输尿管膀胱的

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。

CYBERWAND double catheters ultrasound lithoclast master, Swiss EMS ultrasonic pneumatic lithotripsy lithotomy system, American holmium laser, German neodymium laser, Japan Olympus Digital high-definition endoscopy system, Japan Olympus E-duodenoscopy, Germany WOLF percutaneous nephrolithotomy, Germany WOLF ureteroscopy, Japan Olympus E-cystoscopy, Japan Olympus fiber soft nephrolithotomy, the fifth generation of electromagnetic waves lithotripsy system, IR stone composition analyzer, Siemens digital X-ray imaging system, GE Real-time dynamic three-dimensional color Doppler, Olympus resectoscope plasma, C-arm mobile X-ray machine and other international advanced equipments.

医院配备美国CYBERWAND双导管碎石清石系统、瑞士第四代EMS超声气压弹道碎石清石系统、美国钬激光、德国钕激光、日本奥林巴斯数码高清内窥镜系统、日本奥林巴斯电子十二指肠镜、德国WOLF经皮肾镜、德国WOLF输尿管镜、日本奥林巴斯电子膀胱镜、日本奥林巴斯纤维软性肾镜、第五代电磁波体外碎石系统、红外光谱结石成份分析仪、西门子数码X光成像系统、GE三维实时动态彩超、奥林巴斯等离子电切镜、C型臂移动式X光机等国际先进设备；严格按照世界卫生社团认定的诊疗标准，导入JCI认证体系；制定严格的疾病诊疗临床路径，为结石病患者提供全方位国际程度的诊疗服务。

Larger accumulations of lymph can cause complications or symptoms through the displacement or compression of surrounding organs (kidney, ureter, bladder, or gastrointestinal tract) or through the loss of protein.9,12,15 Moreover, superinfection of the lymphocele can occur.9

但大的淋巴聚集则可能造成并发症或是造成四周器官的压迫和移位（肾、输尿管、膀胱或胃肠道），也可以由于蛋白的丢失引起淋巴管瘤的重复感染。

The resection electrode types include: a hand-crafted, temperature-resistant tungsten wire-cutting loop; a coagulating perforated resector that provides a 40% greater coagulation zone than standard cutting loops and performs cutting and coagulation simultaneously during tissue resection; a dimpled vaporization roller that offers a smoother area of vaporization than a grooved roller while providing deep-tissue coagulation; a roller ball and roller barrel, which are used for coagulation and ablation of soft tissue in the bladder and prostate (the roller ball may also be used for endometrial ablation in the uterus); and a Collings knife that allows urologists access to all areas of the prostate and is most commonly used for ureteral meatotomy and transurethral incision of the prostate.

切除电极包括：手动操作、耐受高温、钨丝切除线圈；凝固穿孔前列腺切除器，比标准切除线圈的凝固面积大出40%，能够在组织切除过程中同时进行切除和凝固；一种漩涡汽化转子，比槽式转子提供更加平滑的汽化区域，同时产生深部组织凝固；一个转子球和转子滚筒，用于膀胱和前列腺软组织的凝固和汽化(转子球还可以用于子宫内膜的消融)；一个Collings刀能够帮助泌尿科医生进入前列腺的所有区域，通常用于输尿管切除术和经尿道前列腺切开。

The ureteroscopic holmium: YAG laser lithotripsy can he the first choice for the post-renal acute renal failure associated with upper urinary tract stones, due to its safety and efficiency. At the same time, retrograde intubation under cystoscope and percutaneous nephrostomy will be helpful.

上尿路梗阻是肾后性急性肾功能衰竭的主要原因，如能明确是结石引起的肾后性肾功能衰竭，应首选输尿管镜下钬激光碎石并置管引流；如不能明确，膀胱镜下逆行插管和经皮肾穿刺造瘘引流也是可行的急诊有效方法。

If this process were bilateral, then the problem would originate in the bladder trigone or urethra (or the prostate around the urethra) or some process that could impinge on both ureters.

如果病变是双侧的，原因可能是膀胱三角或尿道前列腺部的病变；或是其它能侵犯两侧输尿管的病变。

A small amount of urine drips constantly from your kidneys to your bladder through tubes called ureters.

少量的尿液滴，不断从您的肾脏到您的膀胱，通过管所谓的输尿管。

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。