- 2 - IÍ3o5peTeHHe othochtch k ueAmxHHCKOít τβχπκκβ, a HueH-ho κ o$TajiLuonoraqecKHu HHCTpyueHTau, ncnojiL3yeutiunpu xHpyprunecKOu neuemra HenporpeccnpyDmea tínuaopyKOc-TM. W3B6CTH0 yCTpOÍÍCTBO ^JIH pa3UeTKH ΡΟΓΟΒΜΙΟΙ 1*21338řípu xupyprwqecKoa onepannu, BKJiioqatoinee Hopnyc-flepaaBHy(I h 2). - Z3BecTHHM ycTpořtcTBOM cHaqana πρ0Η3Β02ΐητ npenBapu- .TejiMyn paeueTKy poroBzuu rna3a, a 3a Teu onepapmo, npw-qeu pa3MeiRa προη3βοβητοη Teu se HHCTpyueHTOu, ητο ncaua o ne pa no. lípu stou tomhoctl pa3ueTKn ηθβηοοκβ,iaic K3K υβπκκοΜ 33bhcht ot cztyqaftHHX πβηχθηηΒ pys xh-pypra, ero κβθπηΦηκθιιημ» ποβγοτοβπθηηοοτμ k onepammΗ ΜΗΟΓΗΧ flpyrax φ8ΚΤ0ρ0Β. Πρκ βνποπηθημζ onepamiH KepaTOTOuua TaKHU cnocotíOMqacTO npOHexoQHT cuemeHHe οπτΗΜβοκπχ oceli rnaaa, ητοnpHBDRHT κ ποηβηθηκιο y onepHpyeuoro aCTHruaTH3Ua.- 2 - Ii3o5peTeHHe otechtch k ueAmxHHCKOit τβχπκκβ, and HueH-ho κ o $ TajiLuonoraqecKHu HHCTpyueHTau, nLnjjL3yeutiunpu xHpyprunecKOu neuemra HenporpeccnpyDmea tinuuaopyKOc-TM. W3B6CTH0Y1C1O3C1O4H2O3He3Ke3K1H2O2O2O3O3O3O3O2O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3O3. - Z3BecTHHM ycToCtBom cHaqana πρ0Η3Β02ΐητ npenBapu- .TejiMyn paeueTKy poroBzuu rna3a, 3a Teu onepapmo, npw-qeu pa3MeiRa προη3βοβητοη Teu with HHCTpyueHTOu, ητο ncaua o ne pa no. pu pu pu pu pu pu pu pu pu pu pu pu pu pu pu 3 b b b b b b b b b on on on on on on on on on on on on on on py py py py py py py py py py py py py. Πρκ βνποπηθημζ onepamiH KepaTOTOuua TaKHU cnocotíOMqacTO npOHexoQHT cuemeHHe οπτΗΜβοκπχ steel rnaaa, ητοnpHBDRHT κ ποηβηθηκιο y onepHpyeuoro aCTHruaTH3Ua.
HeaL <3O0peTeHHH - noBumeHne tomhocth ρ33ΜβτκκporoBímu rna3a πρκ OAHOBpeueHHOu coKpameHMH BpeueHH.HeaL <3O0peTeHHH - noBumeHne tomhocth ρ33ΜβτκκporoBimu rna3a πρκ OAHOBpeueHHOu coKpameHMH BpeueHH.
Qejn> socTHraeica Teu, πto ycTpoacTBO conepraipanuaniHO pacnonoseHHne Ha paíoneB qacTH Kopnyca-sep-aaBKH nnacTHHH, Kuennue ayroo(5pa3Hy» φopuy, noBiopHD- 236935 - 3 - nyo $opuy poroBHijH, a b Ropnyce BtmojiHeHH HeHTpanBHoeΗ ΠβρκφβρΗίΐΗΚβ ΟΒβΤΟΠρΟΒΟΖΙΗΙΙΙΗβ OTBepCTHH, πρκ a TOU bpeHTpaJIBHOU OTBepCTHM yCTaHOBJíeH BH3Hp.Qejn> socTHraeica Teu, πto ycTpoacTBO conepraipanuaniHO pacnonoseHHne Ha paíoneB qacTH Kopnyca-sep-aaBKH nnacTHHH, Kuennue Ayro (5pa3Hy »φopuy, noBiopHD- 236935-3 - NYO $ opuy poroBHijH, ab Ropnyce BtmojiHeHH HeHTpanBHoeΗ ΠβρκφβρΗίΐΗΚβ ΟΒβΤΟΠρΟΒΟΖΙΗΙΙΙΗβ OTBepCTHH, πρκ and TOU bpeHTpaJIBHOU OTBepCTHM yCTaHOBJeH BH3Hp.
Ha $nr.I HaoópaseHO ycipoflciBO, npoqosBHutt paepes;Ha φΗΓ.2- το se, bhs CBepxy. ycTpoiícTBO shh pasueiHH poroBrajn ma3a nueei pa-tíoqy» qaciB I, Kopnyc-nepsaBKy 2 c neHTpajiBHUu 3 h ne-pn$epHttHHUR 4 CBeTonpoBOSHniHUH oTBepcthhuh. Ha patíoneftqacTH pa^HanLHO pasMemeH Hatí op pa3ueToqHHX nnacraH 5,Hue»mHX nyrootípa3Hy» $opuy, noBTopmonyn $opuy poroBHijHmasa. B ueHTpaiIBHOM ΟΒβΤΟΠρΟΒΟΖξΗΠΙβΜ OTBepCTHH 3 yCTaHOB-ΠβΗ BH3HP 6 B ΒΗΪξθ ΠβρθΚρβΟΤΗΗ H3 ΟΤΘΠΒΗΗΧ ΗΗΤβΒ. Πβρβ-KpecTHe ycTaHaBJíHBaeTCH Ha tskom paccTOHHHH ot patíoqeííqacTH pa3ueToqHHx κροιιοκ, ίτο ηθ KacaeTCH ρογοβηηηrjia3a πρπ pa3ueTKe h otíecnenHBaeT bhshmoctb πβρβκρβοτκΗΗ ρΟΓΟΒΗΙξίί rna3a B peHTpaJIBHOM CBeTOnpOBOaffmeM OTBepC-THH 3 ΠΡΗ ΠρΗΜβΗβΗΗΗ XHpyprOM ΟΠΤΗΗβΟΚΟίί CHCTeMbl,HanpHuep. UHKpocKona.Ha $ nr.I HaoópaseHO ycipoflciBO, npoqosBHutt paepes; Ha φ.2- το se, bhs CBepxy. ycTpoiícTBO shh pasueiHH poroBrajn ma3a nueei pa-tíoqy »qaciB I, Kopnyc-nepsaBKy 2 c neHTpajiBHUu 3 h no-pn $ epHttHHUR 4 CBeTonpoBOSHniHUH oTBepcthhuh. Ha patíoneftqacTH pa ^ HanLHO pasMemeH Hatí op pa3ueToqHHX nnacraH 5, Hue »mHX nyrootípa3Hy» $ opuy, noBTopmonyn $ opuy poroBHijHmasa. B ueHTpaiIBHOM ΟΒβΤΟΠρΟΒΟΖξΗΠΙβΜ OTBepCTHH 3 yCTaHOB-ΠβΗ BH3HP 6 B ΒΗΪξθ ΠβρθΚρβΟΤΗΗ H3 ΟΤΘΠΒΗΗΧ ΗΗΤβΒ. Πβρβ-KpecTHe ycTaHaBJíHBaeTCH Ha tskom paccTOHHHH rpm patíoqeííqacTH pa3ueToqHHx κροιιοκ, ίτο ηθ KacaeTCH ρογοβηηηrjia3a πρπ pa3ueTKe h otíecnenHBaeT bhshmoctb πβρβκρβοτκΗΗ ρΟΓΟΒΗΙξίί rna3a B peHTpaJIBHOM CBeTOnpOBOaffmeM OTBepC-THH 3 ΠΡΗ ΠρΗΜβΗβΗΗΗ XHpyprOM ΟΠΤΗΗβΟΚΟίί CHCTeMbl, HanpHuep. UHKpocKona.
Bbhbibhcb pyKOH ηπη πΗΗΗβτοΜ 3a sepsaBKy, xnpypr cob-uemaai nepeKpecrae c οπτκΗβοκοΚ ocbo masa, 38τβΜ Ha2-3 ceK npnsHuaeT pa3ueToqHue nnacTHHH κ poroBHHe ma-sa. nocne othhthh ycipoflcTBa Ha poroBHHe οοτβοτοΗ bhzih-Mbie cnenu, no kotophm xnpypr πρθΗ3Βοηκτ nep$opHpyoinHepa3pe3H. B CBH3H C tíOJIBtnOít TOMHOCTBIO ρ33ΜβΤΚΗ nOJIHOCTLDnpeAOTBpamaeTCH cMemeHHe οπτκηβοκοϋ och masa nocneonepaHHH, a cnenoBaTenBHO, acTnruaTH3u: coKpainaeicH Bpe-uh onepapHH (ecna pa Hune onepauHH 3aHH.ua ji a 25 mhh, to -c npesnaraeuHU ycTpoflcTBOM 3aHHuaeT 10 mhh), SHanHienB-ho ynpomaeTcH patíoia XHpypra. 236935 - 4 - ΦΟΡΜΥΛΑ H30BPETEHWfl yCTpOfflCTBO ΖζΠΗ P33M6TKH ρΟΓΟΒΗΙξΗ ΓΠΘββ ΠρΗ XHpyp-ΓΗΊβοκοϋ onepamra, BKnnqaromee Kopnyc-aepaaBKy, oi-jiHqac^eecH τβΜ,^το, c neon noBHineHHH tomho-oth paauemi npz oziHOBpeueHHOu coKpameHHH BpeuenH,oho c o ne psu τ pawnBHO pacnonoxeHHue Ha paóoqett qac®HKopnyca-AepxaBHH nnaciuHu, Huenmite ayrooCpa3Hyw $opiiy,nOBTopHDiny» $opuy poroBHUH, a b Kopnyce ΒΗΠΟΠΗβΗΗ ποη-TpaJIBHOe Η ΠβρΗφβρκίΐΗΗβ .CBeTOnpOBOSHmHe OTBepCTHH,npH 3TOM B EteHTpaJIBHOM OTBepCTHH yCT3H0BJieH BHSlip. 236935 - 5 - AHHOTAUHfl ycipoacTBi^nH ρββΜβτκκ ρογοβηηη rnaea npw xwpyp-rnqecrax onepan,íiHX'oiHOCHTCH κ oCnacTH ue«HipaHCKoa iex-HMHW, a HU6HH0 Κ ΟφΤΘΠΒΜΟΠΟΓΚ^ΘΟΚΗΜ HHCTpyU6HT8M· ycTpoacTBO, Bamonatomee Kopnyc-aepsaBKy, c penBioΠΟΒΗΙΠβΗΗΗ TOMHOCTH P33M6TKM ΠρΗ ΟΖξΗΟΒρβΜβΗΗΟΜ ΟΟΚρθΠίβΗΜΗΒρβιιβΗΗ cogepsuT pažina jilh ο pacnonoMeHHue Ha patfoneaqaciH Kopnyca-sepsaBKH nnacTHHH, nueiomiie ayroo6pa3Hys$opMy, noBTopHiomyu $op«y poroBHim, a b Kopnyce βηποπ-.ΗΘΗΗ UeHTpaHBHOe Η ΠβρκφβρΗβΗΗθ ΟΒβΤΟΠρΟΒΟΑΗΠΙΗβ ΟΤΒβρ-ΟΤΗΗ, npa 3T0M B ΗβΗΤρβΠΒΗΟΜ ΟΤΒβρΟΤΗΗ yCT8H0BH6H ΒΗ-3Ηρ. 236935Bbhbibhcb pyKOH ηπη πΗΗΗβτοΜ 3a sepsaBKy, xnpypr cob-uemaai nepeKpecrae c οπτκΗβοκοΚ ocbo meat, 38τβΜ Ha2-3 ceK npnsHuaeT pa3ueToqHue nnacTHHH κ poroBHHe ma-sa. nocne othhthh ycipoflcTBa Ha poroBHHe οοτβοτοΗ bhzih-Mbie cnenu, no kotophm xnpypr πρθΗ3Βοηκτ nep $ opHpyoinHepa3pe3H. B C CBH3H tíOJIBtnOít TOMHOCTBIO ρ33ΜβΤΚΗ nOJIHOCTLDnpeAOTBpamaeTCH cMemeHHe οπτκηβοκοϋ och nocneonepaHHH meat and cnenoBaTenBHO, acTnruaTH3u: coKpainaeicH BPE-uh onepapHH (PA ecna Hune onepauHH 3aHH.ua it MHH and 25, it npesnaraeuHU ycTpoflcTBOM 3aHHuaeT -C 10 MHH) SHanHienB-ho ynpomaeTcH patíoia XHpypra. 236935-4 - ΦΟΡΜΥΛΑ H30BPETEHWfl yCTpOfflCTBO ΖζΠΗ P33M6TKH ρΟΓΟΒΗΙξΗ ΓΠΘββ ΠρΗ XHpyp-ΓΗΊβοκοϋ onepamra, BKnnqaromee Kopnyc-aepaaBKy Oi-jiHqac ^ Czechs τβΜ, ^ το c neon noBHineHHH TomH-OTH paauemi HPH oziHOBpeueHHOu coKpameHHH BpeuenH, oho what not psu τ pawnBHO pacnonoxeHHue Ha paóoqett qac®HKopnyca-AepxaBHH nnaciuHu, Huenmite ayrooCpa3Hyw $ opiiy, nOBTopHDiny »$ opuy poroBHUH ab Kopnyce ΒΗΠΟΠΗβΗΗ ποη-TpaJIBHOe Η ΠβρΗφβρκίΐΗΗβ .CBeTOnpOBOSHmHe OTBepCTHH, NPH 3TOM B EteHTpaJIBHOM OTBepCTHH yCT3H0BJieH BHSlip. 236935-5 - AHHOTAUHfl ycipoacTBi ^ nH ρββΜβτκκ ρογοβηηη rnaea NPW xwpyp-rnqecrax onepan, íiHX'oiHOCHTCH κ oCnacTH UE «HipaHCKoa IEX-HMHW and HU6HH0 Κ ΟφΤΘΠΒΜΟΠΟΓΚ ^ ΘΟΚΗΜ HHCTpyU6HT8M · ycTpoacTBO, Bamonatomee Kopnyc aepsaBKy-c penBioΠΟΒΗΙΠβΗΗΗ TOMHOCTH P33M6TKM ΠρΗ ΟΖξΗΟΒρβΜβΗΗΟΜ ΟΟΚρθΠίβΗΜΗΒρβιιβΗΗ cogepsuT Pazin jilh ο pacnonoMeHHue Ha patfoneaqaciH Kopnyca-sepsaBKH nnacTHHH, nueiomiie ayroo6pa3Hys opMy $, $ noBTopHiomyu op «y poroBHim ab Kopnyce βηποπ-.ΗΘΗΗ UeHTpaHBHOe Η ΠβρκφβρΗβΗΗθ ΟΒβΤΟΠρΟΒΟΑΗΠΙΗβ ΟΤΒβρΟΤΗΗ NPA 3T0M B ΗβΗΤρβΠΒΗΟΜ ΟΤΒβρΟΤΗΗ yCT8H0BH6H ΒΗ-3Ηρ. 236935