会阴的

G4 X 20. Now the urethral tissue has been trimmed, and has been brought through the lower incision in the vulva, creating the new urethral meatus.

现在尿道的组织已经修整好，并且从会阴上较低的那个开口拉出来，开闢成一个新的泌尿管道。

Perineal care is a classic topic for obstetrics.After thousands of years of practice,we have accumulated some experience and meanwhile,we are also taking some attempts.

会阴保护是产科的一个经典问题，从古至今，人们一直在进行各种尝试和摸索，既总结出一套有效的保护方法又在此方面进行了新的尝试。

The perineum is the incredibly sensitive spot right beneath his balls though before you reach the anus.

会阴是令人难以置信的敏感点下方的权利，他的球，虽然之前您达到肛门。

Learn unambitiously,sum up are fully,observe carefully,guide the puerpera,master the adaption of the cleliver of the operation,choose the right way so as to prevent the illness.

虚心学习，认真总结，仔细观察，指导产妇正确用力，避免胎儿娩出过快，严格掌握手术助产的适应证，选择合适的分娩方式，会阴裂伤是可以预防的。

Methods: Selected 93 confirmed cases with hypospadias during May 2003 to Sep 2009. Patients in balanic type were treated with meatal advancement and glandularp lasty; patients with urethra orifice at 2/3 of corpus penis accompanied with slight chordee of penis were treated with Snodgrass method or Onlay method; patients with severe chordee of penis were treated with Duckett method; patients in scrotum or perineum type were treated with combination of Duplay and Duckett; severe hypospadia patients were treated with curved pedicle penis-scrotum and skin flap urethroplasty; patients with good outer plate of ventral prepuce and chordee of penis were treated with ventral pedicle hooded foreskin flap.

选取2003年5月～2008年9月期间收治的93例确诊尿道下裂患者，对阴茎头型患者采用尿道口前移、阴茎头成形法；尿道口在阴茎体外2/3段伴有阴茎轻度下弯者采用尿道板纵切卷管法或加盖岛状皮板法（Snodgrass术或On-lay术）；有严重阴茎下弯的所有阴茎体型采用横裁或纵裁包皮岛状皮瓣尿道成形；阴囊型或会阴型用阴囊中缝皮管加横裁包皮岛状皮瓣成形尿道（Duplay联合Duckett术）；对重度尿道下裂患儿采用弧形带蒂阴茎阴囊联合皮瓣尿道成形术；对腹侧包皮外板发育良好患儿及合并阴茎下曲的患儿采用腹侧带蒂帽状包皮皮瓣法。

Methods: Selected 93 confirmed cases with hypospadias during May 2003 to Sep 2009. Patients in balanic type were treated with meatal advancement and glandularp lasty; patients with urethra orifice at 2/3 of corpus penis accompanied with slight chordee of penis were treated with Snodgrass method or Onlay method; patients with severe chordee of penis were treated with Duckett method; patients in scrotum or perineum type were treated with combination of Duplay and Duckett; severe hypospadia patients were treated with curved pedicle penisscrotum and skin flap urethroplasty; patients with good outer plate of ventral prepuce and chordee of penis were treated with ventral pedicle hooded foreskin flap.

选取2003年5月～2008年9月期间收治的93例确诊尿道下裂患者，对阴茎头型患者采用尿道口前移、阴茎头成形法；尿道口在阴茎体外2/3段伴有阴茎轻度下弯者采用尿道板纵切卷管法或加盖岛状皮板法(Snodgrass术或Onlay术)；有严重阴茎下弯的所有阴茎体型采用横裁或纵裁包皮岛状皮瓣尿道成形；阴囊型或会阴型用阴囊中缝皮管加横裁包皮岛状皮瓣成形尿道(Duplay联合Duckett术)；对重度尿道下裂患儿采用弧形带蒂阴茎阴囊联合皮瓣尿道成形术；对腹侧包皮外板发育良好患儿及合并阴茎下曲的患儿采用腹侧带蒂帽状包皮皮瓣法。

Abdominoperineal resection is an appropriate choice of treatment for patients with operable rectal leiomyosarcoma due to its lower local recurrence rate.

因为局部的复发率较低，腹部会阴切除术是一种适合可手术的直肠平滑肌肉瘤病人的手术方法。

This article introduced the definition of systematic review , classified some interventions during delivery according to their effects, and described both the latest research evidences and practice significance of clinical procedures, such as support during delivery, continuous electronic heart rate monitoring for fetal assessment, perineotomy and management of the third stage of labor.

在此简单介绍系统综述的概念，根据系统综述研究结果对部分产时干预措施的作用进行分类，并描述产时支持、胎心电子监护、会阴切开和第三产程处理方式等干预的最新研究证据及其实践意义。

An interview guide, entitled "Maternal Perception of the Onset of Lactation", was also used to obtain milk secretion data. Results found a mean onset of lactation of 78.2±18.7 hours (range=42 to 121 hours). The prevalence of delayed lactation onset was 43.6%(n=58). Slighly over half of participants (56.9%, n=33) were primiparous. Parity, total second stage of labor duration, duration of second labor stage beyond one hour, and perinea wound pain were the most significant predictors of delayed lactation onset.

研究结果发现：(1)首次泌乳时间的平均值为78.2±18.7小时（范围42至121小时）；(2)产妇自觉延迟泌乳的发生机率为43.6%(n=58)，其中初产妇占56.9%(n=33)，经产妇占43.1%(n=25)；(3)产次、第二产程时间、第二产程时间大於一小时、第一到第三天会阴伤口疼痛分数，是延迟首次泌乳时间的重要预测因子。

Results We found firstly that the SCVM was innervated by both somatic motor neurons of ventral group and Onuf's nucleus in ventral horn of the spinal cord,which is similar as perineal muscles,that means double innervation.

我们的实验发现了骶尾腹内侧肌的神经分布与会阴肌相同，即受脊髓腹侧角运动神经元腹侧群和Onuf核的双重神经支配，至今尚未见国内外有报道。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新