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            [TEXT] => Лечение базалиомы или базальноклеточного рака
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    [25] => Array
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            [TEXT] => Лечение гемангиомы
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            [SELECTED] => 
            [PERMISSION] => R
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            [TEXT] => Лечение атеромы
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            [PERMISSION] => R
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            [TEXT] => Лечение грибка кожи и ногтей
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    [29] => Array
        (
            [TEXT] => Антивозрастная физиотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Антивозрастная физиотерапия
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            [DEPTH_LEVEL] => 1
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    [30] => Array
        (
            [TEXT] => Поверхностная шлифовка лица
            [LINK] => /services/antivozrastnaya-fizioterapiya/shlifovka/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/shlifovka/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 30
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Поверхностная шлифовка лица
                )

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

    [31] => Array
        (
            [TEXT] => Плазмолифтинг
            [LINK] => /services/antivozrastnaya-fizioterapiya/plazmolifting/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/plazmolifting/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 31
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Плазмолифтинг
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [32] => Array
        (
            [TEXT] => Устранение мимических морщин
            [LINK] => /services/antivozrastnaya-fizioterapiya/morshhiny/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/morshhiny/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 32
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Устранение мимических морщин
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [33] => Array
        (
            [TEXT] => Механическая алмазная микродермабразия
            [LINK] => /services/antivozrastnaya-fizioterapiya/mikrodermabraziya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/mikrodermabraziya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 33
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Механическая алмазная микродермабразия
                )

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

    [34] => Array
        (
            [TEXT] => Мезотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/mezoterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/mezoterapiya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 34
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Мезотерапия
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [35] => Array
        (
            [TEXT] => Карбоновый пиллинг
            [LINK] => /services/antivozrastnaya-fizioterapiya/karbonovyy-pilling/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/karbonovyy-pilling/
                )

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

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

    [36] => Array
        (
            [TEXT] => Коррекция объема и формы губ
            [LINK] => /services/antivozrastnaya-fizioterapiya/guby/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/guby/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 36
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Коррекция объема и формы губ
                )

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

    [37] => Array
        (
            [TEXT] => Лечение гипергидроза
            [LINK] => /services/antivozrastnaya-fizioterapiya/gipergidroz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/gipergidroz/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 37
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

    [38] => Array
        (
            [TEXT] => Фотоомолаживание кожи
            [LINK] => /services/antivozrastnaya-fizioterapiya/fotoomolozhenie/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/fotoomolozhenie/
                )

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

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

    [39] => Array
        (
            [TEXT] => Биоревитализация
            [LINK] => /services/antivozrastnaya-fizioterapiya/biorevitalizaciya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/biorevitalizaciya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 39
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Биоревитализация
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [40] => Array
        (
            [TEXT] => Безинъекционная мезотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/bezinekcionnaya-mezoterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/bezinekcionnaya-mezoterapiya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 40
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Безинъекционная мезотерапия
                )

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

    [41] => Array
        (
            [TEXT] => Восстановление иммунитета
            [LINK] => /services/vosstanovlenie-immuniteta/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/vosstanovlenie-immuniteta/
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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] => 1
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            [CHAIN] => Array
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                    [0] => Восстановление иммунитета
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            [DEPTH_LEVEL] => 1
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    [42] => Array
        (
            [TEXT] => Аллергический ринит
            [LINK] => /services/immunologiya-i-allergologiya/allergicheskiy-rinit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                )

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

            [CHAIN] => Array
                (
                    [0] => Аллергический ринит
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [43] => Array
        (
            [TEXT] => Гинекология
            [LINK] => /services/ginekologiya/
            [SELECTED] => 1
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
                (
                    [0] => Гинекология
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            [DEPTH_LEVEL] => 1
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    [44] => Array
        (
            [TEXT] => Лечение вульвовагинита
            [LINK] => /services/ginekologiya/vulvovaginit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vulvovaginit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 44
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение вульвовагинита
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            [DEPTH_LEVEL] => 2
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    [45] => Array
        (
            [TEXT] => Лечение вульвита
            [LINK] => /services/ginekologiya/vulvit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vulvit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 45
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Лечение вульвита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [46] => Array
        (
            [TEXT] => Лечение вагинита
            [LINK] => /services/ginekologiya/vaginit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vaginit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 46
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение вагинита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [47] => Array
        (
            [TEXT] => Лечение спаек
            [LINK] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 47
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение спаек
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [48] => Array
        (
            [TEXT] => Лечение сальпингоофорита (аднексита)
            [LINK] => /services/ginekologiya/salpingooforit-adneksit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/salpingooforit-adneksit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 48
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Лечение сальпингоофорита (аднексита)
                )

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

    [49] => Array
        (
            [TEXT] => Плазмолифтинг в гинекологии
            [LINK] => /services/ginekologiya/plazmolifting-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/plazmolifting-v-ginekologii/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 49
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Плазмолифтинг в гинекологии
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [50] => Array
        (
            [TEXT] => Фотодинамическая терапия в гинекологии
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
            [SELECTED] => 1
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 50
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Фотодинамическая терапия в гинекологии
                )

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

    [51] => Array
        (
            [TEXT] => Лечение лейкоплакии вульвы и шейки матки
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
            [SELECTED] => 1
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 51
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
                (
                    [0] => Лечение лейкоплакии вульвы и шейки матки
                )

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

    [52] => Array
        (
            [TEXT] => Фотодинамическая терапия вульвы
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 52
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Фотодинамическая терапия вульвы
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [53] => Array
        (
            [TEXT] => Фотодинамическая терапия шейки матки
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 53
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Фотодинамическая терапия шейки матки
                )

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

    [54] => Array
        (
            [TEXT] => Лечение оофорита
            [LINK] => /services/ginekologiya/ooforit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/ooforit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 54
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

    [55] => Array
        (
            [TEXT] => Лечение миомы матки
            [LINK] => /services/ginekologiya/mioma-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/mioma-matki/
                )

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

            [CHAIN] => Array
                (
                    [0] => Лечение миомы матки
                )

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

    [56] => Array
        (
            [TEXT] => Лечение лейкоплакии
            [LINK] => /services/ginekologiya/lejkoplakiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/
                )

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

            [CHAIN] => Array
                (
                    [0] => Лечение лейкоплакии
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 1
        )

    [57] => Array
        (
            [TEXT] => Лейкоплакия вульвы
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 57
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лейкоплакия вульвы
                )

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

    [58] => Array
        (
            [TEXT] => Лейкоплакия шейки матки
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 58
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лейкоплакия шейки матки
                )

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

    [59] => Array
        (
            [TEXT] => Лазерная терапия в гинекологии
            [LINK] => /services/ginekologiya/lazernaya-terapiya-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lazernaya-terapiya-v-ginekologii/
                )

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

            [CHAIN] => Array
                (
                    [0] => Лазерная терапия в гинекологии
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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            [PERMISSION] => R
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            [DEPTH_LEVEL] => 2
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    [61] => Array
        (
            [TEXT] => Лечение эрозия шейки матки
            [LINK] => /services/ginekologiya/eroziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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            [DEPTH_LEVEL] => 2
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    [62] => 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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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение эндометрита
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    [63] => Array
        (
            [TEXT] => Лечение эндоцервицита (цервицита)
            [LINK] => /services/ginekologiya/endocervicit-cervicit/
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            [PERMISSION] => R
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            [ITEM_TYPE] => D
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    [64] => Array
        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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            [TEXT] => Лечение бартолинита
            [LINK] => /services/ginekologiya/bartolinit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/bartolinit/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение бартолинита
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    [66] => Array
        (
            [TEXT] => Лечение бактериального вагиноза
            [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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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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        (
            [TEXT] => Диагностика аппаратная
            [LINK] => /services/diagnostika-apparatnaya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [0] => Диагностика аппаратная
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    [68] => Array
        (
            [TEXT] => Видеокольпоскопия
            [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [0] => Видеокольпоскопия
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] => Спектрально-флюоресцентная диагностика
            [LINK] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
            [SELECTED] => 
            [PERMISSION] => R
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                    [FROM_IBLOCK] => 1
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        (
            [TEXT] => Кардиовизор
            [LINK] => /services/diagnostika-apparatnaya/kardiovizor/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Кардиовизор
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] => Функциональная компьютерная диагностика
            [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/
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            [PERMISSION] => R
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            [TEXT] => Дерматоскопия
            [LINK] => /services/diagnostika-apparatnaya/dermatoskopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Дерматоскопия
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            [DEPTH_LEVEL] => 2
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    [73] => Array
        (
            [TEXT] => Избавление от татуировок и татуажа
            [LINK] => /services/izbavlenie-ot-tatuirovok-i-tatuazha/
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            [PERMISSION] => R
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                    [FROM_IBLOCK] => 1
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    [74] => Array
        (
            [TEXT] => Реабилитация после травм и операций
            [LINK] => /services/reabilitaciya-posle-travm-i-operacij/
            [SELECTED] => 
            [PERMISSION] => R
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                    [FROM_IBLOCK] => 1
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                    [0] => Реабилитация после травм и операций
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        (
            [TEXT] => Фотодинамическая терапия
            [LINK] => /services/fotodinamicheskaya-terapiya/
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            [PERMISSION] => R
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                    [0] => Фотодинамическая терапия
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        (
            [TEXT] => Фотодинамическая терапия в онкологии
            [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [SHITTY] => 1
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    [77] => Array
        (
            [TEXT] => Фотодинамическая терапия в гинекологии
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            [ADDITIONAL_LINKS] => Array
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                    [SHITTY] => 1
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    [78] => Array
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            [TEXT] => Фотодинамическая терапия в стоматологии
            [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-stomatologii/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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            [TEXT] => Фотодинамическая терапия в дерматологии
            [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/
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            [ITEM_INDEX] => 79
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                    [FROM_IBLOCK] => 1
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            [TEXT] => Неврология
            [LINK] => /services/nevrologiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/nevrologiya/
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            [ITEM_TYPE] => D
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                    [0] => Неврология
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    [81] => Array
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            [TEXT] => Озонотерапия
            [LINK] => /services/ozonoterapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ozonoterapiya/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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                    [0] => Озонотерапия
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    [82] => Array
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            [TEXT] => Озонотерапия в гинекологии
            [LINK] => /services/ozonoterapiya/ozonoterapiya-v-ginekologii/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Озонотерапия в гинекологии
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    [83] => Array
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            [TEXT] => Восстановление легких после Covid-19
            [LINK] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/
            [SELECTED] => 
            [PERMISSION] => R
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                    [0] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/
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                    [0] => Восстановление легких после Covid-19
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    [84] => Array
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            [LINK] => /services/ozonoterapiya/lechenie-legkikh-posle-pnevmonii/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ozonoterapiya/lechenie-legkikh-posle-pnevmonii/
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            [TEXT] => Озонотерапия внутренних органов
            [LINK] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 85
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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    [86] => Array
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            [TEXT] => Кислородная терапия
            [LINK] => /services/kislorodnaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/kislorodnaya-terapiya/
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    [87] => Array
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            [TEXT] => Комплексное лечение
            [LINK] => /services/kompleksnoe-lechenie/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/kompleksnoe-lechenie/
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    [88] => Array
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            [TEXT] => Лазерная терапия
            [LINK] => /services/lazernaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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    [89] => Array
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            [TEXT] => Лечение аллергии
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Лечение аллергии
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            [DEPTH_LEVEL] => 1
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    [90] => Array
        (
            [TEXT] => Аллергический ринит
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Аллергический ринит
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    [91] => Array
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            [PERMISSION] => R
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                (
                    [0] => /services/onkologiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
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            [PERMISSION] => R
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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    [98] => Array
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            [PERMISSION] => R
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            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
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                    [0] => /hidden/
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                    [0] => Hidden
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    [115] => Array
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [SELECTED] => 
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            [SELECTED] => 
            [PERMISSION] => R
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Лечение лейкоплакии вульвы и шейки матки

Лечение лейкоплакии вульвы фото

Лейкоплакия вульвы и шейки матки относятся к фоновым заболеваниям, которые могут перейти в злокачественное заболевание. Среди других методов лечения предраковых состояний фотодинамическая терапия занимает особое место. С помощью ФДТ можно быстро и безболезненно избавиться от проблемы в амбулаторных условиях.

Виды лейкоплакии

Лейкоплакия вульвы — хроническое заболевание, которое не сопровождается воспалительными процессами и носит признаки дистрофии, поражающей слизистую женских половых органов. Патологию классифицируют в зависимости от степени тяжести гиперкератоза.

По этому признаку лейкоплакия подразделяется на следующие формы:

  • Бородавчатая. Очаговые новообразования имеют сходство по внешнему виду с бородавками. Относится к предраковым состояниям.

  • Гипертрофическая. Новообразования представляют собой выпуклые сухие бляшки, которые могут сливаться в обширные участки.

  • Простая (плоская). Сопровождается появлением тонкой белой пленки сероватого оттенка, которая может представлять собой отдельный очаг или распространяться по поверхности пораженного органа.

Прием ведут:

Юсупов Азат Салихович

Директор клиники, врач-специалист лазерной медицины, врач-онколог высшей категории, доктор медицинских наук, профессор. Стаж работы более 45 лет.

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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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Как работает ФДТ

Лечение лейкоплакии шейки матки посредством ФДТ заключается в действии специального светочувствительного препарата, который избирательно накапливается только в пораженных клетках. При воздействии на него источника света (лазера) запускается каскад фотохимических реакций, в результате которых происходит гибель патологических тканей.

Механизм действия фотосенсибилизатора заключается в том, что образуется синглетный кислород, который приводит к некрозу больных клеток, а здоровые при этом не затрагиваются. Гибель тканей, подверженных болезни, обусловлена нарушением питания их клеток. При этом начинают активно работать защитные ресурсы организма, которые способствуют скорейшему заживлению путем замещения поврежденных участков здоровой тканью.

Фотодинамическая терапия прошла клинические испытания во многих странах, которые доказали ее эффективность и безопасность. При качественно проведенной фотодинамической терапии лейкоплакии вульвы, шейки матки результат приближается к 100%, особенно при лечении на ранних стадиях болезни. Вероятность рецидива составляет не более 2-5%.

Преимущества лечения с помощью ФДТ

Лечение лейкоплакии шейки матки, вульвы с помощью фотодинамической терапии:

  • метод рекомендован Минздравом РФ;

  • может проводиться амбулаторно без госпитализации;

  • процедура не сопровождается болезненными ощущениями;

  • нет необходимости в наркозе;

  • для восстановления требуется минимальное время;

  • не происходит образования рубцов, а имеющиеся устраняются;

  • отсутствие травматического воздействия на окружающие ткани;

  • низкая вероятность рецидива;

  • нет опасности для нерожавших женщин;

  • рецепторный аппарат эндометрия быстро восстанавливается;

  • не возникает препятствий для зачатия;

  • препарат-фотосенсибилизатор безопасен для здоровья и не накапливается в организме.


Подготовка к ФДТ

Подготовка к процедуре заключается в осмотре гинекологом и сдаче стандартных анализов. При отсутствии противопоказаний врач подбирает препарат, параметры лазерного света и продолжительность его воздействия.

Лечение лейкоплакии ФДТ фото

Фотодинамическая терапия для лечения лейкоплакии

Первый этап лечения лейкоплакии в гинекологии заключается во введении препарата. Для накопления вещества в клетках требуется некоторое время. После этого пораженный участок обрабатывают лазером с определенными параметрами. По окончанию процедуры пациентка может вернуться к обычной жизни.

Восстановление после ФДТ

После процедуры ФДТ побочных эффектов не наблюдается.

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.
  • Наш врач подберет Вам наиболее эффективные методы лечения, учитывая все особенности Вашего организма и имеющиеся заболевания, подробно проинформирует о тактике лечения и ответит на все возникшие у вас вопросы.

Имеются противопоказания. Необходима консультация специалиста.

Работаем только по предварительной записи