Array ( [0] => Array ( [TEXT] => Лечение от курения (Авторская программа) [LINK] => /services/lechenie-ot-kureniya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/lechenie-ot-kureniya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 0 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Лечение от курения (Авторская программа) ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [1] => Array ( [TEXT] => Лечение табакокурения у женщин [LINK] => /services/lechenie-ot-kureniya/lechenie-tabakokureniya-u-zhenshchin/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/lechenie-ot-kureniya/lechenie-tabakokureniya-u-zhenshchin/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 1 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение табакокурения у женщин ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [2] => Array ( [TEXT] => Фотодинамическая терапия [LINK] => /services/fotodinamicheskaya-terapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/fotodinamicheskaya-terapiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 2 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [3] => Array ( [TEXT] => Методики ФДТ и Достижение лечебного эффекта [LINK] => /services/fotodinamicheskaya-terapiya/metodiki-fdt-i-dostizhenie-lechebnogo-effekta/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/fotodinamicheskaya-terapiya/metodiki-fdt-i-dostizhenie-lechebnogo-effekta/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 3 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Методики ФДТ и Достижение лечебного эффекта ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [4] => Array ( [TEXT] => Фотодинамическая терапия в онкологии [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( ) [ITEM_TYPE] => D [ITEM_INDEX] => 4 [PARAMS] => Array ( [SHITTY] => 1 [FROM_IBLOCK] => 1 [IS_PARENT] => 0 [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия в онкологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => 0 ) [5] => Array ( [TEXT] => Фотодинамическая терапия в гинекологии [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( ) [ITEM_TYPE] => D [ITEM_INDEX] => 5 [PARAMS] => Array ( [SHITTY] => 1 [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия в гинекологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [6] => Array ( [TEXT] => Фотодинамическая терапия в стоматологии [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-stomatologii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-stomatologii/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 6 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия в стоматологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [7] => Array ( [TEXT] => Фотодинамическая терапия в дерматологии [LINK] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/fotodinamicheskaya-terapiya/fotodinamicheskaya-terapiya-v-dermatologii/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 7 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия в дерматологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [8] => Array ( [TEXT] => Лазерная терапия [LINK] => /services/lazernaya-terapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/lazernaya-terapiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 8 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Лазерная терапия ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [9] => Array ( [TEXT] => Озонотерапия [LINK] => /services/ozonoterapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ozonoterapiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 9 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Озонотерапия ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [10] => Array ( [TEXT] => Озонотерапия в гинекологии [LINK] => /services/ozonoterapiya/ozonoterapiya-v-ginekologii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ozonoterapiya/ozonoterapiya-v-ginekologii/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 10 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Озонотерапия в гинекологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [11] => Array ( [TEXT] => Восстановление легких после Covid-19 [LINK] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ozonoterapiya/vosstanovlenie-legkikh-posle-covid-19/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 11 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Восстановление легких после Covid-19 ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [12] => Array ( [TEXT] => Лечение легких после пневмонии [LINK] => /services/ozonoterapiya/lechenie-legkikh-posle-pnevmonii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ozonoterapiya/lechenie-legkikh-posle-pnevmonii/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 12 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение легких после пневмонии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [13] => Array ( [TEXT] => Озонотерапия внутренних органов [LINK] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ozonoterapiya/ozonoterapiya-vnutrennikh-organov/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 13 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Озонотерапия внутренних органов ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [14] => Array ( [TEXT] => Кислородная терапия [LINK] => /services/kislorodnaya-terapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/kislorodnaya-terapiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 14 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Кислородная терапия ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [15] => Array ( [TEXT] => Антистресс [LINK] => /services/antistress/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/antistress/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 15 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Антистресс ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [16] => Array ( [TEXT] => Детоксикация при хронических и онкологических заболеваниях [LINK] => /services/detoksikatsiya-pri-khronicheskikh-i-onkologicheskikh-zabolevaniyakh/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/detoksikatsiya-pri-khronicheskikh-i-onkologicheskikh-zabolevaniyakh/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 16 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Детоксикация при хронических и онкологических заболеваниях ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [17] => Array ( [TEXT] => Лечение онкологии [LINK] => /services/onkologiya/ [SELECTED] => 1 [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 17 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Лечение онкологии ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [18] => Array ( [TEXT] => Детоксикационная терапия [LINK] => /services/onkologiya/detoksikatsionnaya-terapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/detoksikatsionnaya-terapiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 18 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Детоксикационная терапия ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [19] => Array ( [TEXT] => Онкоиммунология [LINK] => /services/onkologiya/onkoimmunologiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/onkoimmunologiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 19 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Онкоиммунология ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [20] => Array ( [TEXT] => Фотодинамическая терапия в онкологии [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/fotodinamicheskaya-terapiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 20 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия в онкологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => 1 ) [21] => Array ( [TEXT] => Плоскоклеточный рак матки [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/ploskokletochnyy-rak/ploskokletochnyy-rak-matki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( ) [ITEM_TYPE] => D [ITEM_INDEX] => 21 [PARAMS] => Array ( [SHITTY] => 1 [FROM_IBLOCK] => 1 [IS_PARENT] => 0 [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Плоскоклеточный рак матки ) [DEPTH_LEVEL] => 3 [IS_PARENT] => 0 ) [22] => Array ( [TEXT] => Лечение плоскоклеточного рака [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/ploskokletochnyy-rak/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/fotodinamicheskaya-terapiya/ploskokletochnyy-rak/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 22 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение плоскоклеточного рака ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [23] => Array ( [TEXT] => Лечение рака кожи [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/rak-kozhi/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/fotodinamicheskaya-terapiya/rak-kozhi/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 23 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение рака кожи ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [24] => Array ( [TEXT] => Лечение меланомы [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/melanoma/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/fotodinamicheskaya-terapiya/melanoma/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 24 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение меланомы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [25] => Array ( [TEXT] => Лечение базалиомы [LINK] => /services/onkologiya/fotodinamicheskaya-terapiya/lechenie-bazaliomy/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/fotodinamicheskaya-terapiya/lechenie-bazaliomy/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 25 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение базалиомы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [26] => Array ( [TEXT] => Лечение рака шейки и тела матки, опухоли яичников [LINK] => /services/onkologiya/rak-sheyki-i-tela-matki-opukholi-yaichnikov/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/rak-sheyki-i-tela-matki-opukholi-yaichnikov/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 26 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение рака шейки и тела матки, опухоли яичников ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [27] => Array ( [TEXT] => Лечение базальноклеточного рака [LINK] => /services/onkologiya/lechenie-bazalnokletochnogo-raka/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/onkologiya/lechenie-bazalnokletochnogo-raka/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 27 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение базальноклеточного рака ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [28] => Array ( [TEXT] => Заболевания дыхательной системы [LINK] => /services/dyhatelnaya-sistema/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/dyhatelnaya-sistema/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 28 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Заболевания дыхательной системы ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [29] => Array ( [TEXT] => Урология [LINK] => /services/urologiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/urologiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 29 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Урология ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [30] => Array ( [TEXT] => Стоматология [LINK] => /services/stomatologiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/stomatologiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 30 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Стоматология ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [31] => 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] => 31 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лейкоплакия полости рта ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [32] => Array ( [TEXT] => ЛОР (Ухо, горло, нос) [LINK] => /services/lor/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/lor/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 32 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => ЛОР (Ухо, горло, нос) ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [33] => 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] => 33 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение гайморита лазером ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [34] => 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] => 34 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Хронический тонзиллит ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [35] => 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] => 35 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Гипертрофия аденоидов ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [36] => Array ( [TEXT] => Заболевания пищеварительной системы [LINK] => /services/pishhevaritelnaya-sistema/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/pishhevaritelnaya-sistema/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 36 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Заболевания пищеварительной системы ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [37] => 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] => 37 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение язвы желудка ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [38] => 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] => 38 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение геморроя ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [39] => Array ( [TEXT] => Заболевания сосудов [LINK] => /services/zabolevaniya-sosudov/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/zabolevaniya-sosudov/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 39 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Заболевания сосудов ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [40] => 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] => 40 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Лечение кожных заболеваний ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [41] => 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] => 41 [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 ) [42] => 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] => 42 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Удаление родинок (невусов) ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [43] => 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] => 43 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Удаление папилломы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [44] => 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] => 44 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение липомы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [45] => 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] => 45 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Удаление жировика ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [46] => 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] => 46 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение кератомы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [47] => 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] => 47 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Удаление фибромы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [48] => 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] => 48 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение базалиомы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [49] => 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] => 49 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение гемангиомы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [50] => 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] => 50 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение атеромы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [51] => 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] => 51 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение грибка кожи и ногтей ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [52] => 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] => 52 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Дерматология ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [53] => 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] => 53 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Лечение позвоночника и суставов ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [54] => 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] => 54 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение пяточной шпоры ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [55] => 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] => 55 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение артроза ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [56] => 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] => 56 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение артрита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [57] => 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] => 57 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Лечение аллергии ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [58] => 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] => 58 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Аллергический ринит ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [59] => Array ( [TEXT] => Гинекология [LINK] => /services/ginekologiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 59 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Гинекология ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [60] => Array ( [TEXT] => Лечение вульвовагинита [LINK] => /services/ginekologiya/vulvovaginit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/vulvovaginit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 60 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение вульвовагинита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [61] => Array ( [TEXT] => Лечение вульвита [LINK] => /services/ginekologiya/vulvit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/vulvit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 61 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение вульвита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [62] => Array ( [TEXT] => Лечение вагинита [LINK] => /services/ginekologiya/vaginit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/vaginit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 62 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение вагинита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [63] => Array ( [TEXT] => Лечение спаек [LINK] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/spajki-prichina-besplodiya.-spajki/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 63 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение спаек ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [64] => Array ( [TEXT] => Лечение сальпингоофорита (аднексита) [LINK] => /services/ginekologiya/salpingooforit-adneksit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/salpingooforit-adneksit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 64 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение сальпингоофорита (аднексита) ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [65] => Array ( [TEXT] => Плазмолифтинг в гинекологии [LINK] => /services/ginekologiya/plazmolifting-v-ginekologii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/plazmolifting-v-ginekologii/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 65 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Плазмолифтинг в гинекологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [66] => Array ( [TEXT] => Фотодинамическая терапия в гинекологии [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 66 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия в гинекологии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => 1 ) [67] => Array ( [TEXT] => Лечение лейкоплакии вульвы и шейки матки [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/lechenie-leykoplakii-s-pomoshchyu-fdt/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 67 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лечение лейкоплакии вульвы и шейки матки ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [68] => Array ( [TEXT] => Фотодинамическая терапия вульвы [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-vulvy/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 68 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия вульвы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [69] => Array ( [TEXT] => Фотодинамическая терапия шейки матки [LINK] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/fotodinamicheskaya-terapiya-v-ginekologii/fotodinamicheskaya-terapiya-sheyki-matki/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 69 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Фотодинамическая терапия шейки матки ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [70] => Array ( [TEXT] => Лечение оофорита [LINK] => /services/ginekologiya/ooforit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/ooforit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 70 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение оофорита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [71] => Array ( [TEXT] => Лечение миомы матки [LINK] => /services/ginekologiya/mioma-matki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/mioma-matki/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 71 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение миомы матки ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [72] => Array ( [TEXT] => Лечение лейкоплакии [LINK] => /services/ginekologiya/lejkoplakiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/lejkoplakiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 72 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение лейкоплакии ) [DEPTH_LEVEL] => 2 [IS_PARENT] => 1 ) [73] => Array ( [TEXT] => Лейкоплакия вульвы [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 73 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лейкоплакия вульвы ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [74] => Array ( [TEXT] => Лейкоплакия шейки матки [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 74 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 3 ) [CHAIN] => Array ( [0] => Лейкоплакия шейки матки ) [DEPTH_LEVEL] => 3 [IS_PARENT] => ) [75] => Array ( [TEXT] => Лечение крауроза [LINK] => /services/ginekologiya/krauroz/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/krauroz/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 75 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение крауроза ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [76] => Array ( [TEXT] => Лечение эрозии шейки матки [LINK] => /services/ginekologiya/eroziya-shejki-matki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/eroziya-shejki-matki/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 76 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение эрозии шейки матки ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [77] => Array ( [TEXT] => Лечение эндометрита [LINK] => /services/ginekologiya/endometrit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/endometrit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 77 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение эндометрита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [78] => Array ( [TEXT] => Лечение эндоцервицита (цервицита) [LINK] => /services/ginekologiya/endocervicit-cervicit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/endocervicit-cervicit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 78 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение эндоцервицита (цервицита) ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [79] => Array ( [TEXT] => Лечение дисплазии шейки матки [LINK] => /services/ginekologiya/displaziya-shejki-matki/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/displaziya-shejki-matki/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 79 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение дисплазии шейки матки ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [80] => Array ( [TEXT] => Лечение бартолинита [LINK] => /services/ginekologiya/bartolinit/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/bartolinit/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 80 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение бартолинита ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [81] => Array ( [TEXT] => Лечение бактериального вагиноза [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/ginekologiya/bakterialnyj-vaginoz/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 81 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Лечение бактериального вагиноза ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [82] => Array ( [TEXT] => Неврология [LINK] => /services/nevrologiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/nevrologiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 82 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Неврология ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [83] => Array ( [TEXT] => Восстановление иммунитета [LINK] => /services/vosstanovlenie-immuniteta/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/vosstanovlenie-immuniteta/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 83 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Восстановление иммунитета ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [84] => Array ( [TEXT] => Диагностика аппаратная [LINK] => /services/diagnostika-apparatnaya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/diagnostika-apparatnaya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 84 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => 1 [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Диагностика аппаратная ) [DEPTH_LEVEL] => 1 [IS_PARENT] => 1 ) [85] => Array ( [TEXT] => Видеокольпоскопия [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/diagnostika-apparatnaya/videokolposkopiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 85 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Видеокольпоскопия ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [86] => Array ( [TEXT] => Спектрально-флюоресцентная диагностика [LINK] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 86 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Спектрально-флюоресцентная диагностика ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [87] => Array ( [TEXT] => Кардиовизор [LINK] => /services/diagnostika-apparatnaya/kardiovizor/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/diagnostika-apparatnaya/kardiovizor/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 87 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Кардиовизор ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [88] => Array ( [TEXT] => Функциональная компьютерная диагностика [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 88 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Функциональная компьютерная диагностика ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [89] => Array ( [TEXT] => Дерматоскопия [LINK] => /services/diagnostika-apparatnaya/dermatoskopiya/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/diagnostika-apparatnaya/dermatoskopiya/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 89 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 2 ) [CHAIN] => Array ( [0] => Дерматоскопия ) [DEPTH_LEVEL] => 2 [IS_PARENT] => ) [90] => Array ( [TEXT] => Реабилитация после травм и операций [LINK] => /services/reabilitaciya-posle-travm-i-operacij/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/reabilitaciya-posle-travm-i-operacij/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 90 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Реабилитация после травм и операций ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) [91] => Array ( [TEXT] => Комплексное лечение [LINK] => /services/kompleksnoe-lechenie/ [SELECTED] => [PERMISSION] => R [ADDITIONAL_LINKS] => Array ( [0] => /services/kompleksnoe-lechenie/ ) [ITEM_TYPE] => D [ITEM_INDEX] => 91 [PARAMS] => Array ( [FROM_IBLOCK] => 1 [IS_PARENT] => [DEPTH_LEVEL] => 1 ) [CHAIN] => Array ( [0] => Комплексное лечение ) [DEPTH_LEVEL] => 1 [IS_PARENT] => ) )
Лечение рака почки
Рак почек, хоть и не относят к часто встречающимся злокачественным опухолям человека, однако, в последние годы, отмечается увеличение числа больных этим видом новообразования. Ежегодно в мире регистрируется около 250 тысяч новых случаев заболевания.
У мужчин заболевание занимает восьмое место среди всех выявляемых опухолей, а у женщин – одиннадцатое, при этом риск заболеть среди мужского населения выше примерно в два раза.
Среди пациентов преобладают пожилые люди в возрасте 60 – 70 лет. Возможно, это связано с увеличением риска развития онкопатологии в целом в этой возрастной категории.
Факторы риска, влияющие на развитие рака почки
Несмотря на многочисленные исследования, достоверно определить канцерогенные факторы в отношении рака почки пока не удается, однако, предполагается роль некоторых внешних причин и патологических состояний в возможности развития злокачественного новообразования.
-
Пол и возраст;
-
Курение;
-
Ожирение;
-
Артериальную гипертензию;
-
Сахарный диабет;
-
Наличие другой почечной патологии;
-
Профессиональные факторы;
-
Прием лекарственных препаратов: систематическое использование мочегонных средств (повышает риск развития опухоли до 30%); Считается, что некоторые анальгетики, антибиотики и другие препараты, метаболиты которых выводятся с мочой из организма, также увеличивают риск рака.
Как видно, большинство из перечисленных потенциальных причин рака носят общий характер, оказывая негативное влияние на весь организм в целом, но нужно все же их учитывать и как вероятные канцерогенные факторы в отношении риска возникновения опухолей почек.
Проявления рака почки
Как и многие другие опухоли, рак почки на ранних стадиях может протекать бессимптомно либо давать слабо выраженные неспецифические признаки.
По мере роста опухолевого узла и повреждения паренхимы органа, возникают довольно характерные симптомы рака почки:
-
Гематурия – наличие сгустков крови в моче. Может появиться внезапно и так же внезапно исчезнуть на какое-то время, но позже возобновиться. Наличие ее связывают с кровоизлияниями и распадом ткани опухоли, а также с повреждением почечной паренхимы. Гематурия считается одним из самых типичных признаков рака почки.
-
Пальпируемое образование в брюшной полости с левой или правой стороны возможно обнаружить на более поздних стадиях заболевания, особенно у худощавых пациентов. Стоит учитывать, что и отсутствие опухолевидного образования при наличии других характерных симптомов не исключает вероятности злокачественной опухоли.
-
Болевой синдром связан со сдавлением окружающих тканей, сосудисто-нервных пучков, прорастанием опухолевой массой паренхимы почки. Чаще всего больные предъявляют жалобы на тупые ноющие боли в животе и поясничной области. С течением времени выраженность болевых ощущений нарастает и они становятся постоянными.
Из других характерных проявлений заболевания можно отметить повышение артериального давления (вторичная артериальная гипертензия), которое связано с повреждением сосудистого русла либо выделением в кровь вазопрессорных агентов – ренина.
Как обнаружить опухоль?
Диагностика опухолей почки в большинстве случаев не вызывает значительных трудностей, но, поскольку на ранних стадиях заболевание может протекать бессимптомно, часто выявляют опухоли уже в запущенных стадиях.
Основными инструментальными методами диагностики считают:
-
Ультразвуковое исследование (УЗИ);
-
Компьютерную томографию (КТ);
-
Внутривенную урографию;
-
МРТ;
-
Сцинтиграфию костей, рентгенографию легких при подозрении на наличие метастазов.
Важно помнить, что обращение к врачу позволяет, как правило, своевременно установить диагноз рака и выбрать эффективную тактику лечения.
Лечение рака почки
Лечение рака почки подразумевает применение основных подходов онкологической помощи пациентам – оперативного вмешательства, лучевой и химиотерапии и других современных методик (таргетная терапия, радиочастотная абляция, цитокинотерапия).
Своевременно начатое лечение в первой стадии заболевания позволяет добиться 90% выживаемости пациентов и избежать возможных рецидивов и метастазирования.
Хирургическое лечение остается самым эффективным способом борьбы с болезнью. Удаление почки при раке производится при больших размерах опухоли и дает хорошие результаты у пациентов на первой стадии заболевания. При относительно небольших размерах новообразования возможно применение органосохраняющих операций – резекций.
Химиотерапия при раке почки не нашла должного применения, поскольку эти новообразования практически не чувствительны к противоопухолевым препаратам. Это связано с тем, что клетками почечных канальцев, из которых построено большинство злокачественных опухолей, продуцируется белок, обусловливающий множественную лекарственную резистентность.
Лучевая терапия чаще применяется в качестве паллиативного метода, позволяющего уменьшить боль и улучшить самочувствие пациента, но сама опухоль малочувствительна к такого рода воздействию.
Особое место в лечении рака почки принадлежит так называемой таргетной терапии. Этот современный и высокоэффективный способ лечения был разработан в начале XXI века и успешно применяется у многих пациентов. Препараты этой группы весьма дорогостоящи, но они в большинстве стран выделяются бесплатно, и об этом пациенты и их родственники должны знать.
Негативной стороной применения таргетной терапии являются побочные эффекты в виде плохой переносимости, а также довольно быстро формирующаяся устойчивость к ним опухолевых клеток. В этой связи таргетная терапия часто применяется в составе комбинированного лечения с другими противоопухолевыми средствами.
Цитокинотерапия одной из первых начала применяться при раке почки еще в XX веке (использовался интерлейкин). В настоящее время результативность лечения повысилась за счёт появления таргетных препаратов, методов онкоиммунологического лечения, так и за счёт комбинирования основных методов лечения с онкоиммунологическими.