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            [IS_PARENT] => 
        )

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

    [61] => Array
        (
            [TEXT] => Лечение вульвовагинита
            [LINK] => /services/ginekologiya/vulvovaginit/
            [SELECTED] => 
            [PERMISSION] => R
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
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                    [0] => Лечение вагинита
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    [64] => Array
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            [TEXT] => Лечение спаек
            [LINK] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 64
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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                    [0] => Лечение спаек
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            [DEPTH_LEVEL] => 2
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        )

    [65] => Array
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            [TEXT] => Лечение сальпингоофорита (аднексита)
            [LINK] => /services/ginekologiya/salpingooforit-adneksit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/salpingooforit-adneksit/
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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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            [DEPTH_LEVEL] => 2
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    [66] => Array
        (
            [TEXT] => Плазмолифтинг в гинекологии
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/plazmolifting-v-ginekologii/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 66
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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                    [0] => Плазмолифтинг в гинекологии
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            [TEXT] => Фотодинамическая терапия в гинекологии
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
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            [PERMISSION] => R
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
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                    [FROM_IBLOCK] => 1
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                    [0] => Фотодинамическая терапия в гинекологии
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    [68] => Array
        (
            [TEXT] => Лечение лейкоплакии вульвы и шейки матки
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Лечение лейкоплакии вульвы и шейки матки
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [69] => Array
        (
            [TEXT] => Фотодинамическая терапия вульвы
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Фотодинамическая терапия вульвы
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [70] => Array
        (
            [TEXT] => Фотодинамическая терапия шейки матки
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Фотодинамическая терапия шейки матки
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
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    [71] => Array
        (
            [TEXT] => Лечение оофорита
            [LINK] => /services/ginekologiya/ooforit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/ooforit/
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение оофорита
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            [DEPTH_LEVEL] => 2
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    [72] => Array
        (
            [TEXT] => Лечение миомы матки
            [LINK] => /services/ginekologiya/mioma-matki/
            [SELECTED] => 1
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/mioma-matki/
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение миомы матки
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            [DEPTH_LEVEL] => 2
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    [73] => Array
        (
            [TEXT] => Лечение лейкоплакии
            [LINK] => /services/ginekologiya/lejkoplakiya/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/lejkoplakiya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 73
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Лечение лейкоплакии
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            [DEPTH_LEVEL] => 2
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    [74] => Array
        (
            [TEXT] => Лейкоплакия вульвы
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 74
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Лейкоплакия вульвы
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
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    [75] => Array
        (
            [TEXT] => Лейкоплакия шейки матки
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 75
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
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                    [0] => Лейкоплакия шейки матки
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            [DEPTH_LEVEL] => 3
            [IS_PARENT] => 
        )

    [76] => Array
        (
            [TEXT] => Лечение крауроза
            [LINK] => /services/ginekologiya/krauroz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/krauroz/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 76
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Лечение крауроза
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [77] => Array
        (
            [TEXT] => Лечение эрозии шейки матки
            [LINK] => /services/ginekologiya/eroziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/eroziya-shejki-matki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 77
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эрозии шейки матки
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [78] => Array
        (
            [TEXT] => Лечение эндометрита
            [LINK] => /services/ginekologiya/endometrit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/endometrit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 78
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эндометрита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [79] => Array
        (
            [TEXT] => Лечение эндоцервицита (цервицита)
            [LINK] => /services/ginekologiya/endocervicit-cervicit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/endocervicit-cervicit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 79
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эндоцервицита (цервицита)
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [80] => Array
        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/displaziya-shejki-matki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 80
            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение дисплазии шейки матки
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [81] => Array
        (
            [TEXT] => Лечение бартолинита
            [LINK] => /services/ginekologiya/bartolinit/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/bartolinit/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 81
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение бартолинита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [82] => Array
        (
            [TEXT] => Лечение бактериального вагиноза
            [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/bakterialnyj-vaginoz/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 82
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение бактериального вагиноза
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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        (
            [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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                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
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                    [0] => Неврология
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            [DEPTH_LEVEL] => 1
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    [84] => Array
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            [TEXT] => Восстановление иммунитета
            [LINK] => /services/vosstanovlenie-immuniteta/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/vosstanovlenie-immuniteta/
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            [CHAIN] => Array
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                    [0] => Восстановление иммунитета
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            [LINK] => /services/diagnostika-apparatnaya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Диагностика аппаратная
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    [86] => Array
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            [TEXT] => Видеокольпоскопия
            [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Видеокольпоскопия
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            [DEPTH_LEVEL] => 2
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    [87] => Array
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            [TEXT] => Спектрально-флюоресцентная диагностика
            [LINK] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 87
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [LINK] => /services/diagnostika-apparatnaya/kardiovizor/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 88
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Кардиовизор
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [89] => Array
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            [TEXT] => Функциональная компьютерная диагностика
            [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 89
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            [CHAIN] => Array
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            [LINK] => /services/diagnostika-apparatnaya/dermatoskopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/diagnostika-apparatnaya/dermatoskopiya/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 90
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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                    [0] => Дерматоскопия
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [91] => Array
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            [TEXT] => Реабилитация после травм и операций
            [LINK] => /services/reabilitaciya-posle-travm-i-operacij/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 91
            [PARAMS] => Array
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                    [DEPTH_LEVEL] => 1
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            [CHAIN] => Array
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                    [0] => Реабилитация после травм и операций
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    [92] => Array
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            [TEXT] => Комплексное лечение
            [LINK] => /services/kompleksnoe-lechenie/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PARAMS] => Array
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 1
                )

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

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

)

Лечение миомы матки

миома матки фотоМиома матки – доброкачественная гормонозависимая опухоль, которая локализуется на каком-либо участке органа. Заболевание диагностируется у многих женщин репродуктивного возраста и поддается лечению при своевременном обращении за медицинской помощью. Проблема решается различными методами, среди которых наиболее щадящим и эффективным считается лазерная терапия.

Причины миомы матки

В настоящее время причины развития новообразования в матке достоверно не известны, однако факторы, провоцирующие заболевание, медициной установлены точно. К ним относится:

  • нарушение гормонального баланса;

  • хронические гинекологические болезни;

  • частые аборты, внутриматочная контрацепция;

  • сбой работы эндокринной системы;

  • генетическая предрасположенность.

Симптомы

Новообразование, имеющее малые размеры, может долгое время никак не проявляют себя. При достижении опухоли крупных размеров появляется явная клиническая картина. Указывать на заболевание может тяжесть в нижней части живота или дискомфорт во время полового акта. 

Неприятные ощущения усиливаются по мере роста миоматозных узлов. На проблему указывает изменение характера менструаций, длительность которых увеличивается, они становятся более обильными. В межменструальный период могут наблюдаться кровянистые выделения.

При увеличении новообразования до внушительных размеров происходит сдавливание кишечника, что приводит к вздутию живота и запорам. При сдавливании миоматозными узлами нервных окончаний возникает боль в органах малого таза, которая отдает в ноги или поясницу.

Миома матки, в отличие от злокачественной опухоли, растет медленно, поэтому имеются шансы своевременного диагностирования патологии при возникновении первых симптомов.


лечение миомы матки фото

Осложнения

Растущая опухоль представляет опасность, так как она может сдавливать кровеносные сосуды, что приводит к некротизации ткани и появлению нагноений. Перекрут ножки миоматозного узла – серьезное осложнение, в результате которого происходит некроз тканей и появляются резкие боли.

Увеличение продолжительности и обильность менструаций может стать причиной развития анемии. Миома может привести к бесплодию или невынашиванию беременности, так как затрудняет движение и прикрепление оплодотворенных яйцеклеток.

Доброкачественное новообразование крайне редко перерождается в злокачественную опухоль. Быстрый рост миомы – тревожный сигнал, который требует незамедлительной медицинской помощи.

Прием ведут:

Конг Тхи Хоа

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

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Назарова Фильзя Масгутовна

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

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Самигуллин Артур Рависович

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

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Лазерная терапия миомы матки

Лечение опухоли матки происходит лапароскопическим методом. Малоинвазивное вмешательство в организм пациента исключает инфицирование и потерю крови, так как процедура проводится через небольшое отверстие в брюшной полости.

Лазерная деструкция новообразования проводится с использованием современного высокотехнологичного медицинского оборудования. Лазерный свет воздействует точно на опухоль, разрушая новообразование и не затрагивает здоровые ткани.

лазерная терапия миомы матки фото

Преимущества лазеротерапии

Использование лазерного света в гинекологии позволяет сохранить орган и быстро достичь ожидаемого терапевтического эффекта. По сравнению с другими методами имеет ряд преимуществ:

  • малая травматичность; 

  • безболезненность и безопасность;

  • проведение в амбулаторных условиях без наркоза;

  • небольшая продолжительность процедуры;

  • короткий период реабилитации;

  • сохранение репродуктивной функции.

Для восстановления после лазерной деструкции женщине миомы матки женщине требуется не более 2-3 дней. Через короткое время менструальный цикл и репродуктивная функция восстанавливаются, а качество жизни заметно улучшается.

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