” Ⱥȼ. ɄɍɁɖɆȿɇɄɈ, ȺɄ. ɍɋɈȼɂɑ ɇɨɜɨɫɬɢɯɢɪɭɪɝɢɢ ÕÈÐÓÐÃÈ×ÅÑÊÀß ÀÍÀÒÎÌÈß ÎÑÍÎÂÍÎÃÎ ÑÒÂÎËÀ È ÀÍÀÑÒÎÌÎÇÎÂ

”ɇɨɜɨɫɬɢɯɢɪɭɪɝɢɢ
Ⱥȼ. ɄɍɁɖɆȿɇɄɈ, ȺɄ. ɍɋɈȼɂɑ
ÕÈÐÓÐÃÈ×ÅÑÊÀß ÀÍÀÒÎÌÈß ÎÑÍÎÂÍÎÃÎ ÑÒÂÎËÀ È ÀÍÀÑÒÎÌÎÇÎÂ
ÍÈÆÍÅÉ ßÃÎÄÈ×ÍÎÉ ÀÐÒÅÐÈÈ
ɍɈ «ȼɢɬɟɛɫɤɢɣɝɨɫɭɞɚɪɫɬɜɟɧɧɵɣɦɟɞɢɰɢɧɫɤɢɣɭɧɢɜɟɪɫɢɬɟɬ»,
Ɋɟɫɩɭɛɥɢɤɚ Ȼɟɥɚɪɭɫɶ
ɐɟɥɶ.ȼɵɹɜɥɟɧɢɟɜɚɪɢɚɧɬɨɜɚɧɚɬɨɦɢɢɦɚɝɢɫɬɪɚɥɶɧɨɝɨɫɬɜɨɥɚɢɚɧɚɫɬɨɦɨɡɨɜɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ.
Ɇɚɬɟɪɢɚɥɢɦɟɬɨɞɵ. ɂɫɫɥɟɞɨɜɚɧɢɹɩɪɨɜɟɞɟɧɵɧɚ 7 ɧɟɮɢɤɫɢɪɨɜɚɧɧɵɯɢ 46 ɮɢɤɫɢɪɨɜɚɧɧɵɯɬɪɭɩɚɯ. ȼɪɚɛɨɬɟɢɫɩɨɥɶɡɨɜɚɥɢɦɟɬɨɞɵɩɪɟɩɚɪɢɪɨɜɚɧɢɹɬɪɭɩɨɜɢɦɨɪɮɨɦɟɬɪɢɢ.
Ɋɟɡɭɥɶɬɚɬɵ.ɉɨɥɭɱɟɧɵɞɚɧɧɵɟɩɨɜɚɪɢɚɧɬɧɨɣɚɧɚɬɨɦɢɢɨɫɧɨɜɧɨɝɨɫɬɜɨɥɚɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ. ɍɫɬɚɧɨɜɥɟɧɨ, ɱɬɨɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɮɨɪɦɢɪɭɟɬɜɧɭɬɪɢɬɚɡɨɜɵɟɚɧɚɫɬɨɦɨɡɵ
ɧɚɩɪɨɬɹɠɟɧɢɢ 21,0±3,0 ɦɦɨɬɦɟɫɬɚɫɜɨɟɝɨɨɬɯɨɠɞɟɧɢɹ. ȼɵɹɜɥɟɧɨ, ɱɬɨɥɟɜɚɹɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹ
ɚɪɬɟɪɢɹɚɧɚɫɬɨɦɨɡɢɪɭɟɬɱɚɳɟ, ɱɟɦɩɪɚɜɚɹɫɦɚɝɢɫɬɪɚɥɶɧɵɦɢɫɨɫɭɞɚɦɢɩɨɥɨɫɬɢɬɚɡɚɢɩɪɢɥɟɝɚɸɳɢɯɨɛɥɚɫɬɟɣ.
Ɂɚɤɥɸɱɟɧɢɟ. ɂɡɥɨɠɟɧɧɵɟɜɫɬɚɬɶɟɞɚɧɧɵɟɦɨɝɭɬɛɵɬɶɢɫɩɨɥɶɡɨɜɚɧɵɜɭɪɝɟɧɬɧɨɣɯɢɪɭɪɝɢɢɩɪɢɨɫɬɚɧɨɜɤɟɤɪɨɜɨɬɟɱɟɧɢɹɢɡɩɨɜɪɟɠɞɺɧɧɨɝɨɨɫɧɨɜɧɨɝɨɫɬɜɨɥɚɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ.
Ʉɥɸɱɟɜɵɟɫɥɨɜɚ: ɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹ, ɚɪɬɟɪɢɢɬɚɡɚ, ɚɧɚɫɬɨɦɨɡɵ
Objectives. Revealing of variations of the main trunk anatomy and anastomoses of the inferior
gluteal artery.
Methods. The investigations were performed on 7 unfixed and 46 fixed dead bodies. Methods of
dead bodies’ preparation and morphometry were used in the research.
Results. The data concerning variant anatomy of the main trunk of the inferior gluteal artery were
obtained. It was determined that the inferior gluteal artery forms intra-pelvic anastomoses over the
distance of 21,0±3,0 mm from the place of its beginning. The left inferior artery was established to form
anastomoses more often than the right one with the main vessels of the pelvic cavity and adjoining
regions.
Conclusions. The obtained data can be used in urgent surgery to stop bleeding from the damaged
main trunk of the inferior gluteal artery.
Keywords: inferior gluteal artery, pelvic arteries, anastomoses
ȼɜɟɞɟɧɢɟ
Ɉɫɧɨɜɧɵɦ ɦɟɬɨɞɨɦ ɥɟɱɟɧɢɹ ɚɧɟɜɪɢɡɦɵ ɧɢɠɧɟɣ ɹɝɨɞɢɱɧɨɣ ɚɪɬɟɪɢɢ ɜ ɧɚɫɬɨɹɳɟɟɜɪɟɦɹɹɜɥɹɟɬɫɹɷɧɞɨɜɚɫɤɭɥɹɪɧɚɹɷɦɛɨɥɢɡɚɰɢɹɦɚɝɢɫɬɪɚɥɶɧɨɝɨɫɬɜɨɥɚɷɬɨɝɨɫɨɫɭɞɚ [1]. ɉɪɨɬɢɜɨɪɟɱɢɜɵɟɞɚɧɧɵɟɨɜɚɪɢɚɧɬɚɯɜɟɬɜɥɟɧɢɹɜɵɲɟɭɤɚɡɚɧɧɨɣɚɪɬɟɪɢɢɡɧɚɱɢɬɟɥɶɧɨɭɫɥɨɠɧɹɸɬɨɩɟɪɚɬɢɜɧɵɟɜɦɟɲɚɬɟɥɶɫɬɜɚ [2], ɚɜɧɭɬɪɢɫɨɫɭɞɢɫɬɨɟɪɚɡɦɟɳɟɧɢɟɷɦɛɨɥɚɛɟɡɭɱɺɬɚɨɫɨɛɟɧɧɨɫɬɟɣɤɨɥɥɚɬɟɪɚɥɶɧɨɝɨɪɭɫɥɚɩɪɢɜɨɞɢɬɤɧɟɤɪɨɬɢɱɟɫɤɢɦ
ɩɪɨɰɟɫɫɚɦɜɦɹɝɤɢɯɬɤɚɧɹɯɫɬɟɧɨɤɬɚɡɚ [3].
ɋɥɟɞɭɟɬ ɨɬɦɟɬɢɬɶ, ɱɬɨ ɜ ɥɢɬɟɪɚɬɭɪɟ
82
ɨɩɢɫɚɧɢɟɜɧɭɬɪɢɬɚɡɨɜɵɯɚɧɚɫɬɨɦɨɡɨɜɹɝɨɞɢɱɧɵɯ ɚɪɬɟɪɢɣ ɨɝɪɚɧɢɱɢɜɚɟɬɫɹ ɬɨɥɶɤɨ
ɤɨɧɫɬɚɬɚɰɢɟɣɧɚɥɢɱɢɹɬɨɝɨɢɥɢɢɧɨɝɨɫɨɭɫɬɶɹ [4, 5]. ɉɪɢɷɬɨɦɧɟɭɤɚɡɵɜɚɟɬɫɹɱɚɫɬɨɬɚ, ɫɤɨɬɨɪɨɣɜɫɬɪɟɱɚɸɬɫɹɷɬɢɚɧɚɫɬɨɦɨɡɵɢɧɟɩɪɟɞɨɫɬɚɜɥɹɸɬɫɹɢɯɦɨɪɮɨɦɟɬɪɢɱɟɫɤɢɟ ɯɚɪɚɤɬɟɪɢɫɬɢɤɢ.
ɇɟɦɚɥɨɜɚɠɧɵɦ ɜɨɩɪɨɫɨɦ ɹɜɥɹɟɬɫɹ
ɨɰɟɧɤɚɤɨɦɩɟɧɫɚɬɨɪɧɨɣɮɭɧɤɰɢɢɨɤɨɥɶɧɨɝɨɤɪɨɜɨɬɨɤɚɩɨɫɥɟɜɵɤɥɸɱɟɧɢɹɢɡɤɪɨɜɨɨɛɪɚɳɟɧɢɹ ɦɚɝɢɫɬɪɚɥɶɧɨɣ ɚɪɬɟɪɢɢ ɜ ɤɚɤɨɣɥɢɛɨɨɛɥɚɫɬɢɢɥɢɩɨɥɨɫɬɢ [4]. Ɉɬɮɭɧɤɰɢɨɧɚɥɶɧɨɣɚɤɬɢɜɧɨɫɬɢɚɪɬɟɪɢɚɥɶɧɵɯɫɨɭɫɬɢɣ ɛɭɞɟɬ ɡɚɜɢɫɟɬɶ ɤɚɱɟɫɬɜɨ ɠɢɡɧɢ ɩɚ-
ʋ5x2010 iɬɨɦ 18
ɰɢɟɧɬɚɜɭɫɥɨɜɢɹɯɨɤɤɥɸɡɢɢɢɥɢɥɢɝɢɪɨɜɚɧɢɹɨɫɧɨɜɧɨɝɨɫɬɜɨɥɚɤɪɭɩɧɨɝɨɚɪɬɟɪɢɚɥɶɧɨɝɨɫɨɫɭɞɚ [5].
Ȼɨɥɶɲɨɟɜɧɢɦɚɧɢɟɢɫɫɥɟɞɨɜɚɧɢɸɮɭɧɤɰɢɨɧɚɥɶɧɨɣ ɚɤɬɢɜɧɨɫɬɢ ɚɪɬɟɪɢɚɥɶɧɵɯ
ɚɧɚɫɬɨɦɨɡɨɜɜɪɚɡɥɢɱɧɵɯɨɛɥɚɫɬɹɯɢɩɨɥɨɫɬɹɯ ɬɟɥɚ ɱɟɥɨɜɟɤɚɜ ɫɟɪɟɞɢɧɟ 70-ɯ ɝɨɞɨɜ
20-ɝɨɫɬɨɥɟɬɢɹɭɞɟɥɹɥɢȼȼ. ɄɨɜɚɧɨɜɢɌɂ.
Ⱥɧɢɤɢɧɚ [4]. ɂɦɢ ɭɫɬɚɧɨɜɥɟɧɨ, ɱɬɨ ɫɚɦɨ
ɧɚɥɢɱɢɟ ɤɪɭɩɧɨɝɨ ɫɨɭɫɬɶɹ ɦɟɠɞɭ ɦɚɝɢɫɬɪɚɥɶɧɵɦɢ ɚɪɬɟɪɢɹɦɢ ɟɳɺ ɧɟ ɝɚɪɚɧɬɢɪɭɟɬ
ɟɝɨ ɜɤɥɸɱɟɧɢɟ ɜ ɨɤɨɥɶɧɵɣ ɤɪɨɜɨɬɨɤ ɩɪɢ
ɨɤɤɥɸɡɢɢɢɥɢɥɢɝɢɪɨɜɚɧɢɢɨɞɧɨɝɨɢɡɷɬɢɯ
ɚɪɬɟɪɢɚɥɶɧɵɯ ɫɨɫɭɞɨɜ, ɚ ɧɚɱɢɧɚɸɬ ɮɭɧɤɰɢɨɧɢɪɨɜɚɬɶɚɧɚɫɬɨɦɨɡɵɬɨɥɶɤɨɜɨɩɪɟɞɟɥɺɧɧɨɦ ɱɢɫɥɟ ɫɥɭɱɚɟɜ. ɉɪɢ ɷɬɨɦ ɱɚɫɬɨɬɚ
ɮɭɧɤɰɢɨɧɚɥɶɧɨɣɚɤɬɢɜɧɨɫɬɢɚɪɬɟɪɢɚɥɶɧɵɯ
ɚɧɚɫɬɨɦɨɡɨɜɜɪɚɡɥɢɱɧɵɯɨɛɥɚɫɬɹɯɢɩɨɥɨɫɬɹɯɬɟɥɚɱɟɥɨɜɟɤɚɦɨɠɟɬɤɨɥɟɛɚɬɶɫɹɜɩɪɟɞɟɥɚɯɨɬ 3% ɞɨ 97% [4]. ɗɬɨɫɨɡɞɚɺɬɡɧɚɱɢɬɟɥɶɧɵɟɬɪɭɞɧɨɫɬɢɯɢɪɭɪɝɚɦɩɪɚɜɢɥɶɧɨ
ɨɰɟɧɢɬɶɜɨɡɦɨɠɧɨɫɬɢɨɤɨɥɶɧɨɝɨɤɪɨɜɨɬɨɤɚɜɦɟɫɬɟɨɩɟɪɚɬɢɜɧɨɝɨɜɦɟɲɚɬɟɥɶɫɬɜɚ.
ɇɟɫɦɨɬɪɹ ɧɚ ɧɚɥɢɱɢɟ ɮɭɧɞɚɦɟɧɬɚɥɶɧɵɯɪɚɛɨɬɩɨɚɪɬɟɪɢɚɥɶɧɨɦɭɤɨɥɥɚɬɟɪɚɥɶɧɨɦɭɤɪɨɜɨɨɛɪɚɳɟɧɢɸȻȺ. Ⱦɨɥɝɨɋɚɛɭɪɨɜɚ, ȼɌ. ɋɟɪɟɛɪɨɜɚ, ȼȼ. Ʉɨɜɚɧɨɜɚ, Ɍɂ. Ⱥɧɢɤɢɧɨɣ, Ʉɉ. Ɇɢɧɟɟɜɚ [4, 5], ɞɨɫɢɯɩɨɪɨɬɫɭɬɫɬɜɭɟɬɰɟɥɨɫɬɧɨɟɩɪɟɞɫɬɚɜɥɟɧɢɟɨɜɚɪɢɚɧɬɚɯɢ ɱɚɫɬɨɬɟɚɧɚɫɬɨɦɨɡɢɪɨɜɚɧɢɹ ɧɟɤɨɬɨɪɵɯ ɦɚɝɢɫɬɪɚɥɶɧɵɯ ɚɪɬɟɪɢɣ ɩɨɥɨɫɬɢ
ɬɚɡɚ, ɜɬɨɦɱɢɫɥɟɢɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ. Ɉɫɬɚɺɬɫɹɨɬɤɪɵɬɵɦɜɨɩɪɨɫɨɦɟɬɨɞɚɯɱɺɬɤɨɝɨɨɩɪɟɞɟɥɟɧɢɹɮɭɧɤɰɢɨɧɚɥɶɧɨɣ
ɚɤɬɢɜɧɨɫɬɢ ɚɪɬɟɪɢɚɥɶɧɵɯ ɚɧɚɫɬɨɦɨɡɨɜ, ɚ
ɫɥɟɞɨɜɚɬɟɥɶɧɨ ɢ ɨɰɟɧɤɢ ɤɨɦɩɟɧɫɚɬɨɪɧɵɯ
ɜɨɡɦɨɠɧɨɫɬɟɣɷɬɢɯɨɛɪɚɡɨɜɚɧɢɣɜɭɫɥɨɜɢɹɯɨɤɤɥɸɡɢɢɢɥɢɥɢɝɢɪɨɜɚɧɢɹɦɚɝɢɫɬɪɚɥɶɧɨɝɨɫɨɫɭɞɚ.
Ɍɚɤɢɦ ɨɛɪɚɡɨɦ, ɨɫɬɚɸɬɫɹ ɚɤɬɭɚɥɶɧɵɦɢɢɫɫɥɟɞɨɜɚɧɢɹ, ɧɚɩɪɚɜɥɟɧɧɵɟ ɧɚɩɨɥɭɱɟɧɢɟ ɫɜɟɞɟɧɢɣ ɩɨ ɜɚɪɢɚɧɬɧɨɣ ɚɧɚɬɨɦɢɢ
ɦɚɝɢɫɬɪɚɥɶɧɨɝɨɢɨɤɨɥɶɧɨɝɨɪɭɫɥɚɧɢɠɧɟɣ
ɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ.
ɐɟɥɶɸɢɫɫɥɟɞɨɜɚɧɢɹɹɜɢɥɨɫɶɜɵɹɜɥɟ-
ɧɢɟ ɜɚɪɢɚɧɬɨɜ ɚɧɚɬɨɦɢɢ ɦɚɝɢɫɬɪɚɥɶɧɨɝɨ
ɫɬɜɨɥɚ ɢ ɚɧɚɫɬɨɦɨɡɨɜ ɧɢɠɧɟɣ ɹɝɨɞɢɱɧɨɣ
ɚɪɬɟɪɢɢ.
Ɇɚɬɟɪɢɚɥɢɦɟɬɨɞɵ
ȼɨɫɧɨɜɭɧɚɫɬɨɹɳɟɣɪɚɛɨɬɵɩɨɥɨɠɟɧɵ
ɞɚɧɧɵɟɫɟɤɰɢɨɧɧɵɯɢɫɫɥɟɞɨɜɚɧɢɣ, ɜɵɩɨɥɧɟɧɧɵɯɧɚ 7 ɧɟɮɢɤɫɢɪɨɜɚɧɧɵɯɢ 46 ɮɢɤɫɢɪɨɜɚɧɧɵɯ ɬɪɭɩɚɯ ɥɸɞɟɣ ɨɛɨɟɝɨ ɩɨɥɚ ɜ
ɜɨɡɪɚɫɬɟɨɬ 35 ɞɨ 79 ɥɟɬ. ɂɡɦɟɪɟɧɢɟɧɚɪɭɠɧɨɝɨɞɢɚɦɟɬɪɚɜɵɞɟɥɟɧɧɵɯɜ ɯɨɞɟɩɪɟɩɚɪɢɪɨɜɚɧɢɹ ɦɚɝɢɫɬɪɚɥɶɧɵɯ ɚɪɬɟɪɢɣ ɢ ɢɯ
ɚɧɚɫɬɨɦɨɡɨɜɩɪɨɜɨɞɢɥɨɫɶɫɩɨɦɨɳɶɸɦɢɤɪɨɦɟɬɪɚɆɄ-67.
Ⱦɥɹ ɨɫɭɳɟɫɬɜɥɟɧɢɹ ɞɨɫɬɭɩɚ ɤ ɩɪɚɜɨɣ
ɢ ɥɟɜɨɣ ɧɢɠɧɢɦ ɹɝɨɞɢɱɧɵɦ ɚɪɬɟɪɢɹɦ ɧɚ
ɧɟɮɢɤɫɢɪɨɜɚɧɧɵɯɬɪɭɩɚɯɜɵɩɨɥɧɹɥɢɩɨɥɧɭɸɫɪɟɞɢɧɧɭɸɥɚɩɚɪɨɬɨɦɢɸɩɨɫɪɟɞɫɬɜɨɦ
ɪɚɡɪɟɡɚɤɨɠɢɨɬɦɟɱɟɜɢɞɧɨɝɨɨɬɪɨɫɬɤɚɞɨ
ɥɨɛɤɨɜɨɝɨ ɫɢɦɮɢɡɚ, ɨɛɯɨɞɹ ɩɭɩɨɤ ɫɥɟɜɚ.
Ɋɚɫɫɟɤɚɥɢɤɨɠɭ, ɩɨɞɤɨɠɧɭɸɠɢɪɨɜɭɸɤɥɟɬɱɚɬɤɭɢɩɨɜɟɪɯɧɨɫɬɧɭɸɮɚɫɰɢɸ. ȼɨɬɪɨɝɚɯ
ɩɨɜɟɪɯɧɨɫɬɧɨɣɮɚɫɰɢɢɨɫɭɳɟɫɬɜɥɹɥɢɩɨɢɫɤ ɩɨɜɟɪɯɧɨɫɬɧɵɯ ɧɚɞɱɪɟɜɧɵɯ, ɧɢɠɧɢɯ
ɦɟɠɪɺɛɟɪɧɵɯ, ɩɨɜɟɪɯɧɨɫɬɧɵɯɜɟɬɜɟɣɜɟɪɯɧɢɯɧɚɞɱɪɟɜɧɵɯ, ɩɨɹɫɧɢɱɧɵɯ, ɩɨɞɜɡɞɨɲɧɨɩɨɹɫɧɢɱɧɵɯ ɚɪɬɟɪɢɣ, ɩɨɜɟɪɯɧɨɫɬɧɵɯ
ɚɪɬɟɪɢɣ, ɨɝɢɛɚɸɳɢɯɩɨɞɜɡɞɨɲɧɭɸɤɨɫɬɶ.
Ɉɰɟɧɢɜɚɥɢɫɬɟɩɟɧɶɜɵɪɚɠɟɧɧɨɫɬɢɚɧɚɫɬɨɦɨɡɨɜɦɟɠɞɭ ɜɵɲɟɨɩɢɫɚɧɧɵɦɢɫɨɫɭɞɚɦɢ
ɢɚɪɬɟɪɢɹɦɢɩɪɢɥɟɝɚɸɳɢɯɨɛɥɚɫɬɟɣ. ɉɨɫɥɟɷɬɨɝɨɪɚɫɫɟɤɚɥɢɩɨɜɟɪɯɧɨɫɬɧɭɸɮɚɫɰɢɸ
ɧɢɠɟ ɩɭɩɤɚ ɞɨɩɨɥɧɢɬɟɥɶɧɨ – ɮɚɫɰɢɸ
Ɍɨɦɫɨɧɚ). Ɉɬɫɟɩɚɪɨɜɵɜɚɥɢɥɨɫɤɭɬɵɩɨɜɟɪɯɧɨɫɬɧɨɝɨɫɥɨɹɩɟɪɟɞɧɟɛɨɤɨɜɨɣɫɬɟɧɤɢɠɢɜɨɬɚɜɥɚɬɟɪɚɥɶɧɵɯɧɚɩɪɚɜɥɟɧɢɹɯ. ɉɨɧɚɪɭɠɧɵɦ ɤɪɚɹɦ ɩɪɹɦɵɯ ɦɵɲɰ ɠɢɜɨɬɚ ɧɚ
ɜɫɸɞɥɢɧɭɤɨɠɧɨɝɨɪɚɡɪɟɡɚɪɚɫɫɟɤɚɥɢɧɚɪɭɠɧɭɸɢɜɧɭɬɪɟɧɧɸɸɤɨɫɵɟɦɵɲɰɵɠɢɜɨɬɚ, ɢɢɯɥɨɫɤɭɬɵɨɬɜɨɞɢɥɢɜɫɬɨɪɨɧɵ. ȼ
ɤɥɟɬɱɚɬɨɱɧɨɦ ɩɪɨɫɬɪɚɧɫɬɜɟ ɦɟɠɞɭ ɜɧɭɬɪɟɧɧɟɣɤɨɫɨɣɢɩɨɩɟɪɟɱɧɨɣɦɵɲɰɚɦɢɩɟɪɟɞɧɟɛɨɤɨɜɨɣɛɪɸɲɧɨɣɫɬɟɧɤɢɨɫɭɳɟɫɬɜɥɹɥɢɩɨɢɫɤɜɟɪɯɧɢɯɢɧɢɠɧɢɯɧɚɞɱɪɟɜɧɵɯ,
83
”ɇɨɜɨɫɬɢɯɢɪɭɪɝɢɢ
ɧɢɠɧɢɯ ɦɟɠɪɺɛɟɪɧɵɯ, ɧɢɠɧɢɯ ɞɢɚɮɪɚɝɦɚɥɶɧɵɯ, ɩɨɞɜɡɞɨɲɧɨɩɨɹɫɧɢɱɧɵɯ, ɩɭɩɨɱɧɵɯɚɪɬɟɪɢɣ, ɝɥɭɛɨɤɢɯɚɪɬɟɪɢɣ, ɨɝɢɛɚɸɳɢɯ
ɩɨɞɜɡɞɨɲɧɭɸɤɨɫɬɶ, ɚɪɬɟɪɢɚɥɶɧɵɯɤɨɥɥɚɬɟɪɚɥɟɣ, ɫɨɟɞɢɧɹɸɳɢɯɛɚɫɫɟɣɧɵɧɚɪɭɠɧɵɯ
ɢɜɧɭɬɪɟɧɧɢɯɩɨɞɜɡɞɨɲɧɵɯɚɪɬɟɪɢɣ. Ɉɰɟɧɢɜɚɥɢɫɢɧɬɨɩɢɸɜɵɞɟɥɟɧɧɵɯɚɪɬɟɪɢɣ, ɜɵɪɚɠɟɧɧɨɫɬɶɢɯɚɧɚɫɬɨɦɨɡɨɜ.
ɇɚɮɢɤɫɢɪɨɜɚɧɧɵɯɬɪɭɩɚɯɪɚɡɪɟɡɩɪɨɢɡɜɨɞɢɥɢɨɬɩɟɪɟɞɧɟɣɜɟɪɯɧɟɣɩɪɚɜɨɣɨɫɬɢ
ɩɨɞɜɡɞɨɲɧɨɣɤɨɫɬɢɩɨɧɚɩɪɚɜɥɟɧɢɸɤɧɢɠɧɟɦɭɤɪɚɸ XI ɪɟɛɪɚɜɜɟɪɯ, ɞɚɥɟɟɩɨɧɢɠɧɟɦɭ ɤɪɚɸ ɪɺɛɟɪɧɨɣ ɞɭɝɢ ɞɭɝɨɨɛɪɚɡɧɨ ɤ
ɧɢɠɧɟɦɭɤɪɚɸɥɟɜɨɝɨ XI ɪɟɛɪɚ, ɡɚɬɟɦɩɪɨɞɨɥɠɚɥɢ ɜɟɪɬɢɤɚɥɶɧɨ ɜɧɢɡ ɞɨ ɩɟɪɟɞɧɟɣ
ɜɟɪɯɧɟɣɨɫɬɢɥɟɜɨɣɩɨɞɜɡɞɨɲɧɨɣɤɨɫɬɢ. Ɉɬ
ɩɟɪɟɞɧɢɯɜɟɪɯɧɢɯɨɫɬɟɣɩɨɞɜɡɞɨɲɧɵɯɤɨɫɬɟɣ ɫ ɞɜɭɯ ɫɬɨɪɨɧ ɩɚɪɚɥɥɟɥɶɧɨ ɩɚɯɨɜɨɣ
ɫɜɹɡɤɟɞɨɩɟɪɟɫɟɱɟɧɢɹɫɧɚɪɭɠɧɵɦɤɪɚɟɦ
ɩɪɹɦɨɣ ɦɵɲɰɵ ɠɢɜɨɬɚ ɞɨɩɨɥɧɢɬɟɥɶɧɨ
ɪɚɫɫɟɤɚɥɢ ɤɨɠɭ ɢ ɩɨɞɤɨɠɧɭɸ ɠɢɪɨɜɭɸ
ɤɥɟɬɱɚɬɤɭɜɦɟɞɢɚɥɶɧɨɦɧɚɩɪɚɜɥɟɧɢɢ. ɉɪɢ
ɷɬɨɦɜɵɞɟɥɹɥɢɜɬɨɣɠɟɩɨɫɥɟɞɨɜɚɬɟɥɶɧɨɫɬɢ ɚɪɬɟɪɢɢ, ɤɨɬɨɪɵɟɢɫɫɥɟɞɨɜɚɥɢ ɜ ɷɬɨɦ
ɫɥɨɟɧɚɧɟɮɢɤɫɢɪɨɜɚɧɧɵɯɬɪɭɩɚɯ. ɉɨɯɨɞɭ
ɤɨɠɧɨɝɨ ɪɚɡɪɟɡɚ ɪɚɫɫɟɤɚɥɢ ɧɚɪɭɠɧɵɟ ɤɨɫɵɟ ɦɵɲɰɵ ɠɢɜɨɬɚ ɢ ɜ ɤɥɟɬɱɚɬɤɟ ɦɟɠɞɭ
ɜɧɭɬɪɟɧɧɟɣɤɨɫɨɣɢɩɨɩɟɪɟɱɧɨɣɦɵɲɰɚɦɢ
ɩɟɪɟɞɧɟɛɨɤɨɜɨɣɛɪɸɲɧɨɣɫɬɟɧɤɢɢɫɫɥɟɞɨɜɚɥɢɫɢɧɬɨɩɢɸɫɨɫɭɞɨɜɩɨɚɧɚɥɨɝɢɢɫɢɡɭɱɟɧɢɟɦɧɚɧɟɮɢɤɫɢɪɨɜɚɧɧɵɯɬɪɭɩɚɯ.
ɂɫɫɥɟɞɨɜɚɧɢɟɬɨɩɨɝɪɚɮɢɢɚɪɬɟɪɢɣɡɚɛɪɸɲɢɧɧɨɝɨɩɪɨɫɬɪɚɧɫɬɜɚɫɭɱɺɬɨɦɪɚɡɧɢɰɵɞɨɫɬɭɩɨɜɧɚɧɟɮɢɤɫɢɪɨɜɚɧɧɵɯɢɮɢɤɫɢɪɨɜɚɧɧɵɯɬɪɭɩɚɯɨɫɭɳɟɫɬɜɥɹɥɢɫɨɫɬɨɪɨɧɵɛɪɸɲɧɨɣɩɨɥɨɫɬɢ. ɉɨɫɥɟɜɫɤɪɵɬɢɹ
ɩɨɥɨɫɬɢɠɢɜɨɬɚɩɨɫɥɟɞɨɜɚɬɟɥɶɧɨɨɛɧɚɠɚɥɢ ɜɧɚɱɚɥɟɩɪɚɜɭɸ, ɚ ɡɚɬɟɦ ɥɟɜɭɸɡɚɞɧɢɟ
ɫɬɟɧɤɢɠɢɜɨɬɚ. ɉɨɜɟɪɬɢɤɚɥɶɧɵɦɥɢɧɢɹɦ,
ɫɨɟɞɢɧɹɸɳɢɦɜɟɪɯɭɲɤɢɩɨɩɟɪɟɱɧɵɯɨɬɪɨɫɬɤɨɜ ɩɨɹɫɧɢɱɧɵɯ ɩɨɡɜɨɧɤɨɜ, ɪɚɫɫɟɤɚɥɢ
ɛɪɸɲɢɧɭ, ɡɚɛɪɸɲɢɧɧɭɸɤɥɟɬɱɚɬɤɭɢɜɧɭɬɪɢɛɪɸɲɧɭɸ ɮɚɫɰɢɸ ɨɬ ɞɢɚɮɪɚɝɦɵ ɞɨ
ɭɪɨɜɧɹ I ɤɪɟɫɬɰɨɜɨɝɨɩɨɡɜɨɧɤɚ. ȼɨɬɪɨɝɚɯ
ɜɧɭɬɪɢɛɪɸɲɧɨɣɮɚɫɰɢɢɩɨɫɥɟɞɨɜɚɬɟɥɶɧɨ
84
ɜɵɞɟɥɹɥɢɫɶɚɨɪɬɚ, ɧɢɠɧɹɹɩɨɥɚɹɜɟɧɚ, ɩɨɹɫɧɢɱɧɵɟ, ɧɢɠɧɢɟ ɞɢɚɮɪɚɝɦɚɥɶɧɵɟ, ɩɨɞɜɡɞɨɲɧɨɩɨɹɫɧɢɱɧɵɟɚɪɬɟɪɢɢ, ɝɥɭɛɨɤɢɟɚɪɬɟɪɢɢ, ɨɝɢɛɚɸɳɢɟ ɩɨɞɜɡɞɨɲɧɭɸ ɤɨɫɬɶ.
Ɉɰɟɧɢɜɚɥɢɢɯɬɨɩɨɝɪɚɮɢɸɢɫɬɟɩɟɧɶɜɵɪɚɠɟɧɧɨɫɬɢɚɧɚɫɬɨɦɨɡɨɜ.
ɉɪɢɢɫɫɥɟɞɨɜɚɧɢɢɬɨɩɨɝɪɚɮɢɢɫɨɫɭɞɨɜ
ɨɛɥɚɫɬɢɬɚɡɚɩɪɨɞɨɥɠɚɥɢɨɬɫɥɚɢɜɚɬɶɛɪɸɲɢɧɭ, ɡɚɛɪɸɲɢɧɧɭɸɤɥɟɬɱɚɬɤɭɢɬɚɡɨɜɭɸ
ɮɚɫɰɢɸɨɬ I ɤɪɟɫɬɰɨɜɨɝɨɩɨɡɜɨɧɤɚɩɨɯɨɞɭ
ɜɟɬɜɟɣ ɩɨɞɜɡɞɨɲɧɵɯ ɚɪɬɟɪɢɣ ɧɚ ɜɫɟɦ ɢɯ
ɩɪɨɬɹɠɟɧɢɢ. ɉɨɫɥɟɞɨɜɚɬɟɥɶɧɨɜɵɞɟɥɹɥɢɫɶ
ɜɟɬɜɢɧɚɪɭɠɧɨɣɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ: ɝɥɭɛɨɤɢɟ ɚɪɬɟɪɢɢ, ɨɝɢɛɚɸɳɢɟ ɩɨɞɜɡɞɨɲɧɭɸ
ɤɨɫɬɶ, ɧɢɠɧɢɟɧɚɞɱɪɟɜɧɵɟ ɚɪɬɟɪɢɢ, ɚɪɬɟɪɢɚɥɶɧɚɹ ɤɨɥɥɚɬɟɪɚɥɶ, ɫɨɟɞɢɧɹɸɳɚɹ ɛɚɫɫɟɣɧɵɧɚɪɭɠɧɨɣɢɜɧɭɬɪɟɧɧɟɣɩɨɞɜɡɞɨɲɧɵɯɚɪɬɟɪɢɣ. Ɂɚɬɟɦɜɵɞɟɥɹɥɢɜɟɬɜɢɜɧɭɬɪɟɧɧɟɣɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ: ɩɨɞɜɡɞɨɲɧɨɩɨɹɫɧɢɱɧɵɟ, ɛɨɤɨɜɵɟɤɪɟɫɬɰɨɜɵɟ, ɜɟɪɯɧɢɟ
ɢɧɢɠɧɢɟɹɝɨɞɢɱɧɵɟ, ɡɚɩɢɪɚɬɟɥɶɧɵɟɚɪɬɟɪɢɢ. Ɉɰɟɧɢɜɚɥɢ ɢɯ ɬɨɩɨɝɪɚɮɢɸ, ɫɬɟɩɟɧɶ
ɜɵɪɚɠɟɧɧɨɫɬɢɚɧɚɫɬɨɦɨɡɨɜɦɟɠɞɭɧɢɦɢ.
Ⱦɥɹɜɵɹɜɥɟɧɢɹɚɧɚɫɬɨɦɨɬɢɱɟɫɤɢɯɜɡɚɢɦɨɫɜɹɡɟɣɦɟɠɞɭɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɟɣɢɞɪɭɝɢɦɢɚɪɬɟɪɢɚɥɶɧɵɦɢɫɨɫɭɞɚɦɢ,
ɪɚɫɩɨɥɨɠɟɧɧɵɦɢɜɧɟɩɨɥɨɫɬɢɬɚɡɚ, ɩɪɨɢɡɜɨɞɢɥɢɞɨɫɬɭɩɜɹɝɨɞɢɱɧɨɣɨɛɥɚɫɬɢ. əɝɨɞɢɱɧɵɣɞɨɫɬɭɩɜɵɩɨɥɧɹɥɢɩɨɞɤɨɜɨɨɛɪɚɡɧɵɦɪɚɡɪɟɡɨɦ, ɧɚɱɢɧɚɸɳɢɦɫɹɨɬɧɚɪɭɠɧɨɣ
ɩɨɜɟɪɯɧɨɫɬɢ ɨɫɧɨɜɚɧɢɹ ɤɪɟɫɬɰɚ ɜɧɢɡ ɞɨ
ɭɪɨɜɧɹ ɧɚ 4 ɫɦ ɧɢɠɟ ɹɝɨɞɢɱɧɨɣ ɫɤɥɚɞɤɢ,
ɡɚɬɟɦ ɩɨ ɞɭɝɟ ɩɚɪɚɥɥɟɥɶɧɨ ɝɪɟɛɧɸ ɩɨɞɜɡɞɨɲɧɨɣɤɨɫɬɢɞɨɩɟɪɟɞɧɟɜɟɪɯɧɟɣɨɫɬɢ
ɩɨɞɜɡɞɨɲɧɨɣɤɨɫɬɢ. Ⱦɚɥɟɟɪɚɡɪɟɡɩɪɨɞɨɥɠɚɥɢɜɟɪɬɢɤɚɥɶɧɨɜɧɢɡɩɨɧɚɩɪɚɜɥɟɧɢɸɤ
ɛɨɥɶɲɨɦɭɜɟɪɬɟɥɭɛɟɞɪɟɧɧɨɣɤɨɫɬɢɧɚ 6 ɫɦ
ɧɢɠɟɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɫɤɥɚɞɤɢ. Ɋɚɫɫɟɤɚɥɢ ɤɨɠɭ, ɨɛɚ ɫɥɨɹ ɩɨɞɤɨɠɧɨɣ ɠɢɪɨɜɨɣ
ɤɥɟɬɱɚɬɤɢ ɢ ɩɨɜɟɪɯɧɨɫɬɧɨɣ ɮɚɫɰɢɢ, ɥɨɫɤɭɬ ɨɬɜɨɪɚɱɢɜɚɥɢ ɤɧɢɡɭ ɢ ɮɢɤɫɢɪɨɜɚɥɢ
ɲɺɥɤɨɜɵɦ ɲɜɨɦɤ ɤɨɠɟ ɛɟɞɪɚ. ȼ ɨɬɪɨɝɚɯ
ɩɨɜɟɪɯɧɨɫɬɧɨɣɮɚɫɰɢɢɨɫɭɳɟɫɬɜɥɹɥɢɩɨɢɫɤ ɧɚɪɭɠɧɵɯ, ɨɝɢɛɚɸɳɢɯ ɩɨɞɜɡɞɨɲɧɭɸ
ɤɨɫɬɶ, ɧɢɠɧɢɯɩɨɹɫɧɢɱɧɵɯɚɪɬɟɪɢɣɢɩɨ-
ʋ5x2010 iɬɨɦ 18
ɜɟɪɯɧɨɫɬɧɵɟɜɟɬɜɢɹɝɨɞɢɱɧɵɯɚɪɬɟɪɢɣ. ȼɵɹɜɥɹɥɢɢɨɰɟɧɢɜɚɥɢɫɬɟɩɟɧɶɜɵɪɚɠɟɧɧɨɫɬɢ ɚɧɚɫɬɨɦɨɡɨɜ ɦɟɠɞɭ ɧɢɦɢ. ȼɫɤɪɵɜɚɥɢ
ɮɚɫɰɢɚɥɶɧɵɣ ɮɭɬɥɹɪɛɨɥɶɲɨɣ ɹɝɨɞɢɱɧɨɣ
ɦɵɲɰɵ, ɤɨɬɨɪɚɹɩɟɪɟɫɟɤɚɥɚɫɶɩɨɧɚɩɪɚɜɥɟɧɢɸ ɤɨɠɧɨɝɨ ɪɚɡɪɟɡɚ. ɉɨ ɦɟɪɟ ɫɦɟɳɟɧɢɹ ɥɨɫɤɭɬɚ ɷɬɨɣ ɦɵɲɰɵ ɜɧɢɡ ɜɵɞɟɥɹɥɢ
ɜɟɬɜɢɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ, ɮɢɤɫɢɪɨɜɚɧɧɵɟɤ ɮɚɫɰɢɚɥɶɧɨɦɭɮɭɬɥɹɪɭ ɦɵɲɰɵɢɩɪɨɯɨɞɹɳɢɟɜɬɨɥɳɟɦɵɲɰɵ. Ɇɵɲɰɭ
ɨɬɫɟɩɚɪɨɜɵɜɚɥɢ ɢ ɮɢɤɫɢɪɨɜɚɥɢ ɤ ɤɨɠɧɨɦɭɥɨɫɤɭɬɭ. ȼɤɥɟɬɱɚɬɨɱɧɨɦɩɪɨɫɬɪɚɧɫɬɜɟ
ɧɚɞɦɵɲɰɚɦɢɜɬɨɪɨɝɨɦɵɲɟɱɧɨɝɨɫɥɨɹɨɫɭɳɟɫɬɜɥɹɥɢɩɨɢɫɤɨɫɧɨɜɧɨɝɨɫɬɜɨɥɚɢɜɟɬɜɟɣ ɜɟɪɯɧɟɣ ɹɝɨɞɢɱɧɨɣ ɚɪɬɟɪɢɢ, ɧɢɠɧɟɣ
ɹɝɨɞɢɱɧɨɣ, ɜɧɭɬɪɟɧɧɟɣ ɩɨɥɨɜɨɣ ɚɪɬɟɪɢɣ.
Ɉɰɟɧɢɜɚɥɢɫɬɟɩɟɧɶɜɵɪɚɠɟɧɧɨɫɬɢɚɧɚɫɬɨɦɨɡɨɜɜɵɲɟɧɚɡɜɚɧɧɵɯɫɨɫɭɞɨɜɦɟɠɞɭɫɨɛɨɣ ɢ ɫɨɫɭɞɚɦɢ ɩɪɢɥɟɠɚɳɢɯ ɨɛɥɚɫɬɟɣ. ȼ
ɩɪɟɞɟɥɚɯ ɡɚɞɧɟɣ ɛɟɞɪɟɧɧɨɣ ɛɨɪɨ ɡɞɵ
ɜɫɤɪɵɜɚɥɢɲɢɪɨɤɭɸɮɚɫɰɢɸɛɟɞɪɚ. Ɍɭɩɵɦɢɱɟɬɵɪɺɯɡɭɛɵɦɢɤɪɸɱɤɚɦɢɪɚɡɜɨɞɢɥɢɜ
ɫɬɨɪɨɧɵ ɩɨɥɭɩɟɪɟɩɨɧɱɚɬɭɸ, ɩɨɥɭɫɭɯɨɠɢɥɶɧɭɸ ɢ ɞɜɭɝɥɚɜɭɸ ɦɵɲɰɵ ɛɟɞɪɚ. ȼ
ɤɥɟɬɱɚɬɨɱɧɨɦɩɪɨɫɬɪɚɧɫɬɜɟɦɟɠɞɭɦɵɲɰɚɦɢɨɫɭɳɟɫɬɜɥɹɥɢɩɨɢɫɤɦɟɞɢɚɥɶɧɨɣɢɥɚɬɟɪɚɥɶɧɨɣ, ɨɝɢɛɚɸɳɢɯ ɛɟɞɪɟɧɧɭɸ ɤɨɫɬɶ,
ɩɟɪɜɨɣɩɪɨɛɨɞɚɸɳɟɣɛɟɞɪɨɚɪɬɟɪɢɣ. Ɉɰɟɧɢɜɚɥɢ ɫɬɟɩɟɧɶ ɜɵɪɚɠɟɧɧɨɫɬɢ ɚɧɚɫɬɨɦɨɡɨɜɷɬɢɯɫɨɫɭɞɨɜɫɫɨɫɭɞɚɦɢɹɝɨɞɢɱɧɨɣɨɛɥɚɫɬɢ.
ɉɨɥɭɱɟɧɧɵɣɦɚɫɫɢɜɞɚɧɧɵɯɨɛɪɚɛɨɬɚɧ
ɜ ɫɪɟɞɟɫɬɚɬɢɫɬɢɱɟɫɤɨɝɨɩɚɤɟɬɚ MedStat ɫ
ɢɫɩɨɥɶɡɨɜɚɧɢɟɦɦɟɬɨɞɨɜɩɚɪɚɦɟɬɪɢɱɟɫɤɨɣ
ɫɬɚɬɢɫɬɢɤɢ. Ⱦɚɧɧɵɟ ɜ ɫɬɚɬɶɟ ɩɪɟɞɫɬɚɜɥɟɧɵɜɜɢɞɟ M±m, ɝɞɟ M – ɫɪɟɞɧɟɟɚɪɢɮɦɟɬɢɱɟɫɤɨɟ, m – ɫɬɚɧɞɚɪɬɧɚɹɨɲɢɛɤɚ.
Ɋɟɡɭɥɶɬɚɬɵ ɢ ɨɛɫɭɠɞɟɧɢɟ
ȼɫɩɟɰɢɚɥɢɡɢɪɨɜɚɧɧɨɣ ɧɚɭɱɧɨɣɥɢɬɟɪɚɬɭɪɟɫɪɟɞɢɭɱɺɧɵɯɧɟɬɟɞɢɧɨɝɨɦɧɟɧɢɹɨ
ɜɚɪɢɚɧɬɚɯ ɨɬɯɨɠɞɟɧɢɹ ɨɫɧɨɜɧɨɝɨ ɫɬɜɨɥɚ
ɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ [2], ɱɬɨɦɨɠɟɬ
ɡɧɚɱɢɬɟɥɶɧɨ ɨɫɥɨɠɧɢɬɶɞɥɹ ɯɢɪɭɪɝɨɜ ɩɨ-
ɢɫɤ ɷɬɨɝɨ ɫɨɫɭɞɚ ɜ ɫɥɭɱɚɟ ɧɟɨɛɯɨɞɢɦɨɫɬɢ
ɟɝɨɩɟɪɟɜɹɡɵɜɚɧɢɹ.
ȼɬɨɪɚɹɩɨɜɟɥɢɱɢɧɟɩɚɪɢɟɬɚɥɶɧɚɹɜɟɬɜɶ
ɜɧɭɬɪɟɧɧɟɣɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ – ɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɢɦɟɥɚɭɧɚɱɚɥɚɧɚɪɭɠɧɵɣɞɢɚɦɟɬɪɫɩɪɚɜɚ – 3,2±0,5 ɦɦ, ɫɥɟɜɚ – 3,1±0,4 ɦɦ.
ȼ 22,6±5,7% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (12 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 26,4±6,1% ɫɥɭɱɚɹɯɫɥɟɜɚ (14 ɩɪɟɩɚɪɚɬɨɜ) a. glutea inferior ɨɬɯɨɞɢɥɚɨɬɡɚɞɧɟ±ɦɟɞɢɚɥɶɧɨɣ ɩɨɥɭɨɤɪɭɠɧɨɫɬɢ ɨɛɳɟɝɨ
ɫɬɜɨɥɚɜɧɭɬɪɟɧɧɟɣɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ.
ɇɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɨɬɯɨɞɢɥɚɜ
26,4±6,1% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (14 ɩɪɟɩɚɪɚɬɨɜ)
ɢɜ 28,3±6,2% ɫɥɭɱɚɟɜɫɥɟɜɚ (15 ɩɪɟɩɚɪɚɬɨɜ) ɨɬɨɛɳɟɝɨɫɬɜɨɥɚɞɥɹɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣ, ɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɢɩɨɞɜɡɞɨɲɧɨɩɨɹɫɧɢɱɧɨɣ ɚɪɬɟɪɢɣ. ȼ 13,2±4,6% ɫɥɭɱɚɟɜ
ɫɩɪɚɜɚ (7 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ 17,0±5,2% ɫɥɭɱɚɟɜɫɥɟɜɚ (9 ɩɪɟɩɚɪɚɬɨɜ) – a. glutea inferior
ɧɚɱɢɧɚɥɚɫɶɨɛɳɢɦɫɬɜɨɥɨɦɫɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣ ɚɪɬɟɪɢɟɣ ɨɬ ɡɚɞɧɟɝɨ ɫɬɜɨɥɚ ɜɧɭɬɪɟɧɧɟɣɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ. ȼ 18,9±5,4%
ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ (10 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ
13,2±4,6% ɫɥɭɱɚɟɜ ɫɥɟɜɚ (7 ɩɪɟɩɚɪɚɬɨɜ)
ɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɨɬɯɨɞɢɥɚɫɚɦɨɫɬɨɹɬɟɥɶɧɨɨɬɡɚɞɧɟɝɨɫɬɜɨɥɚɜɧɭɬɪɟɧɧɟɣ
ɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ, ɚɜ 18,9±5,4% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (10 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 15,1±4,9%
ɫɥɭɱɚɟɜ ɫɥɟɜɚ (8 ɩɪɟɩɚɪɚɬɨɜ) – ɨɬ ɡɚɞɧɟɦɟɞɢɚɥɶɧɨɣ ɩɨɥɭɨɤɪɭɠɧɨɫɬɢ ɩɟɪɟɞɧɟɝɨ
ɫɬɜɨɥɚɜɧɭɬɪɟɧɧɟɣɩɨɞɜɡɞɨɲɧɨɣɚɪɬɟɪɢɢ.
ȼ 39,6±6,7% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (21 ɩɪɟɩɚɪɚɬ) ɢɜ 45,3±6,8% ɫɥɭɱɚɟɜɫɥɟɜɚ (24 ɩɪɟɩɚɪɚɬɚ) ɜɧɚɱɚɥɶɧɨɦɫɜɨɺɦɨɬɞɟɥɟɧɢɠɧɹɹ
ɹɝɨɞɢɱɧɚɹ ɚɪɬɟɪɢɹ ɨɬɞɚɜɚɥɚ ɜɧɭɬɪɟɧɧɸɸ
ɩɨɥɨɜɭɸ ɚɪɬɟɪɢɸ, ɚ ɜ 9,4±4,0% ɫɥɭɱɚɟɜ
ɫɩɪɚɜɚ (5 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ 13,2±4,6% ɫɥɭɱɚɟɜɫɥɟɜɚ (7 ɩɪɟɩɚɪɚɬɨɜ) ɜɧɭɬɪɟɧɧɹɹɩɨɥɨɜɚɹɚɪɬɟɪɢɹɮɨɪɦɢɪɨɜɚɥɚɫɶɢɡɟɺɹɝɨɞɢɱɧɨɣɱɚɫɬɢ. ȼ 20,8±5,6% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (11
ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ 13,2±4,6% ɫɥɭɱɚɟɜ ɫɥɟɜɚ
(7 ɩɪɟɩɚɪɚɬɨɜ) ɨɬɧɢɠɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢɨɬɜɟɬɜɥɹɥɚɫɶɫɪɟɞɧɹɹɩɪɹɦɨɤɢɲɟɱɧɚɹ
ɚɪɬɟɪɢɹ.
85
”ɇɨɜɨɫɬɢɯɢɪɭɪɝɢɢ
ɇɢɠɧɹɹ ɹɝɨɞɢɱɧɚɹ ɚɪɬɟɪɢɹ ɮɨɪɦɢɪɨɜɚɥɚɜɧɭɬɪɢɬɚɡɨɜɵɟɚɧɚɫɬɨɦɨɡɵɧɚɩɪɨɬɹɠɟɧɢɢ 21,0±3,0 ɦɦɨɬɦɟɫɬɚɫɜɨɟɝɨɨɬɯɨɠɞɟɧɢɹɪɢɫ. 1, ɫɦ. ɰɜɟɬɧɨɣɜɤɥɚɞɵɲ).
A. glutea inferior ɢɦɟɥɚ ɯɨɪɨɲɨ ɜɵɪɚɠɟɧɧɵɟ ɜɧɭɬɪɢɬɚɡɨɜɵɟ ɚɧɚɫɬɨɦɨɡɵ ɜ
35,9±6,6% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (19 ɩɪɟɩɚɪɚɬɨɜ)
ɢɜ 41,5±6,8% ɫɥɭɱɚɟɜɫɥɟɜɚ (22 ɩɪɟɩɚɪɚɬɚ) ɫ ɩɨɞɜɡɞɨɲɧɨɩɨɹɫɧɢɱɧɨɣ ɚɪɬɟɪɢɟɣ.
ɋɪɟɞɧɢɣɞɢɚɦɟɬɪɷɬɢɯɚɧɚɫɬɨɦɨɡɨɜ 0,8±0,1
ɦɦ ɫɩɪɚɜɚ ɢ 0,9±0,2 ɦɦ ɫɥɟɜɚ. A. glutea
inferior ɜ 50,9±6,9% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (27 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 58,5±6,8% ɫɥɭɱɚɟɜɫɥɟɜɚ (31
ɩɪɟɩɚɪɚɬ) ɮɨɪɦɢɪɨɜɚɥɚ ɚɪɬɟɪɢɚɥɶɧɵɟ ɫɨɭɫɬɶɹɫɛɨɤɨɜɨɣɤɪɟɫɬɰɨɜɨɣɚɪɬɟɪɢɟɣ. ɗɬɢ
ɚɧɚɫɬɨ ɦɨɡɵ ɢɦɟɥɢ ɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ
1,0±0,2 ɦɦɫɩɪɚɜɚɢ 0,9±0,1 ɦɦɫɥɟɜɚ. ɇɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɜ 49,1±6,9% ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ (26 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ 45,3±6,8%
ɫɥɭɱɚɟɜɫɥɟɜɚ (24 ɩɪɟɩɚɪɚɬɚ) ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚ ɫ ɦɟɞɢɚɥɶɧɨɣ ɤɪɟɫɬɰɨɜɨɣ ɚɪɬɟɪɢɟɣ. Ⱥɧɚɫɬɨɦɨɡɵ ɢɦɟɥɢ ɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ
0,9±0,2 ɦɦ ɫɩɪɚɜɚɢ 1,0±0,2 ɦɦ ɫɥɟɜɚ. A.
glutea inferior ɜ 79,3±5,6% ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ
(42 ɩɪɟɩɚɪɚɬɚ) ɢɜ 86,8±4,6% ɫɥɭɱɚɟɜɫɥɟɜɚ (46 ɩɪɟɩɚɪɚɬɨɜ) ɮɨɪɦɢɪɨɜɚɥɚɚɪɬɟɪɢɚɥɶɧɵɟɫɨɭɫɬɶɹ ɫɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɟɣ. ɋɪɟɞɧɢɣ ɞɢɚɦɟɬɪ ɷɬɢɯ ɚɧɚɫɬɨɦɨɡɨɜ
1,3±0,3 ɦɦ ɫɩɪɚɜɚ ɢ 1,5±0,2 ɦɦ ɫɥɟɜɚ. ȼ
52,8±6,9% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (28 ɩɪɟɩɚɪɚɬɨɜ)
ɢɜ 54,7±6,8% ɫɥɭɱɚɟɜɫɥɟɜɚ (29 ɩɪɟɩɚɪɚɬɨɜ) ɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚɫɜɧɭɬɪɟɧɧɟɣɩɨɥɨɜɨɣɚɪɬɟɪɢɟɣ.
ɗɬɢ ɚɧɚɫɬɨɦɨɡɵ ɢɦɟɥɢ ɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ
0,9±0,1 ɦɦ ɫɩɪɚɜɚɢ 1,0±0,1 ɦɦ ɫɥɟɜɚ. A.
glutea inferior ɜ 77,4±5,7% ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ
(41 ɩɪɟɩɚɪɚɬ) ɢɜ 71,7±6,2% ɫɥɭɱɚɟɜɫɥɟɜɚ
(38 ɩɪɟɩɚɪɚɬɨɜ) ɮɨɪɦɢɪɨɜɚɥɚɫɨɭɫɬɶɹɫɡɚɩɢɪɚɬɟɥɶɧɨɣɚɪɬɟɪɢɟɣ (ɪɢɫ. 2, ɫɦ. ɰɜɟɬɧɨɣ
ɜɤɥɚɞɵɲ). Ⱥɧɚɫɬɨɦɨɡɵɢɦɟɥɢɫɪɟɞɧɢɣɞɢɚɦɟɬɪ 1,2±0,2 ɦɦɫɩɪɚɜɚɢ 1,0±0,2 ɦɦɫɥɟɜɚ. ȼ 32,1±6,4% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (17 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 24,5±5,9% ɫɥɭɱɚɟɜɫɥɟɜɚ (13 ɩɪɟɩɚɪɚɬɨɜ) ɧɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹ ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚ ɫ ɜɟɪɯɧɟɣ ɩɪɹɦɨɤɢɲɟɱɧɨɣ
86
ɚɪɬɟɪɢɟɣ. ɋɪɟɞɧɢɣ ɞɢɚɦɟɬɪ ɷɬɢɯ ɚɧɚɫɬɨɦɨɡɨɜ 1,0±0,1 ɦɦɫɩɪɚɜɚ ɢ 0,8±0,1 ɦɦɫɥɟɜɚ. A. glutea inferior ɜ 30,2±6,3% ɫɥɭɱɚɟɜ
ɫɩɪɚɜɚ (16 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 37,7±6,7% ɫɥɭɱɚɟɜ ɫɥɟɜɚ (20 ɩɪɟɩɚɪɚɬɨɜ) ɮɨɪɦɢɪɨɜɚɥɚ
ɫɨɭɫɬɶɹ ɫɨ ɫɪɟɞɧɟɣ ɩɪɹɦɨɤɢɲɟɱɧɨɣ ɚɪɬɟɪɢɟɣ. ɗɬɢɚɧɚɫɬɨɦɨɡɵɢɦɟɥɢɫɪɟɞɧɢɣɞɢɚɦɟɬɪ 0,8±0,2 ɦɦɫɩɪɚɜɚɢ 1,0±0,2 ɦɦɫɥɟɜɚ. ɇɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɜ 17,0±5,2%
ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ (9 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ
15,1±4,9% ɫɥɭɱɚɟɜ ɫɥɟɜɚ (8 ɩɪɟɩɚɪɚɬɨɜ)
ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚɫɧɢɠɧɟɣɦɨɱɟɩɭɡɵɪɧɨɣ
ɚɪɬɟɪɢɟɣ. ɋɪɟɞɧɢɣ ɞɢɚɦɟɬɪ ɷɬɢɯ ɚɧɚɫɬɨɦɨɡɨɜ 0,7±0,1 ɦɦɫɩɪɚɜɚɢ 0,6±0,2 ɦɦɫɥɟɜɚ. A. glutea inferior ɜ 11,3±4,3% ɫɥɭɱɚɟɜ
ɫɩɪɚɜɚ (6 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ 13,2±4,6% ɫɥɭɱɚɟɜɫɥɟɜɚ (7 ɩɪɟɩɚɪɚɬɨɜ) ɮɨɪɦɢɪɨɜɚɥɚɫɨɭɫɬɶɹɫɝɥɭɛɨɤɨɣ, ɨɝɢɛɚɸɳɟɣɩɨɞɜɡɞɨɲɧɭɸ
ɤɨɫɬɶ ɚɪɬɟɪɢɟɣ. ɗɬɢ ɚɧɚɫɬɨɦɨɡɵ ɢɦɟɥɢ
ɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ 1,0±0,2 ɦɦ ɫɩɪɚɜɚ ɢ
1,1±0,2 ɦɦɫɥɟɜɚ.
ȼɹɝɨɞɢɱɧɨɣɨɛɥɚɫɬɢɧɢɠɧɹɹ ɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɩɪɨɟɰɢɪɨɜɚɥɚɫɶɤɧɢɡɭɢɥɚɬɟɪɚɥɶɧɟɟɥɢɧɢɢ, ɩɪɨɜɟɞɺɧɧɨɣɨɬɡɚɞɧɟɣɜɟɪɯɧɟɣɩɨɞɜɡɞɨɲɧɨɣɨɫɢɤɜɧɭɬɪɟɧɧɟɦɭɤɪɚɸ
ɩɨɞɜɡɞɨɲɧɨɝɨɛɭɝɪɚ. ȼɵɲɟɭɤɚɡɚɧɧɵɣɫɨɫɭɞ
ɢɦɟɥ ɜɵɪɚɠɟɧɧɵɟ ɚɧɚɫɬɨɦɨɡɵ ɫ ɜɟɬɜɹɦɢ
ɜɟɪɯɧɟɣ ɹɝɨɞɢɱɧɨɣ ɚɪɬɟɪɢɢ. A. glutea
inferior ɜ 49,1±6,9% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (26 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 52,8±6,9% ɫɥɭɱɚɟɜɫɥɟɜɚ (28
ɩɪɟɩɚɪɚɬɨɜ) ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚ ɫ ɜɟɪɯɧɟɣ
ɝɥɭɛɨɤɨɣɜɟɬɜɶɸɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ. ɇɢɠɧɹɹ ɹɝɨɞɢɱɧɚɹ ɚɪɬɟɪɢɹ ɜ
62,7±6,7% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (33 ɩɪɟɩɚɪɚɬɚ) ɢ
ɜ 67,9±6,4% ɫɥɭɱɚɟɜɫɥɟɜɚ (36 ɩɪɟɩɚɪɚɬɨɜ)
ɮɨɪɦɢɪɨɜɚɥɚ ɫɨɭɫɬɶɹ ɫ ɤɨɪɨɬɤɢɦɢ ɜɟɬɜɹɦɢ a. glutea superior. A. glutea inferior ɜ
86,8±4,6% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (46 ɩɪɟɩɚɪɚɬɨɜ)
ɢɜ 90,6±4,0% ɫɥɭɱɚɟɜɫɥɟɜɚ (48 ɩɪɟɩɚɪɚɬɨɜ) ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚ ɫ ɩɨɜɟɪɯɧɨɫɬɧɨɣ
ɜɟɬɜɶɸɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢ. ɇɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɜ 84,9±4,9% ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ (45 ɩɪɟɩɚɪɚɬɨɜ) ɢ ɜ 73,6±6,1%
ɫɥɭɱɚɟɜɫɥɟɜɚ (39 ɩɪɟɩɚɪɚɬɨɜ) ɮɨɪɦɢɪɨɜɚɥɚ ɫɨɭɫɬɶɹ ɫ ɧɢɠɧɟɣ ɝɥɭɛɨɤɨɣ ɜɟɬɜɶɸ a.
ʋ5x2010 iɬɨɦ 18
glutea superior. ȼɰɟɥɨɦ, ɜɫɟɝɞɚɨɬɦɟɱɚɥɢɫɶ
ɜɵɪɚɠɟɧɧɵɟ ɚɧɚɫɬɨɦɨɡɵ ɧɢɠɧɟɣ ɹɝɨɞɢɱɧɨɣɚɪɬɟɪɢɢɫɜɟɬɜɹɦɢɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣ
ɚɪɬɟɪɢɟɢ. ɗɬɢ ɜɵɲɟɩɟɪɟɱɢɫɥɟɧɧɵɟ ɚɧɚɫɬɨɦɨɡɵɜɹɝɨɞɢɱɧɨɣ ɨɛɥɚɫɬɢɢɦɟɥɢɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ 1,3±0,2 ɦɦ ɫɩɪɚɜɚ ɢ 1,5±0,2
ɦɦɫɥɟɜɚ.
ɇɢɠɧɹɹ ɹɝɨɞɢɱɧɚɹ ɚɪɬɟɪɢɹ ɧɚ ɡɚɞɧɟɣ
ɩɨɜɟɪɯɧɨɫɬɢ ɨɛɥɚɫɬɢ ɛɟɞɪɚ ɢɦɟɥɚ ɜɵɪɚɠɟɧɧɵɟɚɧɚɫɬɨɦɨɡɵɫɦɟɞɢɚɥɶɧɨɣ, ɨɝɢɛɚɸɳɟɣ ɛɟɞɪɟɧɧɭɸ ɤɨ ɫɬɶ ɚɪɬɟɪɢɟɣ ɜ
83,0±5,2% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (44 ɩɪɟɩɚɪɚɬɚ) ɢ
ɜ 62,3±6,5% ɫɥɭɱɚɟɜɫɥɟɜɚ (35 ɩɪɟɩɚɪɚɬɨɜ).
ɋɪɟɞɧɢɣɞɢɚɦɟɬɪɷɬɢɯɚɧɚɫɬɨɦɨɡɨɜ 1,1±0,2
ɦɦ ɫɩɪɚɜɚ, 1,0±0,2 ɦɦ ɫɥɟɜɚ. A. glutea
inferior ɜ 47,2±6,9% ɫɥɭɱɚɟɜɫɩɪɚɜɚ (25 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 58,5±6,8% ɫɥɭɱɚɟɜɫɥɟɜɚ (31
ɩɪɟɩɚɪɚɬ) ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚ ɫ ɥɚɬɟɪɚɥɶɧɨɣ, ɨɝɢɛɚɸɳɟɣɛɟɞɪɟɧɧɭɸɤɨɫɬɶɚɪɬɟɪɢɟɣ. ɗɬɢ ɚɧɚɫɬɨɦɨɡɵ ɢɦɟɥɢ ɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ 1,2±0,2 ɦɦɫɩɪɚɜɚ, 1,5±0,1 ɦɦɫɥɟɜɚ.
ȼ 47,2±6,9% ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ (25 ɩɪɟɩɚɪɚɬɨɜ) ɢɜ 49,1±6,9% ɫɥɭɱɚɟɜɫɥɟɜɚ (26 ɩɪɟɩɚɪɚɬɨɜ) ɧɢɠɧɹɹ ɹɝɨɞɢɱɧɚɹ ɚɪɬɟɪɢɹ ɮɨɪɦɢɪɨɜɚɥɚɫɨɭɫɬɶɹɫɡɚɩɢɪɚɬɟɥɶɧɨɣɚɪɬɟɪɢɟɣ. ɋɪɟɞɧɢɣ ɞɢɚɦɟɬɪ ɷɬɢɯ ɚɧɚɫɬɨɦɨɡɨɜ
1,1±0,1 ɦɦ ɫɩɪɚɜɚɢ 1,3±0,1 ɦɦ ɫɥɟɜɚ. A.
glutea inferior ɜ 77,4±5,7% ɫɥɭɱɚɟɜ ɫɩɪɚɜɚ
(41 ɩɪɟɩɚɪɚɬ) ɢɜ 64,2±6,6% ɫɥɭɱɚɟɜɫɥɟɜɚ
(34 ɩɪɟɩɚɪɚɬɚ) ɚɧɚɫɬɨɦɨɡɢɪɨɜɚɥɚɫɩɟɪɜɨɣ
ɩɪɨɛɨɞɚɸɳɟɣɛɟɞɪɨɚɪɬɟɪɢɟɣ. ɗɬɢɚɧɚɫɬɨɦɨɡɵ ɢɦɟɥɢ ɫɪɟɞɧɢɣ ɞɢɚɦɟɬɪ 1,8±0,3 ɦɦ
ɫɩɪɚɜɚ, 1,6±0,3 ɦɦɫɥɟɜɚ.
ȼɵɜɨɞɵ
1. Ɇɟɫɬɨ ɮɨɪɦɢɪɨɜɚɧɢɹ ɨɫɧɨɜɧɨɝɨ
ɫɬɜɨɥɚ ɧɢɠɧɟɣ ɹɝɨɞɢɱɧɨɣ ɚɪɬɟɪɢɢ ɯɚɪɚɤɬɟɪɢɡɭɟɬɫɹɡɧɚɱɢɬɟɥɶɧɨɣɜɚɪɢɚɛɟɥɶɧɨɫɬɶɸ.
2. Ʌɟɜɚɹ ɧɢɠɧɹɹ ɹɝɨɞɢɱɧɚɹ ɚɪɬɟɪɢɹ
ɚɧɚɫɬɨɦɨɡɢɪɭɟɬɱɚɳɟ, ɱɟɦɩɪɚɜɚɹɫɦɚɝɢɫɬɪɚɥɶɧɵɦɢɚɪɬɟɪɢɹɦɢɬɚɡɚ.
3. ɉɪɚɜɚɹ ɢ ɥɟɜɚɹ ɧɢɠɧɢɟ ɹɝɨɞɢɱɧɵɟ
ɚɪɬɟɪɢɢ ɮɨɪɦɢɪɭɸɬ ɧɚɢɛɨɥɟɟ ɤɪɭɩɧɵɟ
ɚɧɚɫɬɨɦɨɡɵɫɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣ, ɛɨɤɨɜɨɣ
ɤɪɟɫɬɰɨɜɨɣɢɜɧɭɬɪɟɧɧɟɣɩɨɥɨɜɨɣɚɪɬɟɪɢɹɦɢ.
4. ɇɢɠɧɹɹɹɝɨɞɢɱɧɚɹɚɪɬɟɪɢɹɧɚɢɛɨɥɟɟ
ɱɚɫɬɨɨɛɪɚɡɭɟɬɤɨɥɥɚɬɟɪɚɥɢɫɜɟɪɯɧɟɣɹɝɨɞɢɱɧɨɣ, ɛɨɤɨɜɨɣɤɪɟɫɬɰɨɜɨɣ, ɡɚɩɢɪɚɬɟɥɶɧɨɣ ɚɪɬɟɪɢɹɦɢ.
5. ȼɧɭɬɪɢɬɚɡɨɜɵɟɚɧɚɫɬɨɦɨɡɵ a. glutea
inferior ɨɬɜɟɬɜɥɹɸɬɫɹ ɧɚ ɩɪɨɬɹɠɟɧɢɢ
21,0±3,0 ɦɦɨɬɭɪɨɜɧɹɟɺɨɬɯɨɠɞɟɧɢɹ.
ɅɂɌȿɊȺɌɍɊȺ
1. Traumatic inferior gluteal artery pseudoaneurysm
and arteriovenous fistula managed with emergency
transcatheter embolization / A. N. Keeling [et al.] //
Cardiovasc. Intervent. Radiol. – 2008. – Vol. 31, N 7.
– P. 135-139.
2. ȼɨɥɱɤɟɜɢɱ, Ⱦ. Ⱥ. Ɍɨɩɨɝɪɚɮɨɚɧɚɬɨɦɢɱɟɫɤɢɟɨɫɨɛɟɧɧɨɫɬɢɫɬɪɨɟɧɢɹɹɝɨɞɢɱɧɵɯɚɪɬɟɪɢɣ / Ⱦ. Ⱥ. ȼɨɥɱɤɟɜɢɱ // ɀɭɪɧ. Ƚɪɨɞɧ. ɝɨɫ. ɦɟɞ. ɭɧɬɚ. – 2004. –
ʋ 2. – C. 31-34.
3. Silberzweig, J. E. Transcatheter arterial
embolization for pelvic fractures may potentially
cause a trial of sequela: gluteal necrosis, rectal
necrosis, and lower limb paresis / J. E. Silberzweig //
J. Trauma. – 2009. – Vol. 67, N 2. – P. 416-417.
4. Ʉɨɜɚɧɨɜ, ȼ. ȼ. ɏɢɪɭɪɝɢɱɟɫɤɚɹɚɧɚɬɨɦɢɹɚɪɬɟɪɢɣ
ɱɟɥɨɜɟɤɚ / ȼ. ȼ. Ʉɨɜɚɧɨɜ, Ɍ. ɂ. Ⱥɧɢɤɢɧɚ. – Ɇ.: Ɇɟɞɢɰɢɧɚ, 1974. – 360 ɫ.
5. Ɇɢɧɟɟɜ, Ʉ. ɉ. Ʉɥɢɧɢɤɨɦɨɪɮɨɥɨɝɢɱɟɫɤɢɟɚɫɩɟɤɬɵɩɟɪɟɜɹɡɤɢɫɨɫɭɞɨɜɬɚɡɚ / Ʉ. ɉ. Ɇɢɧɟɟɜ. – ɋɜɟɪɞɥɨɜɫɤ: ɂɡɞ. ɍɪɚɥ. ɭɧɬɚ, 1990. – 180 ɫ.
Àäðåñ äëÿ êîððåñïîíäåíöèè
210023, Ðåñïóáëèêà Áåëàðóñü,
ã. Âèòåáñê, ïð-ò. Ôðóíçå 27,
Âèòåáñêèé ãîñóäàðñòâåííûé
ìåäèöèíñêèé óíèâåðñèòåò
êàôåäðà àíàòîìèè ÷åëîâåêà,
Óñîâè÷ À.Ê.
ɉɨɫɬɭɩɢɥɚ 5.07.2010 ɝ.
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