Title: ?????????? ?? ????? ?????? ???? ???????? ???? ????? ?????? ??? ???. ?? ?????? ?? ?? ????? ???? Shitara ? ??????? ?? ?? ??? 2006 ?? ??? ????? 16 ???? ?? ??????? ??? 6 ??? ?? ??? ???????? ????? ?? 7 ???? ????? ?? ???????????? ??? ????? ?? ?????????? ??
1????? ??? ????? ?????????? ?? ??????? ????? ??
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2????? ? ????? ?????
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?? 50 ???? ?????? ??? ?? ???.3 ?????????? ??????
??? ?? ?? ???????? ?????? ????? ???????????? ?
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4,5,6 ????? ??? ????????? ???? ??????? ?? ????
????? ???????????? ???? ????? ???????? ??? ??
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??????? ?????? ?????????? ? ???? ?????
???????????? 2 ???. ???? ????? ??????????? ??? ??
?????? ??? ??? ?? MIBG ? ??????????? ???? ??? ??
???? ????? ???? ?? ?? ?? ?????. ?? ??? ???? ?????
????????? ????? ????? ?? ??? ????? ???.7,8 ??
???? ?? ?????????? ????? ????? ??? ??????? ?
????????? ???? ?? ??? ??????? (??? ?????) ??? ??
????? ??? ??? ???? ???? ?? ??????? ??? ? ?? ??
????? ????? ? ?? ??? ????? ??????? ?? ?? ?????
???.9,10?????? ?? ????? ????? ??? ??????? ?
?????? ???? ??? ????? ?? ?? ???? ?? ????? ???? ??
??????? ?? ??? ???? ?? ????? ? ????? ?? ????
?????? ???? ????. ?? ??? ?????? ?? ???????? 5
???? ????? ?? ??? ???? ??????? ?? ???.
3????? ?? ??????
?????????? ?? ????? ?????? ???? ???????? ????
????? ?????? ??? ???. ?? ?????? ?? ?? ????? ????
Shitara ? ??????? ?? ?? ??? 2006 ?? ??? ????? 16
???? ?? ??????? ??? 6 ??? ?? ??? ???????? ?????
?? 7 ???? ????? ?? ???????????? ??? ????? ??
?????????? ?? ????? 180mg/m2/day ???? 3 ???
?????? ???? ??????. ??? ?? 25 ??? ??? ???? ??????
????? ?????. ?? ??? ????? 5 ???? ?? ??? ?????
???? ????? ? ????? ??????? ?? 2 ????? ??? ????
????. ????????? ??? ?????? ?????????? ?? ?? ?????
?? ??? ????? ??????? ??????. 11
4????? ?? ??????
?? ?? ?????? ?? ?????? ?? ??? 41 ????? ????? ??
????????????? ????? IV ?????????? ?? ?????? ??
???? ?? 3 ???? ?? ??? ???? ?????? ?????. 3??
?????? ????? ?? ?????? ?? ???? ????? ??? ??
?????? 44 ????? ????? ?? ????????????? ?????
????. ??? ??????? ???? ??? 5 ???? ????? ??
?????????? 50mg/m2/day ?? ???? IV ?? ????? ??????
?? ?????. ?? ???? ?? ?? 2 ???? ????? ?????. ??
????? ???? ?? ??????? ???? ???? ???? ?? ?? ?????
? ??? ???????????? ????? ???? ???. 12
5????? ?? ??????
?? ?????? ????? ??? ?? ??????? ?? ??? 38 ????? ??
????????????? ??? ????? ?? ?? ?? ?? ????
????????????? ?? ?? ????? ?????????? ? ???
??????? (HD CCV) ?? ??? ????? ?????? ?? ??
????? ???????????? ?? Topotecan ???? (HD-CCV) ???
????? ?????? ???. 13?? ?????? ?? ??? 37 ????? ??
????? ?? ???? ??? ????????? ?? ??? ???????? ????
?? ?? 50mg/m2? ?? ?? ???? ????? ?? ????????????
???? ???? ? ?? 7 ????? ?? ?????? ???? ????
????????????? ???????????? ???????????? ?????
???? ???? ???????????? ????????????? ?????
???????? CNS? ?????? ???? ???. 10
6????? ?? ??????
?? ?????? ????? ?? ????? 3 ????? ????? ??
????????????? ????? ? ????????? ??? ????? ??
?????????? ?? ?????? ? ?? ????? ?? ICE therapy
???? ??????. ?????? ??? ?? ????? 2 ? 3 ????? ??
?? ?????? ?? ?? ?????????? ?? ??? 12 ? 6 ???
????? ?????. ??? ??????? ??? ??? ?? ?? ?? ?? ???.
?? ????? ??????? ????? ????? ???? ?????? ?????
?????????? ?? ????? ?? ???? ????? ?? ???. 14
7????? ??? ? ??????? ????? ????
- ???- ????? ???? ???
- ????? ????? ?????????? ?? ??? ??????? ????? ??
???????????? -
- ? - ????? ???? ???
- ????? ????? ????????? ?? ??? ??????? ??? ????? ??
?????????? - ????? ????? ???? ?? ????? ??? ?? 28 ???
- ????? ????? ??? ?? ??? ??????? ? ????
- ????? ????? ???? ????? ???? ?????? ???? ???? ????
????????? ?????? ???? ? ???????? ????? ???
??????? (????? ????????? ?????????????) ? ?????
???? ?? ??? ?????? ????
8??? ?????? ????????? ? ????? ?????? ?????
????? ?????? ????? ?? ??????????? ??? 6 ??? ?
???? ?? 20 ??? ?? ?? ??? ???????? ????? ?????????
???? ????? ??? ? ????????? ???? ????? ??????
?????? ? ???? ??? ?????? ?????????? ????? ????? ?
????? ? ????? ?? ???? ?????? ???? ????? ???.???
????? ???? ?????? ???? ?? ?????? ????? ?? ??
???? 0.66 ??? ??? ??????? ????? ? ?? ???? ??
????? ??????? a0.05 ? B0.2 ? ????? ??????
0.3 ??? ?? ???? ?? ?? ???? ????? 34 ????? ???? ??
????.
???
9??? ??? ???? ???? ?? ????? ????
?? ??? ??? ??????? ?? ?? ???? ?????? ?? ??? ? ??
?? ???? ????? 5 ???? ?? ????? ?????????? ?? ???
50 ???? ??? ?? ????? ?? ???? ???????? ???? ?????
?? ?? ????? ?? ?? ???? ????? ?? ???? (??? ??? 250
???? ??? ?? ???? ?? ??? ????)????? ?? ???? ?????
2???? ?????? ?? ??? ? ?? ??? ???? BMI ? HVI
?????????? ??? ??????? ? ?????? ??? ??????? ?????
?? ???. ???? ??? ??? ????? ????????? ?? ????? ??
???? ????? ???????? ??? ?? ????? ????? ????? ??
??? ??????? ??? ? ?? ????? ?? ????? ????????????
???? ?? ??? ?? ???? ???? ??????? ??????
?????????? ? ???? ????? ???????????? 2 ???.? ??
????? ????? ?? ???? ?? ??? ????? ?? ??? ????????
?????? ?????????? ???? ?? ????? ?? ?? ?????? ??
???. ???? ????? ??? ?????????? ? ???? ?? ???? ??
????? ?? ????.
10??? ????? ? ????? ???? ??
?? ?? ??? ???? ??????? ? ???? ?? ??? ????? ?????
spss16 ???? ???????? ????? t ? ??-?? ????? ?????
????? ?? ???.
11?????? ??????? ????? ?????
?? ???? ????? ????? ? ????? ???? ??? ???? ?? ????
?? ?? ???? ????? ??????????? ??????? ???.
12?????
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