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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [DEPTH_LEVEL] => 3
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            [TEXT] => Удаление Фибромы
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/fibroma/
            [SELECTED] => 
            [PERMISSION] => R
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                    [0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/fibroma/
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                    [0] => Удаление Фибромы
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            [DEPTH_LEVEL] => 3
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    [25] => Array
        (
            [TEXT] => Лечение базалиомы или базальноклеточного рака
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            [PERMISSION] => R
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            [IS_PARENT] => 
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    [26] => 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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                    [0] => Лечение грибка кожи и ногтей
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [29] => Array
        (
            [TEXT] => Дерматология
            [LINK] => /services/lechenie-kozhnykh-zabolevaniy/dermatologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/lechenie-kozhnykh-zabolevaniy/dermatologiya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 29
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Дерматология
                )

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

    [30] => Array
        (
            [TEXT] => Антивозрастная физиотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 30
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
                (
                    [0] => Антивозрастная физиотерапия
                )

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

    [31] => Array
        (
            [TEXT] => Поверхностная шлифовка лица
            [LINK] => /services/antivozrastnaya-fizioterapiya/shlifovka/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/shlifovka/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 31
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Поверхностная шлифовка лица
                )

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

    [32] => Array
        (
            [TEXT] => Плазмолифтинг
            [LINK] => /services/antivozrastnaya-fizioterapiya/plazmolifting/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/plazmolifting/
                )

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

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

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

    [33] => Array
        (
            [TEXT] => Устранение мимических морщин
            [LINK] => /services/antivozrastnaya-fizioterapiya/morshhiny/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/morshhiny/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 33
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Устранение мимических морщин
                )

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

    [34] => Array
        (
            [TEXT] => Механическая алмазная микродермабразия
            [LINK] => /services/antivozrastnaya-fizioterapiya/mikrodermabraziya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/mikrodermabraziya/
                )

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

            [CHAIN] => Array
                (
                    [0] => Механическая алмазная микродермабразия
                )

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

    [35] => Array
        (
            [TEXT] => Мезотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/mezoterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/mezoterapiya/
                )

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

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

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

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

            [CHAIN] => Array
                (
                    [0] => Карбоновый пиллинг
                )

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

    [37] => Array
        (
            [TEXT] => Коррекция объема и формы губ
            [LINK] => /services/antivozrastnaya-fizioterapiya/guby/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/guby/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 37
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Коррекция объема и формы губ
                )

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

    [38] => Array
        (
            [TEXT] => Лечение гипергидроза
            [LINK] => /services/antivozrastnaya-fizioterapiya/gipergidroz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/gipergidroz/
                )

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

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

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

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

            [CHAIN] => Array
                (
                    [0] => Фотоомолаживание кожи
                )

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

    [40] => Array
        (
            [TEXT] => Биоревитализация
            [LINK] => /services/antivozrastnaya-fizioterapiya/biorevitalizaciya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/biorevitalizaciya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 40
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

    [41] => Array
        (
            [TEXT] => Безинъекционная мезотерапия
            [LINK] => /services/antivozrastnaya-fizioterapiya/bezinekcionnaya-mezoterapiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/antivozrastnaya-fizioterapiya/bezinekcionnaya-mezoterapiya/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 41
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Безинъекционная мезотерапия
                )

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

    [42] => Array
        (
            [TEXT] => Восстановление иммунитета
            [LINK] => /services/vosstanovlenie-immuniteta/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/vosstanovlenie-immuniteta/
                )

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

            [CHAIN] => Array
                (
                    [0] => Восстановление иммунитета
                )

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

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

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 43
            [PARAMS] => Array
                (
                    [SHITTY] => 1
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

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

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

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

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

    [45] => Array
        (
            [TEXT] => Лечение вульвовагинита
            [LINK] => /services/ginekologiya/vulvovaginit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vulvovaginit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 45
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

    [46] => Array
        (
            [TEXT] => Лечение вульвита
            [LINK] => /services/ginekologiya/vulvit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vulvit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 46
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

    [47] => Array
        (
            [TEXT] => Лечение вагинита
            [LINK] => /services/ginekologiya/vaginit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/vaginit/
                )

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

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

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

    [48] => 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] => 48
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

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

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

    [49] => Array
        (
            [TEXT] => Лечение сальпингоофорита (аднексита)
            [LINK] => /services/ginekologiya/salpingooforit-adneksit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/salpingooforit-adneksit/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 49
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Лечение сальпингоофорита (аднексита)
                )

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

    [50] => Array
        (
            [TEXT] => Плазмолифтинг в гинекологии
            [LINK] => /services/ginekologiya/plazmolifting-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/plazmolifting-v-ginekologii/
                )

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 50
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
                )

            [CHAIN] => Array
                (
                    [0] => Плазмолифтинг в гинекологии
                )

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

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

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 51
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 1
                    [DEPTH_LEVEL] => 2
                )

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

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

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

            [ITEM_TYPE] => D
            [ITEM_INDEX] => 52
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лечение лейкоплакии вульвы и шейки матки
                )

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

    [53] => 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/
                )

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

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

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

    [54] => 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] => 54
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

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

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

    [55] => Array
        (
            [TEXT] => Лечение оофорита
            [LINK] => /services/ginekologiya/ooforit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/ooforit/
                )

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

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

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

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

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

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

    [57] => Array
        (
            [TEXT] => Лечение лейкоплакии
            [LINK] => /services/ginekologiya/lejkoplakiya/
            [SELECTED] => 1
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/
                )

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

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

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

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

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

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

    [59] => 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] => 59
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 3
                )

            [CHAIN] => Array
                (
                    [0] => Лейкоплакия шейки матки
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            [DEPTH_LEVEL] => 3
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        )

    [60] => Array
        (
            [TEXT] => Лазерная терапия в гинекологии
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            [PERMISSION] => R
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            [DEPTH_LEVEL] => 2
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [DEPTH_LEVEL] => 2
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    [62] => Array
        (
            [TEXT] => Лечение эрозия шейки матки
            [LINK] => /services/ginekologiya/eroziya-shejki-matki/
            [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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    [63] => 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
            [ITEM_INDEX] => 63
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение эндометрита
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    [64] => Array
        (
            [TEXT] => Лечение эндоцервицита (цервицита)
            [LINK] => /services/ginekologiya/endocervicit-cervicit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [TEXT] => Лечение бартолинита
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение бартолинита
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] => Лечение бактериального вагиноза
            [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => 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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        (
            [TEXT] => Диагностика аппаратная
            [LINK] => /services/diagnostika-apparatnaya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Диагностика аппаратная
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    [69] => Array
        (
            [TEXT] => Видеокольпоскопия
            [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/
            [SELECTED] => 
            [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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            [DEPTH_LEVEL] => 2
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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] => /services/diagnostika-apparatnaya/kardiovizor/
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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/
            [SELECTED] => 
            [PERMISSION] => R
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            [DEPTH_LEVEL] => 2
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    [73] => Array
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            [TEXT] => Дерматоскопия
            [LINK] => /services/diagnostika-apparatnaya/dermatoskopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [0] => Дерматоскопия
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            [DEPTH_LEVEL] => 2
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    [74] => Array
        (
            [TEXT] => Избавление от татуировок и татуажа
            [LINK] => /services/izbavlenie-ot-tatuirovok-i-tatuazha/
            [SELECTED] => 
            [PERMISSION] => R
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                    [FROM_IBLOCK] => 1
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            [DEPTH_LEVEL] => 1
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    [75] => Array
        (
            [TEXT] => Реабилитация после травм и операций
            [LINK] => /services/reabilitaciya-posle-travm-i-operacij/
            [SELECTED] => 
            [PERMISSION] => R
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                    [0] => /services/reabilitaciya-posle-travm-i-operacij/
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                    [FROM_IBLOCK] => 1
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                    [0] => Реабилитация после травм и операций
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            [DEPTH_LEVEL] => 1
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    [76] => Array
        (
            [TEXT] => Фотодинамическая терапия
            [LINK] => /services/fotodinamicheskaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/fotodinamicheskaya-terapiya/
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                    [0] => Фотодинамическая терапия
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    [77] => Array
        (
            [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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    [78] => Array
        (
            [TEXT] => Фотодинамическая терапия в гинекологии
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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                    [SHITTY] => 1
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            [CHAIN] => Array
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    [79] => Array
        (
            [TEXT] => Фотодинамическая терапия в стоматологии
            [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-stomatologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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                    [0] => Фотодинамическая терапия в стоматологии
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            [DEPTH_LEVEL] => 2
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            [TEXT] => Фотодинамическая терапия в дерматологии
            [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/
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            [ITEM_INDEX] => 80
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                    [FROM_IBLOCK] => 1
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                    [0] => Фотодинамическая терапия в дерматологии
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            [DEPTH_LEVEL] => 2
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    [81] => Array
        (
            [TEXT] => Неврология
            [LINK] => /services/nevrologiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/nevrologiya/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Неврология
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            [DEPTH_LEVEL] => 1
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    [82] => 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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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Озонотерапия
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    [83] => Array
        (
            [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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            [DEPTH_LEVEL] => 2
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    [84] => Array
        (
            [TEXT] => Восстановление легких после Covid-19
            [LINK] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Восстановление легких после Covid-19
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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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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение легких после пневмонии
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            [IS_PARENT] => 
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    [86] => Array
        (
            [TEXT] => Озонотерапия внутренних органов
            [LINK] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 86
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Озонотерапия внутренних органов
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            [DEPTH_LEVEL] => 2
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    [87] => Array
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            [TEXT] => Кислородная терапия
            [LINK] => /services/kislorodnaya-terapiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/kislorodnaya-terapiya/
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            [DEPTH_LEVEL] => 1
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            [TEXT] => Комплексное лечение
            [LINK] => /services/kompleksnoe-lechenie/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/kompleksnoe-lechenie/
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    [89] => Array
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            [TEXT] => Лазерная терапия
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            [PERMISSION] => R
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                (
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            [CHAIN] => Array
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            [TEXT] => Лечение аллергии
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Лечение аллергии
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            [DEPTH_LEVEL] => 1
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    [91] => Array
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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    [93] => Array
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_INDEX] => 93
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] =>  Лечение рака желудка
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            [DEPTH_LEVEL] => 2
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    [95] => Array
        (
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
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            [CHAIN] => Array
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                    [0] =>  Лечение рака легких
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [96] => Array
        (
            [TEXT] =>  Лечение рака поджелудочной железы
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/rak-podzheludochnoy-zhelezy/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [97] => Array
        (
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            [LINK] => /services/onkologiya/rak-pochki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/rak-pochki/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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            [CHAIN] => Array
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                    [0] =>  Лечение рака почки
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            [DEPTH_LEVEL] => 2
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        (
            [TEXT] =>  Лечение рака толстого кишечника
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [99] => Array
        (
            [TEXT] =>  Лечение рака шейки и тела матки, опухоли яичников
            [LINK] => /services/onkologiya/rak-sheyki-i-tela-matki-opukholi-yaichnikov/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/rak-sheyki-i-tela-matki-opukholi-yaichnikov/
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            [DEPTH_LEVEL] => 2
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    [100] => Array
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/tsitokinoterapiya/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
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            [PERMISSION] => R
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    [102] => Array
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
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        (
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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            [DEPTH_LEVEL] => 3
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    [106] => Array
        (
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            [LINK] => /services/onkologiya/rak-predstatelnoy-zhelezy/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ADDITIONAL_LINKS] => Array
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                    [0] => Лечение меланомы
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            [DEPTH_LEVEL] => 3
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    [108] => Array
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            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/fotodinamicheskaya-terapiya/bazalioma-bazalnokletochnyy-rak/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
                (
                    [0] => Базалиома. Базальноклеточный рак
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [109] => Array
        (
            [TEXT] => Базалиома. Базальноклеточный рак
            [LINK] => /services/onkologiya/bazalioma-bazalnokletochnyy-rak/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [110] => Array
        (
            [TEXT] => Лечение рака печени
            [LINK] => /services/onkologiya/rak-pecheni/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/rak-pecheni/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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            [CHAIN] => Array
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                    [0] => Лечение рака печени
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [111] => Array
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            [TEXT] => Лечение рака пищевода
            [LINK] => /services/onkologiya/rak-pishchevoda/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/onkologiya/rak-pishchevoda/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [112] => Array
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            [TEXT] => Онкоиммунология
            [LINK] => /services/onkologiya/onkoimmunologiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/onkologiya/onkoimmunologiya/
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    [113] => Array
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            [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/rak-kozhi/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Лечение рака кожи
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    [114] => Array
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            [TEXT] => Лечение позвоночника и суставов
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PARAMS] => Array
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            [DEPTH_LEVEL] => 1
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    [115] => Array
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            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/oporno-dvigatelnyj-apparat/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [DEPTH_LEVEL] => 2
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            [TEXT] => Лечение артроза
            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/oporno-dvigatelnyj-apparat/lechenie-artroza/
            [SELECTED] => 
            [PERMISSION] => R
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            [LINK] => /services/lechenie-pozvonochnika-i-sustavov/lechenie-pyatochnoy-shpory/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [LINK] => /services/detoksikatsiya-pri-khronicheskikh-i-onkologicheskikh-zabolevaniyakh/
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)

Лечение лейкоплакии

лечение лейкоплакииЛейкоплакия представляет собой хронический воспалительный процесс. При этом поражаются слизистые оболочки: ротовой полости, вульвы, шейки матки, области головки полового члена, заднепроходного отверстия. Болезнь сопровождается ороговением покровного эпителия. Патологический процесс имеет различную степень выраженности.

Заболевание встречается в основном у людей старше 30 лет, но бывают и исключения. По результатам статистических исследований, только 5-6% женщин сталкиваются с лейкоплакией. Тем не менее, игнорировать ее ни в коем случае нельзя. Это заболевание значительно повышает вероятность злокачественного перерождения тканей и развития рака в будущем.

Виды лейкоплакии

Основные разновидности заболевания:

Причины возникновения заболевания

Источник развития патологии пока неизвестен. Можно лишь выделить ряд косвенных факторов, которые оказывают негативное воздействие на слизистую оболочку и приводят к развитию воспаления: физические, механические, химические и их сочетание. Также имеет место и генетическая предрасположенность.

Факторы, которые способствуют развитию лейкоплакии:

  • Заболевание может возникнуть в области воспаления, которое развилось вследствие эндогенного раздражения. Например, травмы слизистой оболочки рта от неправильно подобранного протеза, разрушенного зуба, ожога и пр.

  • Курение также может ослабить местный иммунитет и способствовать развитию болезни. Так как табачный дым и смолы обладают раздражающим действием. Чрезмерное употребление алкоголя также раздражает слизистую оболочку и поддерживает в ней воспалительный процесс хронического типа.

  • Известно, что витамин А участвует в поддержании местного иммунитета слизистых оболочек. Это значит, что его недостаток может привести к развитию болезни, особенно в совокупности с другими раздражающими факторами.

  • Заболевания желудочно-кишечного тракта косвенно могут стать причиной лейкоплакии.

  • Патология проявляется на фоне различных инфекций: туберкулез, сифилис, иммунодефициты.

  • Гормональные нарушения.

  • Сахарный диабет.

Опасность состоит в том, что хроническое воспаление слизистой оболочки может переродиться в раковую опухоль. Однако, не все изменения можно считать лейкоплакией: это могут быть очаги воспаления, которые проходят после того, как устранен экзогенный фактор.

лейкоплакия симптомы и лечение

Симптомы лейкоплакии

Клинические признаки зависят от формы лейкоплакии:


  • Плоская. Проявляется в появлении очагов поражения белого или сероватого цвета. Границы могут быть плохо выражены или иметь четкие очертания. Размер 2-3 см. Они не приносят болевых ощущений. Иногда может возникать чувство стянутости. Налет не соскабливается.

  • Бородавчатая или веррукозная. Образуются бляшки, которые возвышаются над поверхностью слизистой на несколько мм. Они могут быть перламутровыми или белыми. Сопровождается всё это болевыми ощущениями, чувством жжения и окаменения. При травмировании возникает кровотечение.

  • Эрозивная. На фоне предыдущих форм заболевания образуются эрозии и трещины, которые долго не заживают. Это рецидивирующая форма. Присутствуют болевые ощущения.

  • Лейкоплакия курильщика. Поражается слизистая оболочка мягкого и твёрдого нёба. Цвет также варьируется от серовато-белого до белого. В ротовой полости можно заметить красные узелки за твердым небом — это выводные протоки слюнных желез.

  • Мягкая. Происходит набухание слизистой, без выраженной воспалительной реакции. Болезненных или иных ощущений нет.

Диагностика

Диагноз устанавливают на основе данных анамнеза, клинического осмотра и биопсии пораженного участка.

Лечение лейкоплакии

Так как явных причин патологии не обнаружено, то терапия сводится к устранению факторов, которые ее провоцируют, а также к ликвидации воспалительного процесса и предупреждению перерождения в раковую опухоль. Консервативным лечением можно обойтись, когда при диагностике в очагах заражения не обнаружилось раковых клеток. Терапия сводится к следующим мероприятиям:

  • Устранение экзогенных факторов. Например, если лейкоплакия поразила ротовую полость вследствие курения, употребления алкоголя, горячей и грубой пищи, некачественных протезов — проводится лечение зубов.

  • Лечение авитаминозов, гормональных расстройств, заболеваний пищеварительного тракта и инфекций, на фоне которых протекает заболевание.

  • При присоединении вторичной инфекции назначают антибиотики, противовирусные или противогрибковые препараты.

  • Повышение иммунитета организма.

  • Лазерная терапия.

  • Витаминотерапия. Особенно уделяется внимание витамину А и группы В, которые используются как местно, так и внутрь.

  • Местно применяются препараты для повышения регенерации слизистой оболочки.

  • Назначаются обезболивающие при необходимости.

  • Используются антисептики.

лечение лейкоплакии в уфе

Оперативное лечение включает следующие процедуры:

  • Криодеструкция. Воздействие на патологический очаг низкими температурами, обычно применяется жидкий азот.

  • Электроэксцизия. Удаление хронического воспалительного процесса с помощью электроножа.

  • Электрокоагуляция. Прижигание электрическим током.

  • Удаление лазером

  • Хирургическое иссечение пораженной ткани с дальнейшим ее изучением.

  • Фотодинамическая терапия (ФДТ) В настоящее время наиболее безопасным, щадящим и эффективным методом лечения любых форм лейкоплакии является фотодинамическая терапия. Метод ФДТ является безоперационным, осно­ванным на избирательном разрушении поврежденной ткани с сохранением здоровых, что позволяет использовать его так же и в случаях, когда другие методы противопоказаны или не помогают. Практически исключены противопо­казания.

Метод лазерной фотодинамической терапии выгодно отличается от традиционных методов лечения лейкоплакий отсутствием тяжелых местных и системных осложнений лечения, возможностью многократного повторения, при необходимости, лечебного сеанса. Кроме того, для ликвидации заболевания у большинства пациентов достаточно одного сеанса фотоданимической лазерной терапии, который, к тому же, проводится в амбулаторных условиях.

Предотвращение лейкоплакии зависит от устранения причин, ее вызывающих. Для начала нужно вылечить заболевания, на фоне которых может развиться патология: нарушения гормонального обмена, расстройство пищеварения, авитаминозы, инфекции. А также нужно сбалансировать питание по витаминам и минералам, обратив особое внимание на витамины из группы В и витамин А, так как именно они участвуют в защите слизистых оболочек.

Имеются противопоказания. Необходима консультация специалиста.

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