直肠尿道的

Objective To explore the therapeutic effect of total pelvic exenteration for advanced rectal carcinoma.Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side lymph node,and the survival rate was estimated.

目的 探讨全盆腔脏器切除治疗晚期直肠癌的临床疗效方法采用Miles 手术方式基础，包括肿瘤在内全部切除直肠、乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官，同时行盆腔内的侧方淋巴结清扫，并进行随访。

AgNORs protein stained by silver were used in cytology with Kappa of inter-observers 0.81. For the USG, the patients were scanned with trans-rectal probe with Kappa of inter-observers 0.76. The results of urine cytology combined with USG （Positive when urine cytology and/or USG positive.

采用盲法对每一纳入研究对象同时进行尿脱落细胞嗜银染色、经直肠B超和膀胱镜检查，以膀胱镜结合病理检查的结果为金标准，计算尿脱落细胞嗜银染色结合B超联合诊断膀胱癌经尿道手术后复发的敏感性、特异性和ROC曲线下面积。

With 3D-doctor software, kidney, adrenal, ureter, abdominal aorta, inferior vena cava, the nephritic artery and vein, the lymph nodes beside abdominal aorta, thoracic duct, the intrailiac artery and vein, pelvis, spermaduct, prostate, the prostatic plexus, bladder, male urethra and internal obturator muscle were segmented and three-dimensional reconstructed in P4 computer. 3. With photoshop7.0 software, the major organs of the male urological and reproductive system such as ureter, bladder, urethra, prostate were segmented and the grey- color mode images through segmentation were imported to AMIRA software.

应用连续图像分割软件3D-DOCTOR，分别对肾脏、肾上腺、输尿管、腹主动脉、下腔静脉、肾动静脉、腹腔淋巴结、胸导管、主动脉旁淋巴结、髂内外动静脉、骨盆、股骨、输精管、附睾、前列腺、前列腺周围静脉丛、膀胱、男性尿道、直肠、闭孔内肌、肛提肌、尾骨肌等结构进行结构数据的分割与提取，并在PentiumⅣ计算机上完成已分割结构的三维重建。

Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side Lymphnode,and the survival rate was estimated.

采用Miles手术方式为基础，包括全部直肠。乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官，同时行盆腔内的侧方淋巴结清扫，并进行随访。

Methods 15 patients with advanced rectal carcinoma were operated with TPE,including total rectal,distal end of sigmoid colon,bladder,posterior urethra,anus,intrapelvic sexual organ and side lymph node,and the survival rate was estimated.

采用Miles手术方式为基础，包括肿瘤在内全部切除直肠、乙状结肠远侧段、膀胱、远侧输尿管、后尿道、肛门及盆腔内的生殖器官，同时行盆腔内的侧方淋巴结清扫，并进行随访。

Rectovesical fistula is a subgroup in the entity of enterovesical fistulas. Virtually all rectovesical fistulas are secondary to cancer or trauma.

直肠膀胱瘻管是肠道与泌尿道闲痒管的一种类型，较易发生於於该区域的肿瘤或创伤的患者。

If urethral obstruction occurs, congenital megaurethra is lethal without patent urachus or rectoesical fistula.

如果存在尿道梗阻，先天性巨尿道即便没有脐尿管未闭或直肠膀胱瘘也是致死性的。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。