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            [IS_PARENT] => 
        )

    [31] => Array
        (
            [TEXT] => Стоматология
            [LINK] => /services/stomatologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/stomatologiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 31
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Стоматология
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [32] => Array
        (
            [TEXT] => Лейкоплакия полости рта
            [LINK] => /services/stomatologiya/leykoplakiya-polosti-rta/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/stomatologiya/leykoplakiya-polosti-rta/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 32
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лейкоплакия полости рта
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [33] => Array
        (
            [TEXT] => ЛОР (Ухо, горло, нос)
            [LINK] => /services/lor/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lor/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 33
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => ЛОР (Ухо, горло, нос)
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [34] => Array
        (
            [TEXT] => Лечение гайморита лазером
            [LINK] => /services/lor/lechenie-gaymorita-lazerom/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lor/lechenie-gaymorita-lazerom/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 34
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение гайморита лазером
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [35] => Array
        (
            [TEXT] => Хронический тонзиллит
            [LINK] => /services/lor/khronicheskiy-tonzillit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lor/khronicheskiy-tonzillit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 35
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Хронический тонзиллит
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [36] => Array
        (
            [TEXT] => Гипертрофия аденоидов
            [LINK] => /services/lor/gipertrofiya-adenoidov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lor/gipertrofiya-adenoidov/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 36
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Гипертрофия аденоидов
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [37] => Array
        (
            [TEXT] => Заболевания пищеварительной системы
            [LINK] => /services/pishhevaritelnaya-sistema/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/pishhevaritelnaya-sistema/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 37
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Заболевания пищеварительной системы
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [38] => Array
        (
            [TEXT] => Лечение язвы желудка
            [LINK] => /services/pishhevaritelnaya-sistema/lechenie-yazvy-zheludka/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/pishhevaritelnaya-sistema/lechenie-yazvy-zheludka/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 38
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение язвы желудка
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [39] => Array
        (
            [TEXT] => Лечение геморроя
            [LINK] => /services/pishhevaritelnaya-sistema/lechenie-gemorroya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/pishhevaritelnaya-sistema/lechenie-gemorroya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 39
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение геморроя
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [40] => Array
        (
            [TEXT] => Заболевания сосудов
            [LINK] => /services/zabolevaniya-sosudov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/zabolevaniya-sosudov/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 40
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Заболевания сосудов
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 
        )

    [41] => Array
        (
            [TEXT] => Лечение кожных заболеваний
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 41
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Лечение кожных заболеваний
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [42] => Array
        (
            [TEXT] => Лечение образований кожи и слизистых
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 42
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение образований кожи и слизистых
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 1
        )

    [43] => Array
        (
            [TEXT] => Удаление родинок (невусов)
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/rodinka-nevus/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/rodinka-nevus/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 43
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Удаление родинок (невусов)
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [44] => Array
        (
            [TEXT] => Удаление папилломы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/papilloma/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/papilloma/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 44
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Удаление папилломы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [45] => Array
        (
            [TEXT] => Лечение липомы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/lipoma-zhirovik/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/lipoma-zhirovik/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 45
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение липомы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [46] => Array
        (
            [TEXT] => Удаление жировика
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/zhiroviki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/zhiroviki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 46
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Удаление жировика
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [47] => Array
        (
            [TEXT] => Лечение кератомы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/keratoma/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/keratoma/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 47
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение кератомы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [48] => Array
        (
            [TEXT] => Удаление фибромы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/fibroma/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/fibroma/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 48
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Удаление фибромы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [49] => Array
        (
            [TEXT] => Лечение базалиомы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/bazalioma-ili-bazalnokletochnyj-rak/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/bazalioma-ili-bazalnokletochnyj-rak/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 49
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение базалиомы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [50] => Array
        (
            [TEXT] => Лечение гемангиомы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/gemangioma/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/gemangioma/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 50
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение гемангиомы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [51] => Array
        (
            [TEXT] => Лечение атеромы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-obrazovaniy-kozhi-i-slizistykh/ateroma/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-kozhnykh-zabolevaniy/ateroma/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 51
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение атеромы
                )

            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [52] => Array
        (
            [TEXT] => Лечение грибка кожи и ногтей
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-gribkovykh-zabolevaniy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-gribkovykh-zabolevaniy/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 52
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение грибка кожи и ногтей
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [53] => Array
        (
            [TEXT] => Дерматология
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/dermatologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/dermatologiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 53
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Дерматология
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [54] => Array
        (
            [TEXT] => Лечение позвоночника и суставов
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-pozvonochnika-i-sustavov/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 54
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Лечение позвоночника и суставов
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [55] => Array
        (
            [TEXT] => Лечение пяточной шпоры
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/lechenie-pyatochnoy-shpory/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-pozvonochnika-i-sustavov/lechenie-pyatochnoy-shpory/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 55
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение пяточной шпоры
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [56] => Array
        (
            [TEXT] => Лечение артроза
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/lechenie-artroza/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-pozvonochnika-i-sustavov/oporno-dvigatelnyj-apparat/lechenie-artroza/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 56
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение артроза
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [57] => Array
        (
            [TEXT] => Лечение артрита
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/lechenie-artrita/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-pozvonochnika-i-sustavov/lechenie-artrita/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 57
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение артрита
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [58] => Array
        (
            [TEXT] => Лечение аллергии
            [LINK] => /services/immunologiya-i-allergologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/immunologiya-i-allergologiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 58
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Лечение аллергии
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [59] => Array
        (
            [TEXT] => Аллергический ринит
            [LINK] => /services/immunologiya-i-allergologiya/allergicheskiy-rinit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/immunologiya-i-allergologiya/allergicheskiy-rinit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 59
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Аллергический ринит
                )

            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [60] => Array
        (
            [TEXT] => Гинекология
            [LINK] => /services/ginekologiya/
            [SELECTED] => 1
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 60
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Гинекология
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 1
        )

    [61] => Array
        (
            [TEXT] => Лечение вульвовагинита
            [LINK] => /services/ginekologiya/vulvovaginit/
            [SELECTED] => 
            [PERMISSION] => R
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            [TEXT] => Лечение спаек
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
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            [ITEM_TYPE] => D
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                    [0] => Лечение спаек
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            [TEXT] => Лечение сальпингоофорита (аднексита)
            [LINK] => /services/ginekologiya/salpingooforit-adneksit/
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            [PERMISSION] => R
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                    [0] => /services/ginekologiya/salpingooforit-adneksit/
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            [TEXT] => Плазмолифтинг в гинекологии
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            [PERMISSION] => R
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    [68] => Array
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            [TEXT] => Лечение лейкоплакии вульвы и шейки матки
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
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                    [0] => Лечение лейкоплакии вульвы и шейки матки
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            [DEPTH_LEVEL] => 3
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    [69] => Array
        (
            [TEXT] => Фотодинамическая терапия вульвы
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
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            [PERMISSION] => R
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Фотодинамическая терапия вульвы
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [70] => Array
        (
            [TEXT] => Фотодинамическая терапия шейки матки
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
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                    [FROM_IBLOCK] => 1
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                    [0] => Фотодинамическая терапия шейки матки
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            [DEPTH_LEVEL] => 3
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    [71] => Array
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            [TEXT] => Лечение оофорита
            [LINK] => /services/ginekologiya/ooforit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/ooforit/
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                    [0] => Лечение оофорита
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            [TEXT] => Лечение миомы матки
            [LINK] => /services/ginekologiya/mioma-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/mioma-matki/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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                    [0] => Лечение миомы матки
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            [TEXT] => Лечение лейкоплакии
            [LINK] => /services/ginekologiya/lejkoplakiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/lejkoplakiya/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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                    [0] => Лечение лейкоплакии
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            [DEPTH_LEVEL] => 2
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    [74] => Array
        (
            [TEXT] => Лейкоплакия вульвы
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Лейкоплакия вульвы
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            [DEPTH_LEVEL] => 3
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        (
            [TEXT] => Лейкоплакия шейки матки
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Лейкоплакия шейки матки
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
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    [76] => Array
        (
            [TEXT] => Лечение крауроза
            [LINK] => /services/ginekologiya/krauroz/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/krauroz/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 76
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Лечение крауроза
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            [DEPTH_LEVEL] => 2
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    [77] => Array
        (
            [TEXT] => Лечение эрозии шейки матки
            [LINK] => /services/ginekologiya/eroziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/eroziya-shejki-matki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 77
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эрозии шейки матки
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [78] => Array
        (
            [TEXT] => Лечение эндометрита
            [LINK] => /services/ginekologiya/endometrit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/endometrit/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эндометрита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [79] => Array
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            [TEXT] => Лечение эндоцервицита (цервицита)
            [LINK] => /services/ginekologiya/endocervicit-cervicit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/endocervicit-cervicit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 79
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эндоцервицита (цервицита)
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [80] => Array
        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/displaziya-shejki-matki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 80
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение дисплазии шейки матки
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [81] => Array
        (
            [TEXT] => Лечение бартолинита
            [LINK] => /services/ginekologiya/bartolinit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/bartolinit/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение бартолинита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [82] => Array
        (
            [TEXT] => Лечение бактериального вагиноза
            [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/bakterialnyj-vaginoz/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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                    [0] => Лечение бактериального вагиноза
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            [DEPTH_LEVEL] => 2
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/nevrologiya/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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                    [0] => Неврология
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            [TEXT] => Восстановление иммунитета
            [LINK] => /services/vosstanovlenie-immuniteta/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
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                    [0] => Диагностика аппаратная
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            [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
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            [LINK] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
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            [ITEM_INDEX] => 87
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                    [FROM_IBLOCK] => 1
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Кардиовизор
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            [DEPTH_LEVEL] => 2
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            [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/
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            [PERMISSION] => R
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Дерматоскопия
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    [91] => Array
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            [TEXT] => Реабилитация после травм и операций
            [LINK] => /services/reabilitaciya-posle-travm-i-operacij/
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            [PERMISSION] => R
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 91
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                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
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    [92] => Array
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            [TEXT] => Комплексное лечение
            [LINK] => /services/kompleksnoe-lechenie/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 1
                )

            [CHAIN] => Array
                (
                    [0] => Комплексное лечение
                )

            [DEPTH_LEVEL] => 1
            [IS_PARENT] => 
        )

)

Фотодинамическая терапия шейки матки

Лазерная фотодинамическая терапия — эффективный метод лечения гинекологических заболеваний. С помощью ФТД можно избавиться от проблемы еще на ранних стадиях и избежать негативных последствий и осложнений. Бесконтактный и безболезненный метод лечения патологий шейки матки не приводит к осложнениям, появлению шрамов и рубцов.

Показания

Фотодинамическая терапия назначается для лечения фоновых заболеваний и предраковых состояний шейки матки:

  • Эктопия (старое название — эрозия шейки матки).

  • Дисплазия. Поражение шейки матки папилломавирусом, которое считается предраковым состоянием.

  • Очаги эндометриоза. Образование на шейке матки кист, наполненных кровью.

  • Карцинома in situ. Нулевая стадия развития рака.

  • Наботовы кисты. Появление полостей, наполненных слизистым содержимым.

  • Эктропион. В полость влагалища попадает слизистая цервикального канала.

  • Цервицит. Развитие воспалительного процесса на шейке матки.

  • Лейкоплакия. Слизистая оболочка вульвы утолщается.

  • Эритроплакия. Атрофия слизистой экзоцервикса.

  • Различные виды новообразований.

  • Инфицирование папилломавирусом.

фдт шейки матки фото

Принцип лечения

Метод фотодинамической терапии предполагает введение в организм пациента фотосенсибилизаторов, которые способны накапливаться в пораженных патологией тканях. В препаратах содержится триплетный кислород (IIIO₂). Он в обычном состоянии не оказывает влияния на организм. При воздействии на него светового потока в веществе запускается цепочка химических реакций, и кислород переходит в активное состояние, в котором он способен разрушать клетки, подверженные патологии, не затрагивая здоровые. Впоследствии пораженные ткани замещаются здоровыми, поэтому дополнительных процедур лечение не требует.

Воздействие низкоэнергетического лазерного луча определенной длины волны, используемого для лечения, не сопровождается болью или дискомфортом.

Прием ведут:

Конг Тхи Хоа

Врач-онколог, специалист лазерной медицины в области кожных образований. Окончила Башкирский государственный медицинский университет в 2021 году по специальности лечебное дело. Окончила ординатуру при БГМУ в 2023 году по специальности врач-онколог.

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Назарова Фильзя Масгутовна

Гинеколог высшей категории. Заслуженный врач Республики Башкортостан. Стаж работы — более 40 лет. 

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Самигуллин Артур Рависович

Врач-специалист лазерной медицины в области дерматологии, кожных образований, сосудистых заболеваний.

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Преимущества

Фотодинамическая терапия гинекологических заболеваний — эффективный метод лечения, который дает имеет ряд достоинств:

  • Окружающие тканевые структуры не подвергаются травматическому воздействию

  • Отсутствие неприятных и болезненных ощущений.

  • Минимальный риск осложнений после терапии.

  • Рубцовые изменения, которые приводят к снижению шеечной растяжимости, не наблюдаются, поэтому метод пригоден для женщин, планирующих беременность и не рожавших.

  • Нет необходимости в анестезии.

  • Заживление происходит за короткое время и не требует проведения дополнительных терапевтических процедур.

  • Возможность лечения множественных поражениях слизистой оболочки.

  • ФДТ может сочетаться с другими методами лечения.

  • Не происходит накопления в организме вещества, которое используется для проведения терапии. Препарат не вызывает аллергии и не оказывает негативного действия на организм пациента.

Подготовка к проведению ФДТ

Процедура не требует специальной предварительной подготовки. После осмотра врачом назначается обследование и определяется целесообразность фотодинамической терапии. Для эффективного лечения подбирается определенный препарат и оптимальная интенсивность лазерного света, а также продолжительность его воздействия.

Противопоказания

Проведение ФДТ противопоказано в следующих случаях:

  • заболевания печени и почек;

  • беременность;

  • кормление грудью;

  • локализация новообразования глубже эпителия;

  • рак 4 стадии с метастазами в другие органы;

  • крупные опухоли.

противопоказания к ФДТ шейки матки фото

Период восстановления

Фотосенсибилизирующее вещество некоторое время после процедуры остается в организме, поэтому рекомендуется отказаться от посещения солярия. Следует оберегать от травм место, которое подверглось лазерному воздействию. Для полного заживления требуется от 2 до 6 недель.

Что нужно для прохождения лечения?

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  • Возьмите с собой на прием результаты всех ранее выполненных исследований, снимки, медицинские документы - т.е. все, что есть в наличии. Врачу будет важно понять целостную картину Вашего здоровья.

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