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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] => 
            [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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                    [0] => Лечение вульвита
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            [PERMISSION] => R
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                (
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                    [FROM_IBLOCK] => 1
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                    [0] => Лечение вагинита
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            [DEPTH_LEVEL] => 2
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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/
            [SELECTED] => 
            [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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                    [0] => Лечение сальпингоофорита (аднексита)
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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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            [DEPTH_LEVEL] => 2
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            [TEXT] => Фотодинамическая терапия в гинекологии
            [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/
            [SELECTED] => 
            [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
                (
                    [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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            [ITEM_INDEX] => 69
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 3
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            [CHAIN] => Array
                (
                    [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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            [ITEM_TYPE] => D
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
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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] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/mioma-matki/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 72
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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
            [PARAMS] => Array
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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
            [IS_PARENT] => 1
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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
                (
                    [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
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                    [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
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение эндоцервицита (цервицита)
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [80] => Array
        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [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
                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [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
                (
                    [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
        (
            [TEXT] => Функциональная компьютерная диагностика
            [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 89
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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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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                (
                    [FROM_IBLOCK] => 1
                    [IS_PARENT] => 
                    [DEPTH_LEVEL] => 1
                )

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

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

Лечение рака пищевода

рак пищевода фото

Плоскоклеточный рак пищевода — распространенное онкологическое заболевание, которым чаще всего болеют мужчины, у женщин это рак пищевода менее распространен. Злокачественная опухоль развивается из плоских клеток пищевода и распространяется в толщу стенки по мере роста.

Факторы риска

В настоящее время установить точную причину плоскоклеточного рака пищевода не удалось. Однако достоверно известны факторы, которые повышают риск развития онкологических заболеваний:

  • Курение. Вещества, содержащиеся в табачном дыме, относятся к сильным онкогенам. Они оседают на слизистой оболочке ЖКТ и разрушают его защитный слой, что способствует развитию опухоли.

  • Употребление алкоголя. Спиртные напитки действуют аналогично табачному дыму. При совместном воздействии этих двух факторов риск заболевания значительно возрастает.

  • Причины, которые раздражают ЖКТ. К ним относятся как внешние факторы (горячая, острая, соленая и маринованная пища), так и физиологические нарушения (постоянно попадают жидкости, участвующие в процессе пищеварения).

  • Ожирение. Люди с лишним весом склонны к развитию онкологии ЖКТ.

  • Пол. Мужское население по невыясненным причинам болеют чаще.

  • Возраст. Вероятность развития патологии у людей старше 50 лет выше.

  • Наследственная предрасположенность.

  • Радиационное облучение. Риск генетических сбоев увеличивается вследствие воздействия радиации.

Лечение плоскоклеточного рака пищевода

Тактика лечения определяется в зависимости от стадии плоскоклеточного рака пищевода и общего состояния пациента. Медицинская практика показала, что для борьбы с онкологией ЖКТ эффективны следующие методы:

  • Хирургическое лечение. Применяется на I, II и в ряде случаев на III стадии плоскоклеточного рака пищевода.

  • Химиотерапия. Назначается как отдельное лечение, так и в составе комплексной терапии.

  • Лучевая терапия. Может сочетаться с хирургическим лечением и химиотерапией.

  • Таргетная терапия. Для лечения используются таргетные препараты, которые воздействуют на определенные молекулы-мишени в патологических клетках.

  • Иммунотерапия. Помогают иммунитету в распознавании и уничтожении переродившихся клеток.

Не так давно начал использоваться нетравматичный высокоэффективный метод лечения плоскоклеточного рака пищевода — фотодинамическая терапия.

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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Самигуллин Артур Рависович

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

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Как работает ФДТ

Раковые клетки уничтожаются с помощью специального вещества (фотосенсибилизатора), лазерного света с определенной длиной волны и активного кислорода. В организм пациента вводится фотосенсибилизатор, который избирательно накапливается в раковых клетках. При воздействии лазера двухвалентный кислород переходит в синглетный, который обладает цитотоксическим действием. В результате происходит разрушение мембран патологических клеток и их гибель.

Преимущества ФДТ

Фотодинамическая терапия по сравнению с традиционными методами лечения рака ЖКТ имеет ряд преимуществ:

  • процедура абсолютно безболезненна;

  • лазерный свет не оказывает токсического воздействия;

  • накопление фотосенсибилизатора происходит только в раковых клетках, поэтому здоровые не затрагиваются;

  • возможность проведения сеансов терапии нужное число раз;

  • метод может сочетаться с другими видами терапии онкологии;

  • процедура проводится в амбулаторных условиях.

Как проходит процедура

Лечение плоскоклеточного рака пищевода с помощью фотодинамической терапии назначается после обследования пациента и постановки диагноза. Далее врач разрабатывает методику с учетом стадии заболевания и состояния здоровья пациента.

Процедура проводится в два этапа:

  • Сначала вводится в организм пациента фотосенсибилизирующее вещество, для накопления которого требуется определенное время.

  • Затем предстоит пройти эндоскопию, в ходе которой будет использован лазер для активации фотосенсибилизатора.

По окончании терапии фоточувствительность некоторое время сохраняется, поэтому следует избегать яркого света.

Имеются противопоказания. Необходима консультация специалиста.

Что нужно для прохождения лечения плоскоклеточного рака?

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