir [et al.] // Ultrason Imaging. — 1991. — Vol. 13.— P. 111–134.
2.ȻɭɥɚɧɨɜɆɇɍɥɶɬɪɚɡɜɭɤɨɜɚɹɝɢɧɟɤɨɥɨɝɢɹɆɇȻɭɥɚɧɨɜ.// —Ɇȼɢɞɚɪ—
599ɫ
3.ɈɫɢɩɨɜɅȼɌɟɯɧɨɥɨɝɢɢɷɥɚɫɬɨɝɪɚɮɢɢɜɭɥɶɬɪɚɡɜɭɤɨɜɨɣɞɢɚɝɧɨɫɬɢɤɟ ɅȼɈɫɢ ɩɨɜ Ⱦɢɚɝɧɨɫɬɢɱɟɫɤɚɹɪɚɞɢɨɥɨɝɢɹɢɨɧɤɨɬɟɪɚɩɢɹ. — 2013. —ʋ3–4 —ɋ5–21.
4. Real-time sonoelastography of the cervix: tissue elasticity of the normal and abnor-mal cervix / A. Thomas [et al.] // Academic Radiology. — 2007. — Vol. 14(2). — P.193–200.
Ⱥɥɝɨɪɢɬɦ ɭɥɶɬɪɚɡɜɭɤɨɜɨɝɨ ɢɫɫɥɟɞɨɜɚɧɢɹ ɫ ɩɪɢɦɟɧɟɧɢɟɦ ɤɨɦɩɪɟɫɫɢɨɧɧɨɣ ɫɨɧɨɷɥɚɫɬɨɝɪɚɮɢɢ ɜ ɞɢɚɝɧɨɫɬɢɤɟ ɷɤɬɨɩɢɱɟɫɤɨɣ ɛɟɪɟɦɟɧɧɨɫɬɢ ɇȺ ȼɨɪɨɧɰɨɜɚ >ɢ ɞɪ@
Ⱥɤɭɲɟɪɫɬɜɨɢɝɢɧɟɤɨɥɨɝɢɹ— 2014. —ʋ—ɋ5–129.
6. Importance of Transvaginal Elastography in the Diagnosis of Uterine Fibroids and Ade-nomyosis./ M.L. Frank [et al.] // Ultraschall In Der Medizin (Stuttgart, Germany: 1980). — 2015.
7.Ɋɚɧɧɹɹ ɭɥɶɬɪɚɡɜɭɤɨɜɚɹ ɞɢɚɝɧɨɫɬɢɤɚ ɪɚɤɚ ɹɢɱɧɢɤɨɜ ɫ ɩɨɦɨɳɶɸ ɫɨɧɨɷɥɚɫɬɨɝɪɚɮɢɢ ɪɟɡɭɥɶɬɚɬɵ5–ɥɟɬɧɟɝɨɨɩɵɬɚɪɚɛɨɬɵȼȿȽɚɠɨɝɨɜɚ>ɢɞɪ@Ʉɪɟɦɥɟɜɫɤɚɹɦɟɞɢɰɢɧɚɤɥɢ ɧɢɱɟɫɤɢɣɜɟɫɬɧɢɤ. — 2013. —ʋ—ɋ9–86.
8.ɋɨɧɨɷɥɚɫɬɨɝɪɚɮɢɹ ɜ ɞɢɚɝɧɨɫɬɢɤɟ ɪɚɤɚ ɷɧɞɨɦɟɬɪɢɹ ȼȿ Ƚɚɠɨɧɨɜɚ >ɢ ɞɪ@ Ⱥɤɭ ɲɟɪɫɬɜɨɢɝɢɧɟɤɨɥɨɝɢɹ— 2014. —ʋ—ɋ4–58.
9. Preis, K. Elastography in the examination of the uterine cervix before labor induction / K. Preis, M. Swiatkowska-Freund, Z. Pankrac // Ginekologia Polska. — 2010. — Vol. 81 (10). — P. 757–61.
10. Swiatkowska-Freund, M. Elastography of the uterine cervix: implications for success of induction of labor / M. Swiatkowska-Freund, K. Preis // Ultrasound Obstet. Gynecol. — 2011. — Vol. 38 (1). — P. 52–6.
11. Sonoelastography as method for preliminary evaluation of uterine cervix to predict suc-cess of induction of labor / A. Muscatello [et al.] // Fetal Diagnosis And Therapy. — 2014. — Vol.
35 (1). — P. 57–61.
12. Sonoelastography of the uterine cervix as a new diagnostic tool of cervical assessment in pregnant women — preliminary report / T. Fuchs [et al.] // Ginekologia Polska. — 2013. — Vol.
84 (1). — P. 12–6.
13. Cervical strain determined by ultrasound elastography and its association with spontane-ous preterm delivery / E. Hernandez-Andrade [et al.] // Journal Of Perinatal Medicine. — 2014. — 42 (2). — P. 159–69.
14. Prognostic value of elastography in predicting premature delivery / M. Swiatkowska-Freund [et al.] // Ginekologia Polska. — 2014. — Vol. 85 (3). — P. 204–7.
15. Quantitative Elastography of the uterine cervix as a predictor of preterm delivery. / K. Köbbing [et al.] // Journal Of Perinatology. — 2014. — Vol. 34 (10). — P. 774–80.
16. Elastography in predicting preterm delivery in asymptomatic, low-risk women: a pros-pective observational study / S. Wozniak [et al.] // BMC Pregnancy And Childbirth. — 2014. — Vol. 14 (1). — P. 238.
22. Cervical HI-RTE elastography and pregnancy outcome: a prospective study / L. Sabiani [et al.] // European Journal Of Obstetrics, Gynecology, And Reproductive Biology. — 2015. — Vol. 186 (15). — P. 80–4.
17. Bastani, P. Transvaginal ultrasonography compared with Bishop score for predicting ce-sarean section after induction of labor / P. Bastani, K. Hamdi, F. Abasalizadeh et al. // Int. J. Wo-mens Health. –2011. — Vol. 3. — P. 277–280.