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*По предварительной записи
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            [IS_PARENT] => 1
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    [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] => 1
            [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
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [PERMISSION] => R
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            [TEXT] => Лечение лейкоплакии вульвы и шейки матки
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                    [0] => Лечение лейкоплакии вульвы и шейки матки
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            [DEPTH_LEVEL] => 3
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    [68] => Array
        (
            [TEXT] => Фотодинамическая терапия вульвы
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            [DEPTH_LEVEL] => 3
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    [69] => Array
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            [DEPTH_LEVEL] => 3
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    [70] => Array
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            [TEXT] => Лечение оофорита
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            [PERMISSION] => R
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                    [0] => /services/ginekologiya/ooforit/
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                    [0] => Лечение оофорита
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    [71] => Array
        (
            [TEXT] => Лечение миомы матки
            [LINK] => /services/ginekologiya/mioma-matki/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/mioma-matki/
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            [ITEM_TYPE] => D
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            [PARAMS] => Array
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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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    [72] => Array
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            [TEXT] => Лечение лейкоплакии
            [LINK] => /services/ginekologiya/lejkoplakiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/lejkoplakiya/
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            [ITEM_TYPE] => D
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            [CHAIN] => Array
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                    [0] => Лечение лейкоплакии
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            [DEPTH_LEVEL] => 2
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    [73] => Array
        (
            [TEXT] => Лейкоплакия вульвы
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-vulvy/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Лейкоплакия вульвы
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            [DEPTH_LEVEL] => 3
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    [74] => Array
        (
            [TEXT] => Лейкоплакия шейки матки
            [LINK] => /services/ginekologiya/lejkoplakiya/leykoplakiya-sheyki-matki/
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            [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] => 74
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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
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    [75] => Array
        (
            [TEXT] => Лечение крауроза
            [LINK] => /services/ginekologiya/krauroz/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
                (
                    [0] => /services/ginekologiya/krauroz/
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            [ITEM_INDEX] => 75
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
                (
                    [0] => Лечение крауроза
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            [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/
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 76
            [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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    [77] => 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
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                    [0] => Лечение эндометрита
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            [DEPTH_LEVEL] => 2
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    [78] => Array
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            [LINK] => /services/ginekologiya/endocervicit-cervicit/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/endocervicit-cervicit/
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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            [CHAIN] => Array
                (
                    [0] => Лечение эндоцервицита (цервицита)
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
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    [79] => Array
        (
            [TEXT] => Лечение дисплазии шейки матки
            [LINK] => /services/ginekologiya/displaziya-shejki-matki/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ITEM_TYPE] => D
            [ITEM_INDEX] => 79
            [PARAMS] => Array
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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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    [80] => 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] => 80
            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
                (
                    [0] => Лечение бартолинита
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [81] => Array
        (
            [TEXT] => Лечение бактериального вагиноза
            [LINK] => /services/ginekologiya/bakterialnyj-vaginoz/
            [SELECTED] => 
            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/ginekologiya/bakterialnyj-vaginoz/
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            [PARAMS] => Array
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                    [FROM_IBLOCK] => 1
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                    [DEPTH_LEVEL] => 2
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            [CHAIN] => Array
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                    [0] => Лечение бактериального вагиноза
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            [DEPTH_LEVEL] => 2
            [IS_PARENT] => 
        )

    [82] => Array
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            [LINK] => /services/nevrologiya/
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            [ADDITIONAL_LINKS] => Array
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                    [0] => /services/nevrologiya/
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    [83] => Array
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            [LINK] => /services/vosstanovlenie-immuniteta/
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            [DEPTH_LEVEL] => 1
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    [84] => Array
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            [PERMISSION] => R
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                    [0] => Диагностика аппаратная
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            [DEPTH_LEVEL] => 1
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    [85] => Array
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            [LINK] => /services/diagnostika-apparatnaya/videokolposkopiya/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [CHAIN] => Array
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                    [0] => Видеокольпоскопия
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            [DEPTH_LEVEL] => 2
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    [86] => Array
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            [LINK] => /services/diagnostika-apparatnaya/spektralno-flyuorescentnaya-diagnostika/
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            [PERMISSION] => R
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            [LINK] => /services/diagnostika-apparatnaya/kardiovizor/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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                    [0] => Кардиовизор
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            [DEPTH_LEVEL] => 2
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            [LINK] => /services/diagnostika-apparatnaya/funkcionalnaya-kompyuternaya-diagnostika/
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [ADDITIONAL_LINKS] => Array
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    [90] => Array
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            [PERMISSION] => R
            [ADDITIONAL_LINKS] => Array
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            [LINK] => /services/kompleksnoe-lechenie/
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            [PERMISSION] => R
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                    [0] => /services/kompleksnoe-lechenie/
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            [CHAIN] => Array
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            [IS_PARENT] => 
        )

)

Фотодинамическая терапия вульвы

Фотодинамическая терапия вульвы — эффективный метод лечения гинекологических заболеваний. Безболезненная и безопасная процедура не требует много времени и может проводиться амбулаторно.

Показания

Фотодинамическая терапия (ФДТ) вульвы назначается для лечения следующих заболеваний:

  • дисплазия разной степени тяжести;

  • гиперплазия эндометрия и эндометрита;

  • крауроз вульвы;

  • склеротический лишай;

  • карцинома вульвы 0 стадии «in situ»;

  • плоскоклеточная вульварная интраэпителиальная неоплазия;

  • папилломы вульвы;

  • лейкоплакия вульвы.

Фотодинамическая терапия вульвы фото

Принцип действия метода ФДТ

Фотодинамическая терапия — высокотехнологичная методика лечения гинекологических заболеваний, которая осуществляется с использованием специального лазера. На пораженный очаг наносится фотосенсибилизатор, который накапливается в патологических клетках.

Взаимодействие лазерного света с фотосенсибилизатором запускает фотохимические реакции, которые приводят к переходу кислорода в активное синглетное состояние. При этом гибнут только больные клетки, а здоровые не затрагиваются. В дальнейшем происходит замещение пораженных тканей на здоровые.

Таким образом, механизм ФДТ позволяет:

  • уничтожить больные клетки на доступной поверхности;

  • прекратить рост новообразования;

  • запустить естественные защитные функции организма без проведения дополнительных процедур.

Это позволяет считать метод безопасным для женского здоровья, так как ни сама процедура, ни используемое оборудование и препараты не оказывают негативного воздействия.

Прием ведут:

Конг Тхи Хоа

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

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Назарова Фильзя Масгутовна

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

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Самигуллин Артур Рависович

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

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Преимущества фотодинамической терапии

Фотодинамическая терапия — уникальный метод лечения гинекологических заболеваний, который имеет следующие достоинства:

  • избирательное действие позволяет прицельно уничтожать патологические клетки;

  • безболезненность процедуры;

  • не затрагивает здоровые ткани;

  • возможность лечения предраковых состояний и рака в начальной стадии без необходимости проведения хирургической операции;

  • эффективно борется с вирусом папилломы человека, части служащего причиной дисплазии;

  • вероятность рецидива минимальна, так как устраняется причина заболевания;

  • сохраняет целостность женских половых органов;

  • обеспечивает сохранность женского здоровья и высокое качество жизни;

  • достигается дополнительный терапевтический эффект, который обеспечивает иммунный ответ организма.

Порядок проведения ФДТ

Фотодинамическая терапия вульвы происходит следующим образом:

  • на пораженную поверхность наносят фотосенсибилизатор;

  • происходит накопление светочувствительного вещества в пораженных клетках;

  • при необходимости для уточнения границ поражения проводится флуоресцентная диагностика;

  • проводится воздействие лазерным светом на пораженный участок с захватом здоровых тканей;

  • дополнительно в результате сосудистого эффекта нарушается питание пораженных клеток;

  • происходит активизация внутренних ресурсов организма;

  • атипичные клетки гибнут и впоследствии замещаются здоровыми.

Подготовка к процедуре

Перед ФДТ нет необходимости специальной подготовки пациента за исключением стандартного набора анализов. Врач осматривает пациентку и определяет целесообразность использования метода. Если имеются показания к проведению фотодинамической терапии, то подбирается фотосенсибилизатор, определяется оптимальная интенсивность лазерного света и длительность его воздействия.


Противопоказания

Процедура фотодинамической терапии имеет противопоказания:

  • индивидуальная повышенная чувствительность к веществу-фотосенсибилизатору;

  • рак в термальность стадии с обширными метастазами;.

Период восстановления

Правильный подбор параметров лечения обеспечивает безболезненность процедуры и служит гарантией отсутствия побочных эффектов. Однако следует понимать, что после сеанса терапии развивается некроз тканей, который сопровождается отеком. Отечность может сохраняться до трех суток, а на отторжение отмерших тканей до 3 недель в зависимости от степени поражения вульвы.

В период реабилитации рекомендуется:

  • соблюдать половой покой;

  • отказаться на несколько дней от бани, сауны и бассейна;

  • использовать противовоспалительные и дезинфицирующие средства в гигиене половых органов;

  • мази и крема, способствующие регенерации.

Соблюдение рекомендаций врача — гарантия быстрого и комфортного прохождения периода реабилитации после ФДТ вульвы.

восстановление после ФДТ фото

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