Array
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[TEXT] => Лечение внутренних органов
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[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => Лечение внутренних органов
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[1] => Array
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[TEXT] => Лечение от курения (Авторская программа)
[LINK] => /services/lechenie-ot-kureniya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_TYPE] => D
[ITEM_INDEX] => 1
[PARAMS] => Array
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[CHAIN] => Array
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[0] => Лечение от курения (Авторская программа)
)
[DEPTH_LEVEL] => 1
[IS_PARENT] => 1
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[2] => Array
(
[TEXT] => Лечение табакокурения у женщин
[LINK] => /services/lechenie-ot-kureniya/lechenie-tabakokureniya-u-zhenshchin/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-ot-kureniya/lechenie-tabakokureniya-u-zhenshchin/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 2
[PARAMS] => Array
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[FROM_IBLOCK] => 1
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[DEPTH_LEVEL] => 2
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[CHAIN] => Array
(
[0] => Лечение табакокурения у женщин
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[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[3] => Array
(
[TEXT] => Методики ФДТ и Достижение лечебного эффекта
[LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/metodiki-fdt-i-dostizhenie-lechebnogo-effekta/
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[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/onkologiya/fotodinamicheskaya-terapiya/metodiki-fdt-i-dostizhenie-lechebnogo-effekta/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 3
[PARAMS] => Array
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[DEPTH_LEVEL] => 2
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[CHAIN] => Array
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[0] => Методики ФДТ и Достижение лечебного эффекта
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[DEPTH_LEVEL] => 2
[IS_PARENT] =>
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[4] => Array
(
[TEXT] => Заболевания дыхательной системы
[LINK] => /services/lechenie-vnutrennikh-organov/dyhatelnaya-sistema/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-vnutrennikh-organov/dyhatelnaya-sistema/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 4
[PARAMS] => Array
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[DEPTH_LEVEL] => 2
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[CHAIN] => Array
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[0] => Заболевания дыхательной системы
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[DEPTH_LEVEL] => 2
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[5] => Array
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[TEXT] => Урология
[LINK] => /services/lechenie-vnutrennikh-organov/urologiya/
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[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-vnutrennikh-organov/urologiya/
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[ITEM_INDEX] => 5
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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] => Урология
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[DEPTH_LEVEL] => 2
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[6] => Array
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[TEXT] => Стоматология
[LINK] => /services/lechenie-vnutrennikh-organov/stomatologiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-vnutrennikh-organov/stomatologiya/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 6
[PARAMS] => Array
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[FROM_IBLOCK] => 1
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[DEPTH_LEVEL] => 2
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[CHAIN] => Array
(
[0] => Стоматология
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
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[7] => Array
(
[TEXT] => Лейкоплакия полости рта
[LINK] => /services/lechenie-vnutrennikh-organov/stomatologiya/leykoplakiya-polosti-rta/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-vnutrennikh-organov/stomatologiya/leykoplakiya-polosti-rta/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 7
[PARAMS] => Array
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[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
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[CHAIN] => Array
(
[0] => Лейкоплакия полости рта
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
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[8] => Array
(
[TEXT] => ЛОР (Ухо, горло, нос)
[LINK] => /services/lechenie-vnutrennikh-organov/lor/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/lor/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 8
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] => 1
[DEPTH_LEVEL] => 2
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[CHAIN] => Array
(
[0] => ЛОР (Ухо, горло, нос)
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
)
[9] => Array
(
[TEXT] => Лечение гайморита лазером
[LINK] => /services/lechenie-vnutrennikh-organov/lor/lechenie-gaymorita-lazerom/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/lor/lechenie-gaymorita-lazerom/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 9
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
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[CHAIN] => Array
(
[0] => Лечение гайморита лазером
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[10] => Array
(
[TEXT] => Хронический тонзиллит
[LINK] => /services/lechenie-vnutrennikh-organov/lor/khronicheskiy-tonzillit/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/lor/khronicheskiy-tonzillit/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 10
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
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[CHAIN] => Array
(
[0] => Хронический тонзиллит
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[11] => Array
(
[TEXT] => Гипертрофия аденоидов
[LINK] => /services/lechenie-vnutrennikh-organov/lor/gipertrofiya-adenoidov/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/lor/gipertrofiya-adenoidov/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 11
[PARAMS] => Array
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[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
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[CHAIN] => Array
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[0] => Гипертрофия аденоидов
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
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[12] => Array
(
[TEXT] => Лазерная терапия
[LINK] => /services/lechenie-vnutrennikh-organov/lazernaya-terapiya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-vnutrennikh-organov/lazernaya-terapiya/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 12
[PARAMS] => Array
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[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
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[CHAIN] => Array
(
[0] => Лазерная терапия
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
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[13] => Array
(
[TEXT] => Заболевания пищеварительной системы
[LINK] => /services/lechenie-vnutrennikh-organov/pishhevaritelnaya-sistema/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[0] => /services/lechenie-vnutrennikh-organov/pishhevaritelnaya-sistema/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 13
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] => 1
[DEPTH_LEVEL] => 2
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[CHAIN] => Array
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[0] => Заболевания пищеварительной системы
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
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[14] => Array
(
[TEXT] => Лечение язвы желудка
[LINK] => /services/lechenie-vnutrennikh-organov/pishhevaritelnaya-sistema/lechenie-yazvy-zheludka/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/pishhevaritelnaya-sistema/lechenie-yazvy-zheludka/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 14
[PARAMS] => Array
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[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
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[CHAIN] => Array
(
[0] => Лечение язвы желудка
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[15] => Array
(
[TEXT] => Лечение геморроя
[LINK] => /services/lechenie-vnutrennikh-organov/pishhevaritelnaya-sistema/lechenie-gemorroya/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/pishhevaritelnaya-sistema/lechenie-gemorroya/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 15
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
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[CHAIN] => Array
(
[0] => Лечение геморроя
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[16] => Array
(
[TEXT] => Заболевания сосудов
[LINK] => /services/lechenie-vnutrennikh-organov/zabolevaniya-sosudov/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-vnutrennikh-organov/zabolevaniya-sosudov/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 16
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
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[CHAIN] => Array
(
[0] => Заболевания сосудов
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[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[17] => Array
(
[TEXT] => Лечение кожных заболеваний
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 17
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] => 1
[DEPTH_LEVEL] => 1
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[CHAIN] => Array
(
[0] => Лечение кожных заболеваний
)
[DEPTH_LEVEL] => 1
[IS_PARENT] => 1
)
[18] => Array
(
[TEXT] => Лечение образований кожи и слизистых
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/
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[ITEM_TYPE] => D
[ITEM_INDEX] => 18
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] => 1
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение образований кожи и слизистых
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
)
[19] => Array
(
[TEXT] => Удаление родинок, невуса
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/rodinka-nevus/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/rodinka-nevus/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 19
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Удаление родинок, невуса
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[20] => Array
(
[TEXT] => Удаление папиллом
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/papilloma/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/papilloma/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 20
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Удаление папиллом
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[21] => Array
(
[TEXT] => Лечение липомы
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/lipoma-zhirovik/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/lipoma-zhirovik/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 21
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Лечение липомы
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[22] => Array
(
[TEXT] => Удаление жировиков
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/zhiroviki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/zhiroviki/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 22
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Удаление жировиков
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[23] => Array
(
[TEXT] => Лечение кератомы
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/keratoma/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/keratoma/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 23
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Лечение кератомы
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[24] => Array
(
[TEXT] => Удаление Фибромы
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/fibroma/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/fibroma/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 24
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Удаление Фибромы
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[25] => Array
(
[TEXT] => Лечение базалиомы или базальноклеточного рака
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/bazalioma-ili-bazalnokletochnyj-rak/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/bazalioma-ili-bazalnokletochnyj-rak/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 25
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Лечение базалиомы или базальноклеточного рака
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[26] => Array
(
[TEXT] => Лечение гемангиомы
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/gemangioma/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/gemangioma/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 26
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Лечение гемангиомы
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[27] => Array
(
[TEXT] => Лечение атеромы
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/ateroma/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/obrazovaniya-kozhi-i-slizistyh/ateroma/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 27
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 3
)
[CHAIN] => Array
(
[0] => Лечение атеромы
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[28] => Array
(
[TEXT] => Лечение грибка кожи и ногтей
[LINK] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-gribkovykh-zabolevaniy/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/lechenie-kozhnykh-zabolevaniy/lechenie-gribkovykh-zabolevaniy/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 28
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение грибка кожи и ногтей
)
[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/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 29
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[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
)
[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
)
[DEPTH_LEVEL] => 3
[IS_PARENT] =>
)
[60] => 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] => 60
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лазерная терапия в гинекологии
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[61] => Array
(
[TEXT] => Лечение крауроза
[LINK] => /services/ginekologiya/krauroz/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/ginekologiya/krauroz/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 61
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение крауроза
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[62] => Array
(
[TEXT] => Лечение эрозия шейки матки
[LINK] => /services/ginekologiya/eroziya-shejki-matki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/ginekologiya/eroziya-shejki-matki/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 62
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение эрозия шейки матки
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[63] => Array
(
[TEXT] => Лечение эндометрита
[LINK] => /services/ginekologiya/endometrit/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/ginekologiya/endometrit/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 63
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение эндометрита
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[64] => Array
(
[TEXT] => Лечение эндоцервицита (цервицита)
[LINK] => /services/ginekologiya/endocervicit-cervicit/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/ginekologiya/endocervicit-cervicit/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 64
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение эндоцервицита (цервицита)
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[65] => Array
(
[TEXT] => Лечение дисплазии шейки матки
[LINK] => /services/ginekologiya/displaziya-shejki-matki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/ginekologiya/displaziya-shejki-matki/
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 65
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[IS_PARENT] =>
[DEPTH_LEVEL] => 2
)
[CHAIN] => Array
(
[0] => Лечение дисплазии шейки матки
)
[DEPTH_LEVEL] => 2
[IS_PARENT] =>
)
[66] => Array
(
[TEXT] => Лечение бартолинита
[LINK] => /services/ginekologiya/bartolinit/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
[0] => /services/ginekologiya/bartolinit/
)
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Лечение лейкоплакии
Содержание
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Лейкоплакия 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:
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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.
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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.
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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.
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Заболевания желудочно-кишечного тракта косвенно могут стать причиной лейкоплакии.
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Патология проявляется на фоне различных инфекций: туберкулез, сифилис, иммунодефициты.
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Гормональные нарушения.
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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.
Симптомы лейкоплакии
Клинические признаки зависят от формы лейкоплакии:
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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.
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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.
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Эрозивная. На фоне предыдущих форм заболевания образуются эрозии и трещины, которые долго не заживают. Это рецидивирующая форма. Присутствуют болевые ощущения.
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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.
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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:
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Устранение экзогенных факторов. Например, если лейкоплакия поразила ротовую полость вследствие курения, употребления алкоголя, горячей и грубой пищи, некачественных протезов — проводится лечение зубов.
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Лечение авитаминозов, гормональных расстройств, заболеваний пищеварительного тракта и инфекций, на фоне которых протекает заболевание.
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При присоединении вторичной инфекции назначают антибиотики, противовирусные или противогрибковые препараты.
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Повышение иммунитета организма.
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Витаминотерапия. Особенно уделяется внимание витамину А и группы В, которые используются как местно, так и внутрь.
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Местно применяются препараты для повышения регенерации слизистой оболочки.
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Назначаются обезболивающие при необходимости.
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Используются антисептики.
Оперативное лечение включает следующие процедуры:
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Криодеструкция. Воздействие на патологический очаг низкими температурами, обычно применяется жидкий азот.
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Электроэксцизия. Удаление хронического воспалительного процесса с помощью электроножа.
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Электрокоагуляция. Прижигание электрическим током.
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Удаление лазером
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Хирургическое иссечение пораженной ткани с дальнейшим ее изучением.
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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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