腹膜外的

In the case of central herniation with or without intervertebral instability,extraperitoneal anterolateral discectomy or anterior interbody fusion led to favorable long-term results.

在伴有或不伴有不稳定的中央型突出的病例中，腹膜外前外侧椎间盘切除或前路椎间融合术取得了很好的疗效。

And be able to use integrated traditional Chinese and western medicine treatment of common diseases and gynecological difficult cases; skilled completed Manshi-improvement surgery and hysterectomy, vaginal hysterectomy; gynecologic cosmetic surgery, a new Palace surgery, extraperitoneal celiohysterotomy surgery.

副主任医师，曾在二甲医院从事妇产科及计划生育工作33年，多年的临床工作积累了较丰富的经验，能够运用中西医结合治疗妇科常见病及疑难杂症；较熟练的完成妇科曼式改良手术及子宫全切术；阴式子宫全切术；妇科美容手术；新式剖宫手术；腹膜外剖宫手术。

And be able to use integrated traditional Chinese and western medicine treatment of common diseases and gynecological difficult cases; skilled completed Manshi-improvement surgery and hysterectomy, vaginal hysterectomy; gynecologic cosmetic surgery, a new Palace surgery, extraperitoneal celiohysterotomy surgery.

张凤霞 副主任医师，曾在二甲医院从事妇产科及计划生育工作33年，多年的临床工作积累了较丰富的经验，能够运用中西医结合治疗妇科常见病及疑难杂症；较熟练的完成妇科曼式改良手术及子宫全切术；阴式子宫全切术；妇科美容手术；新式剖宫手术；腹膜外剖宫手术。

Objective To evaluate the clinical experience and skills of laparoscopic totally extraperitoneal hernia repair with non-stapling of mesh and without using a balloon dissection in order to spread and popularize this kind of operation.

目的 总结不钉合补片的腹腔镜下全腹膜外免气囊分离器腹股沟疝修补术临床应用的初步体会和经验，为该手术的推广及普及提供借鉴。

This repair, the totally extraperitoneal approach, has been increasingly favored among experienced laparoscopists and appears to be the most commonly used laparoscopic repair today. Experience also has shown that use of a larger prosthesis decreases the recurrence rate.

这种修复方式，即全腹膜外修补术正日益受到经验丰富的腹腔镜专家的好评，成为目前最常见的腹腔镜修复术式，而且多年经验表明使用较大的补片可减少复发率。

Results The main CTimages of adrenal neuroblastoma in children were bigger extrarenal tumor ,included :huge and irregular mass(6 cases ),regular mass (2 cases),calcification (87cases),cystic degeneration or necrosis (1cases),bleeding(2cases),crossing of the midline (5cases),wrapping retroperitoneal major vessels (4cases),retroperitoneal enlargement of lymphnode (7 cases),The masses were heterogeneous enhancement.

分析2004年10月～2008年10月经手术病理证实的8例儿童肾上腺神经母细胞瘤的CT表现，如形态，密度及周围结构变化情况，结合临床资料，进行综合评价。结果儿童肾上腺神经母细胞瘤为肾外体积较大肿块，其中不规则肿块6例，规则2例，钙化7例，囊变坏死1例，出血2例，越过中线5例，包绕腹膜后大血管4例，腹膜后淋巴结肿大7例，肾脏向后外侧移位6例。

Based on the pathological findings and the sequence of embryonic development, we speculated that the sequestrated extrapulmonary lung, which occurred in the development of the fetus, might have occupied the site of the pleuroperitoneal canal and hindered its complete closure, hence forming the diaphragmatic hernia.

根据病理发现及胚胎发展，我们推测也许肺叶外游离肺在胚胎发育时占据了肋腹膜间的通道且阻碍它完全的关闭，而形成横隔膜疝气。

Cause: the human body from outside to inside the abdomen there are many layers, which are skin, elastic fibers in the skin, subcutaneous fat layer, muscle fiber, composed of groups with the rectus abdominis tendon, preperitoneal and retroperitoneal fat layer.

大多会，但不是对于每个人来说都是一样的，但就是有的话，现在也有满多药可以减少的，不用太担心的。妊娠纹形成原因：人体的腹部从外到内有许多层，它们是皮肤，皮肤弹性纤维，皮下脂肪层，肌纤维群与肌腱组成的腹直肌，腹膜前脂肪层和腹膜。

Methods 100 patients with congenital absence of vagina were treated with Luohu's vaginoplasty. The method was pushing peritonium to vaginal external aperture with self-made peritoneum-vagina propeller under laparoscopic monitor. The operative data were analyzed.

对2001年11月～2007年5月收治133例先天性无阴道患者，其中100例在腹腔镜监视下，利用自行研制的腹膜推进棒将盆底腹膜完整推移至&阴道外口&，完成腹膜阴道成形术，并总结分析其手术情况及手术效果。

The presence of intraperitoneal fluid with a CT density less than that of pure blood strongly suggests extravasated urine in the trauma. Intraperitoneal and extraperitoneal rupture can be distinguished based on location of extravasated urine seen on CT scans.

在创伤情况下，腹膜腔内出现CT值比血液小的低密度液体积聚，强烈提示尿外渗，根据尿外渗的分布范围，CT还可以区别腹膜内和腹膜外型膀胱破裂。

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。