850棋盘游戏

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                                  • 泌尿外科简介

                                     

                                    泌尿外科简介

                                      MINIAOWAIKESHIBEIJINGYIYUANDELINCHUANGZHONGDIANKESHI。KESHIKAICHUANGZHESHIZHIMINGLAOZHUANJIASHAOHONGXUNJIAOSHOU,TAYESHIZHONGHUAYIXUEHUIMINIAOWAIKEFENHUICHENGLISHIDECHUANGLIZHEZHIYI,CENGRENCHANGWEIJIMISHUZHANG,WANGSHAOHUAJIAOSHOUYECENGDANRENXUEHUICHANGWEI。

                                      目前我科学科带头人是知名专家王建业教授,现任中华医学会泌尿外科分会副主任委员,中华医学会老年医学分会主任委员,在国内外泌尿外科学界影响重大。
                                      泌尿外科技术力量雄厚,人员培养梯队合理,现有医、护、技人员39名。高级职称人数达到15人,其中主任医师9人,副主任医师6名。具有博士学位人员 11名、硕士学位人员5名。博士生导师人数3人,硕士生导师5人,是一个专业技术能力和科研教学能力极强的医教研团队。

                                      作为医院重点科室,泌尿外科承担了大量干部医疗保健工作。多年来我们服务于党和国家的核心领导和高级领导,国家级高级技术专家,重要的来访外宾及民主 党派的主要领导人,负责门诊、会诊、随访、住院等医疗工作。除此之外,我科室还秉承毛主席“医疗技术要服务于人民”的宗旨,积极面对社会开放,每年门诊诊 治患者超过30000人次,每年病房手术量超过1000台次。
                                      由于我科是医院重点科室,长期承担国家领导人的医疗保健任务,我科拥有一整套国际上先进的诊疗设备。其中包括泌尿外科微创治疗全套设备(B超,尿流 率仪,尿动力学仪器,腹腔镜器械及设备,经皮肾镜、软/硬输尿管镜、经尿道电切/激光治疗设备、体外碎石机及X线透视机等),能够完成泌尿外科全部检查、 治疗的需要。

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                                      我科目前已经形成了以老年疾病治疗为主,涵盖泌尿外科全部多发病常见病;以高干保健结合常规医保患者为主,覆盖周边广大省市地区;以微创手术治疗方式 为主,结合高新技术治疗疑难疾病的综合治疗格局。目前形成了系统的四大亚专科发展方向:肿瘤、前列腺及尿控、结石、男科,综合医疗实力雄厚。
                                      我科不乏国际国内知名专家:万奔,泌尿外科学界的知名专家,北京医院泌尿外科主任,主任医师,教授。有近30年临床工作经验,擅长于泌尿外科各种疾 病、疑难杂症的诊断及处理,尤其是泌尿系肿瘤的诊治。魏东,北京医院泌尿外科副主任,主任医师,教授。多年从事泌尿外科临床实践,具有丰富的临床经验,尤 其擅长泌尿系肿瘤(膀胱肿瘤、前列腺癌)的诊治,主持开展新技术:腹腔镜膀胱癌根治术。刘明,北京医院泌尿外科副主任,副主任医师,副教授。擅长常见泌尿 外科疾病的诊断和治疗,尤其是老年前列腺疾病包括良性前列腺增生的诊治及前列腺癌的治疗。在微创腔镜手术及晚期前列腺癌治疗领域处于国内领先水平。朱生 才,主任医师、朱刚,主任医师,多年从事泌尿外科临床实践,具有丰富的临床经验,尤其擅长泌尿系肿瘤(肾癌、膀胱肿瘤、前列腺癌、肾上腺肿瘤)的诊治,并 具有丰富的微创手术操作经验。主持开展新技术:腹腔镜肾癌根治术、腹腔镜肾上腺切除术、腹腔镜保留肾单位肾部分切除手术、腹腔镜双侧肾癌NSS手术。张耀光,副主任医师,擅长常见泌尿外科疾病的诊断和治疗,尤其是女性尿失禁及膀胱过度活动症的规范化诊治。邓庶民主任医师、苏鸿学主任医 师:多年从事临床工作,擅长于泌尿外科各种常见疾病和疑难病症的诊断及处理,尤其是男科疾病的诊断及治疗。金滨,副主任医师,擅长常见泌尿外科疾病的诊断 和治疗,尤其是泌尿系结石的诊治。主持开展新技术:经皮肾镜下EMS超声碎石取石术、输尿管软镜钬激光碎石术。熟练掌握各类经尿道前列腺手术,腹腔镜手 术,经皮肾镜下EMS超声碎石取石术、复杂结石双通道碎石手术、输尿管镜下钬激光碎石取石术及微创输尿管软镜碎石术。

                                    850棋盘游戏   WOKESHIZHUZHONGYUGUONEIWAITONGXINGJINXINGXUESHUJIAOLIU,DUONIANLAIYUGUOWAIDEMINIAOWAIKEZHONGXINHEYANJIUJIGOUZHUBUJIANLIQILEGUANGFANDELIANXI,DINGQIHUPAIRENYUANJINXINGJIAOLIU,HUXIANGXUEXI,QUZHANGBUDUAN。ZI 1995NIANYILAIMINIAOWAIKEXIANHOUYOU13MINGYISHENGHE2MINGHUSHIFUMEIGUO、RUISHI、YINGGUO、FAGUO、DANMAI、BOLAN、ELUOSI、RIBENJIHANGUODENGGUOJIAJINXIUXUEXI;TONGSHIYEDUOCIYAOQINGLEMEIGUO、YING GUO、FAGUO、RIBENHEMALAIXIYADEMINIAOWAIKELINCHUANGHEJICHUYANJIUFANGMIANDEZHUANJIALAIWOYUANJINXINGXUESHUJIAOLIU。

                                      WOKECHENGDANBINGWANCHENGLEDUOXIANGGUOJIAJIKEYANXIANGMU,JINGFEICHAOGUO3000WANYUAN。WOKESHIGUOJIASHIPINYAOPINJIANDUGUANLIJUYAOWULINCHUANGSHIYANJIGOU(LINCHUANGYAOLIJIDI),BINGJINXINGLEDALIANGDELINCHUANGYAO WUGUANCHAHEKEYANGONGZUO。ZAIJIAOXUEFANGMIAN,BEIJINGYIYUANSHIZHONGGUOXIEHEYIKEDAXUEHEBEIJINGDAXUEYIXUEYUANLIANGGEBOSHIDIAN,CHENGDANDALIANGDESHIXISHENG、YANJIUSHENG、JINXIUSHENGHELIUXUESHENGDELINCHUANGSHIXIHESHOUKEREN WU,SHIBEIJINGDAXUEYIXUEBUDI5LINCHUANGJIAOXUEYIYUANMINIAOWAIKEZHUANKEJIAOYANSHI,WEISHENGBUBUJIBEIJINGSHIMINIAOWAIKEZHUANKEYISHIPEIXUNJIDI。

                                     

                                    专家介绍

                                      王建业850棋盘游戏,北京医院党委书记,博士,教授/主任医师,博士生导师。1989年毕业于中国协和医科大学、瑞士苏黎世 大学医学院。中华医学会老年医学分会主任委员、中华医学会泌尿外科分会副主任委员、中华医学会理事、中华医学会北京医学会理事、中国医师协会泌尿外科分会 副会长、中国医师协会医学教育委员会委员。中华老年医学杂志总编辑、中华泌尿外科杂志 副总编辑、中华现代外科学杂志 常务编委、现代泌尿外科杂志 编委。王建业教授从事泌尿外科专业近30年,是国内专业学会的副主任委员,尿控学组组长,也是国内泌尿外科学界的知名专家。擅长泌尿外科各种疾病、疑难杂 症的诊治。在国内较早开展经直肠超声引导下前列腺穿刺活检技术和前列腺癌根治术;较早开展尿动力学检测和尿控性疾病的诊治;曾主持国家十五攻关课题老年前 列腺增生的规范化治疗研究,其科研成果为我国老年前列腺增生症的规范化诊治提供了科学的依据,也节省了大量的医疗费用,有着巨大的社会效益和经济效益。目 前承担国家十二五支撑计划:老年病的防治;积极主持和支持开展泌尿外科新技术,如单孔腹腔镜技术、腹腔镜前列腺癌根治术、腹腔镜肾癌根治术、肾部分切除 术,内腔镜手术如经尿道激光前列腺切除术、软硬输尿管镜技术、经皮肾镜技术等,注重人才梯队建设,积极鼓励“走出去、请进来”的策略,想方设法对学术骨干 和年轻医生进行培养,极大的加快了国内外领先新技术在我泌尿外科的临床开展和应用。

                                    850棋盘游戏   WANGJIANYEJIAOSHOUSHIZHONGYANGBAOJIANWEIYUANHUIZHUANJIAZUCHENGYUAN,ZHANGQIDANRENZHONGYANGLINGDAODEYILIAOBAOJIANRENWU,DUOCIDANRENZHONGYANGSHOUZHANGDEYILIAOZUZUZHANGYIJISHOUSHUYISHENG,2005NIANHUODEZHONGYANGBAOJIANWEIYUANHUIBANFADE“XIANJINGEREN”JIANG。

                                    850棋盘游戏   MEINIANZHUANKECHAFANG50YUCI,SHOUYAOCANJIASANJIYIYUANYINANZHONGZHENGHUIZHEN50CIYISHANG,ZHONGYANGLINGDAODEBAOJIANHUIZHENNIANDUCHAOGUO10CI。GONGPEIYANGBOSHIYANJIUSHENG7REN(3RENZAIDU),SHUOSHIYANJIUSHENG5REN。

                                    承担科研项目

                                     1.KEJIBU“SHIERWU”ZHICHENGJIHUA LAONIANBINGDEFANGZHI(ZHUCHI)

                                     2. “SHIYIWU”GUOJIAKEJIZHICHENGJIHUA CANJIRENMINIAOXIYIHUANZHONGDAJIBINGDEFANGZHIHEKANGFU(CANYU)

                                    850棋盘游戏  3.WEISHENGBULINCHUANGXUEKEZHONGDIANXIANGMU QIANLIEXIANAILINCHUANGZAOQIZHENDUANDEZONGHEJISHUYANJIU(ZHUCHI)

                                     4.ZHONGHUAYIXUEHUI RENNIAOTUOLUOXIBAOFISHJIANCEYUNIAOXIBAOXUEJIANCEHEBANGGUANGJINGJIANCEZAINIAOLUSHANGPIZHONGLIUZHENDUANZHONGDEYINGYONGJIDUIBIYANJIU(CANYU)

                                     5.BEIJINGSHIKEJIJIHUAXIANGMU NANXINGQIANLIEXIANAISHAICHADELINCHUANGYINGYONGYOUHUAYANJIU(ZHUCHI)

                                     6.BEIJINGSHIKEJIJIHUAXIANGMU LIANGXINGQIANLIEXIANZENGSHENGDUIBANGGUANGGONGNENGYINGXIANGDETANSUOXINGYANJIU(ZHUCHI)

                                     CHUZHENSHIJIAN:ZHOUSIXIAWU(PUTONG) ZHOUSISHANGWU(TEXU)

                                      万奔 卫生部北京医院泌尿外科主任 主任医师 北京医师协会泌尿外科分会委员、中华男科学杂志编委。泌尿外科学界的知名专家,有近30年临床工作经验,擅长于泌尿外科各种疾病、疑难杂症的诊断及处理, 尤其是泌尿系肿瘤的诊治,老年前列腺疾病(良性前列腺增生及前列腺癌)的规范化治疗,手术技术高超。主持开展新技术:2微米激光前列腺切除术。主持科内专 科查房平均每周至少1次,年应邀参加三级医院会诊10次以上。长期担任中央领导人的医疗保健工作,并获中央保健委员会颁发的先进个人奖。培养博士研究生1 名,硕士研究生1名,发表论文10余篇。科研基金 1.北京市科技计划项目 高危前列腺增生患者手术治疗研究(主持)2.社会团体基金 希存联合泼尼松治疗激素抵抗性前列腺癌(主持)3.北京市科技计划项目 良性前列腺增生对膀胱功能影响的探索性研究(参与)

                                     CHUZHENSHIJIAN:ZHOUYIXIAWU

                                      魏东850棋盘游戏 卫生部北京医院泌尿外科副主任 主任医师。中华医学会泌尿外科学分会青年委员、中华医学科技奖评审委员会委员。多年从事泌尿外科临床实践,具有丰富的临床经验,尤其擅长泌尿系肿瘤(膀胱 肿瘤、前列腺癌)的诊治,主持开展新技术:腹腔镜膀胱癌根治术,并具有丰富的手术操作经验。主持科内专科查房平均每周至少1次,年应邀参加三级医院会诊 10次。 培养博士研究生 1名,硕士研究生 1名。科研基金 1.卫生部课题 荧光原位杂交技术检测膀胱癌分子细胞遗传学变异的临床应用研究(主持)2.院内重点基金 用于复发前前列腺癌预后预测的基因图谱研究子课题:病例-对照的样本和临床信息收集研究(主持)

                                     CHUZHENSHIJIAN:ZHOUYISHANGWU(SIJU) ZHOUSANSHANGWU、ZHOUSIXIAWU(PUTONG)

                                      刘明 卫生部北京医院泌尿外科副主任 副主任医师。中华老年医学杂志通讯编委。擅长常见泌尿外科疾病的诊断和治疗,尤其是老年前列腺疾病良性前列腺增生及结石的诊治。主持开展新技术:经尿道2 微米激光前列腺剜除术、腹腔镜前列腺根治性切除术、腹腔镜根治性肾切除术、经皮肾镜下EMS超声碎石取石术、输尿管软镜钬激光碎石术。熟练掌握各类经尿道 前列腺手术,腹腔镜手术,经皮肾镜下EMS超声碎石取石术、复杂结石双通道碎石手术、输尿管镜下钬激光碎石取石术及微创输尿管软镜碎石术。主持科内专科查 房平均每周至少1次。年应邀参加三级医院会诊10次。学术论文:

                                     1.Body mass index and serum lipid profile influence serum prostate-specific antigen in Chinese men younger than 50 years of age,Asian Journal of Andrology,2011,13,640-643。

                                     2.LIUMING,CTDUIBANGGUANGAIJUBUFENQIDEZHUNQUEXINGJIYINGXIANGYINSUFENXI,LINCHUANGMINIAOWAIKEZAZHI,2009,24(6):439-441.

                                    850棋盘游戏  3.LIUMING,50SUIYIXIANANXINGNIANLINGJITIZHILIANGZHISHUDUIXUEQINGQIANLIEXIANTEYIKANGYUANDEYINGXIANG,ZHONGHUAMINIAOWAIKEZAZHI,2009,30(12):852-854.

                                    KEYANJIJIN

                                     1.BEIJINGSHIZIRANKEXUEJIJIN NANXINGNIAOYEZHONGJIANJISUANSHUIPINGJIANCEFANGFADEJIANLIJIQIYUQIANLIEXIANAIDEXIANGGUANXINGYANJIU(ZHUCHI)

                                     2.SHOUDOUYIXUEFAZHANKEYANJIJIN(ZIZHUCHUANGXIN) 40-49SUINANXINGZHONGJINXINGYIPSAWEIJICHUDEQIANLIEXIANAISHAICHADELINCHUANGYIYIYANJIU(ZHUCHI)

                                     3.SHEHUITUANTIJIJIN(BEIJINGYIXUEHUIMOSHADONGMINIAOWAIKEKEYANJIJIN) LAONIANNANXINGYEJIANNIAOPINYUANYINFENXIJIZHILIAO(ZHUCHI)

                                     4.GUOJIAWAIZHUANJU FUQIANGJINGQIANLIEXIANAIGENZHISHOUSHUDEKAIZHAN(ZHUCHI)

                                     5.SHEHUITUANTIJIJIN YESHENGXINGP53DUIYUQIANLIEXIANAIXIBAOXIPC3ZENGZHIHEDIAOWANGDEYINGXIANGJIQIJIZHI(ZHUCHI)

                                    850棋盘游戏  6. YUANNEIBOSHIQIDONGJIJIN LAONIANNANXINGYENIAOZHENGDEYINGXIANGYINSUFENXI(ZHUCHI)

                                     CHUZHENSHIJIAN:ZHOUER、ZHOUSISHANGWU

                                      朱生才850棋盘游戏 主任医师。多年从事泌尿外科临床实践,具有丰富的临床经验,尤其擅长泌尿系肿瘤(肾癌、膀胱肿瘤、前列腺癌、肾上腺肿瘤)的诊治,并具有丰富的微创手术操 作经验。主持开展新技术:腹腔镜肾癌根治术、腹腔镜肾上腺切除术、腹腔镜保留肾单位肾部分切除手术、腹腔镜双侧肾癌NSS手术。

                                     CHUZHENSHIJIAN:ZHOUSIXIAWU(SIJU)、ZHOUERSHANGWU(PUTONG)

                                      邓庶民 副主任医师。中华医学会男科学分会常委委员、中国中西医结合学会委员、中国性学会副主任委员、北京中 医药学会男科学分会常务委员。多年从事临床工作,擅长于泌尿外科各种常见疾病和疑难病症的诊断及处理,尤其是男科疾病的诊断及治疗,已开展多项男科专项治 疗,包括阴茎假体植入术、阴茎海绵体分流术、直视下睾丸活组织检查等。担任男科学会多项职务。主持科内专科查房平均每周至少1次,年应邀参加三级医院会诊 12次。

                                    850棋盘游戏  CHUZHENSHIJIAN:ZHOUYIXIAWU,ZHOUSI、ZHOUWUSHANGWU

                                      张力青 副主任医师。多年从事泌尿外科临床实践,具有丰富的临床经验,尤其擅长泌尿系肿瘤(肾癌、膀胱肿瘤、前列腺癌、睾丸肿瘤)的诊治,具有丰富的手术操作经验,并积累了大量肿瘤手术病例。

                                     CHUZHENSHIJIAN:ZHOUYI、ZHOUSANSHANGWU

                                      朱刚850棋盘游戏 主任医师。中华医学会泌尿外科学分会青年委员,欧洲泌尿外科学会常务委员,中国泌尿外科学院高级讲师,北京市青年医师沙龙常务委员,中国国家自然科学基金 评审专家,中华泌尿外科杂志通讯编委,中华腔镜泌尿外科杂志电子版编委。擅长常见泌尿外科疾病的诊断和治疗,尤其是老年前列腺疾病包括良性前列腺增生的诊 治及前列腺癌的治疗。在微创腔镜手术及晚期前列腺癌化疗领域处于国内领先水平。主持开展新技术:单孔腹腔镜手术、腹腔镜前列腺癌根治术、经尿道2微米激光 手术等。主持科内专科查房平均每周至少1次。年应邀参加三级医院会诊14次。发表多篇SCI学术论文:

                                     1. Inhibition of proliferation, invasion, and migration of prostate cancer cells by down-regulating elongation factor-1 alpha expression,Molecular Medicine,SCI,2009,15(11):363-370.

                                     2.Inhibition of Proliferation, Invasion, and Migration of Prostate Cancer Cells by Downregulating Elongation Factor-1αExpression,molmed2009,15(11-12):363-370.

                                     3. Treatment of Localised Renal Cell Carcinoma,EUROPEAN.UROLOGY,2011,60,662-672.

                                    KEYANKETI:

                                     1.GUOJIAZIRANKEXUEJIJIN EF—1alphaZAIQIANLIEXIANAIXIBAOQINXIGONGNENGZHONGDEZUOYONG(ZHUCHI)

                                     2.JIAOYUBUHUIGUOBOSHIQIDONGJIJIN EF-1αDANBAIZHISHUIPINGGAIBIANDUIQIANLIEXIANAIXIBAOQINXIGONGNENGDEYINGXIANG(ZHUCHI)

                                     3.BEIJINGSHIKEJIJIHUAXIANGMU LIANGXINGQIANLIEXIANZENGSHENGDUIBANGGUANGGONGNENGYINGXIANGDETANSUOXINGYANJIU(CANYU)

                                    850棋盘游戏  CHUZHENSHIJIAN:ZHOUYIXIAWU、ZHOUSISHANGWU

                                      苏鸿学850棋盘游戏 主任医师。中国性学会委员、中华医学会男科学分会青年委员。多年从事临床工作,擅长于泌尿外科各种常见疾病和疑难病症的诊断及处理,尤其是男科疾病的诊断 及治疗,在男性不育疾病方面有较丰富的临床经验。担任男科学会多项职务。主持科内专科查房平均每周至少1次,年应邀参加三级医院会诊10次。

                                     CHUZHENSHIJIAN:ZHOUER、ZHOUSIXIAWU

                                      邓京平850棋盘游戏 主任医师。擅长常见泌尿外科疾病的诊断和治疗,尤其是各类泌尿系结石的诊治。熟练掌握体外超声波碎石。

                                     CHUZHENSHIJIAN:ZHOUYI、ZHOUWUSHANGWU

                                      张耀光850棋盘游戏 副主任医师。中华医学会泌尿外科学分会青年委员、中华医学会中华泌尿外科学分会网站编委。擅长常见泌尿外科疾病的诊断和治疗,尤其是老年前列腺疾病良性前 列腺增生的规范化诊治,主持开展新技术:腹腔镜膀胱根治性切除术。主持科内专科查房平均每周至少1次。年应邀参加三级医院会诊8次。科研基金 1.北京市科技新星 A类(主持)2.人事部回国启动基金 前列腺癌临床早期诊断和预后评价的基因技术研究(主持)3.院内博士启动基金 量化尿道中段悬带术吊带张力的研究(主持)

                                     CHUZHENSHIJIAN:ZHOUSAN、ZHOUWUSHANGWU

                                      金滨850棋盘游戏 副主任医师。擅长常见泌尿外科疾病的诊断和治疗,尤其是各类泌尿系结石的诊治。熟练掌握经皮肾镜下EMS超声碎石取石术、复杂结石双通道碎石手术、输尿管 镜下钬激光碎石取石术及微创输尿管软镜碎石术。主持开展新技术:经皮肾镜下EMS超声碎石取石术、输尿管(硬、软)镜钬激光碎石术、经皮肾镜UPJ狭窄扩 张术、软性输尿管镜诊断及治疗。

                                     CHUZHENSHIJIAN:ZHOUYI、ZHOUSAN、ZHOUSIXIAWU(PUTONG),ZHOUERSHANGWU(SIJU)

                                      李欣850棋盘游戏 北京医院泌尿外科护士长 《中华护理杂志》审稿专家、中华医学会泌尿外科学分会护理组委员。工作严谨认真,掌握泌尿科各种危重症患者临床护理、急救技术,能及时学习并掌握最新的基 础和专科护理技术,参加多次疑难重症患者的抢救工作,所在病区多次获得院级抢救成功奖、技术操作奖。每月完成护理质量自查,对护士定期开展业务培训与考 核,确保护士工作质量,能胜任泌尿科工作。年度护理查房8次,每周参加科主任查房1次。协办北京市泌尿科护理沙龙六次,主办一次。省部级课题:前列腺癌早 期诊断的综合技术研究(参与)、院内课题:用于复发前列腺癌预后预测的基因图谱研究(参与)。

                                     

                                    优势技术

                                    单孔腹腔镜手术

                                      单孔腹腔镜手术是国际泌尿外科方兴未艾的技术进展,国外自2008年开始有小样本的动物实验和临床报道,我科室及时捕捉技术发展前沿的最新信息,积极学习 开展此项技术。首先从经脐经腹腔入路单孔腹腔镜肾囊肿去顶、精索静脉高位结扎术开始,积累入路和器械应用的经验,而后过渡到经脐经腹腔入路的肾癌根治性切 除;然后逐步开展经腰部切口腹膜后入路肾上腺切除术、经脐腹膜外途径的前列腺癌根治术。到目前为止,已经完成40余例单孔腹腔镜手术,其中包括前列腺癌根 治术6例,肾癌根治术4例,肾上腺切除6例。手术采用制式Triport 或Quadport,5mm头端可弯四方向镜和传统腹腔镜直器械。手术效果满意,95%以上经纯单孔完成,2例经加辅助孔完成,无一例转为开放手术;尤其 是6例前列腺癌根治术经纯单孔顺利完成;无手术并发症。是国际上开展单孔腔镜较早的医院之一。达到国际先进水平。经过认真筹备,2010年8月北京医院泌 尿外科主办召开了第一届也是国内首届单独以单孔腹腔镜技术为内容的国际学术研讨会,至今年已经主办了两届。先后将国内外顶尖专家邀请来和我院医生共同进行 手术演示和学术报告,曾参加研讨会的专家包括英国国王学院医院的Grange Phillippe 教授、张旭教授、刘春晓教授、周利群教授、马潞林教授等。这也拉开了我科开展这一技术的序幕。到目前为止,已经完成40余例单孔腹腔镜手术,完成的手术涵 盖了复杂的单孔腹腔镜前列腺根治性切除术、根治性肾切除术、肾上腺切除术、精索静脉高位结扎术等。手术效果满意,95%以上经纯单孔完成,无严重手术并发 症。是国际上开展单孔腔镜最早的医院之一。达到国际领先水平。
                                      在近期召开的国内国际学术交流中我院将单孔腹腔镜手术的经验进行了报道。其中2011年WCE上朱刚教授进行了题为《retroperitoneal laparoendoscopic single-site adrenalectomy》和《single-site laparoendoscopic radical prostatectomy with conventional instruments》的会议交流。朱刚教授更是受邀代表我科室在2011年亚洲泌尿外科年会上进行了单孔腹腔镜手术表演,扩大了北京医院泌尿外科的知 名度和国际影响力。在2012年2月和4月即将召开的EAU年会和日本年会上还将有我科室单孔腹腔镜的学术报告和会议主持。
                                      今年已经发表的相关论著5篇,均发表在中华系列杂志和核心期刊上:《单孔腹腔镜下根治性前列腺切除术的初步经验》中华泌尿外科杂志、《单孔腹腔镜根治性前 列腺切除术的现状与发展》中华腔镜泌尿外科杂志、《单孔腹腔镜技术在泌尿外科老年肿瘤切除中的应用》中华老年医学杂志、《单孔腹腔镜精索静脉高位结扎术早 期经验(附5例报告)》 临床泌尿外科杂志、《单孔腹腔镜在泌尿外科的应用》中华医学信息导报。

                                    腹腔镜前列腺癌根治术

                                      BEIJINGYIYUANMINIAOWAIKECONG1995NIANKAISHIJINXINGKAIFANGXINGQIANLIEXIANGENZHIXINGQIECHUSHU,2005NIANKAISHIKAIZHANFUQIANGJINGQIANLIEXIANAIGENZHISHU,JUNWEIGUONEIKAIZHANZHEIYIJISHUJIAOZAODEYIYUANZHIYI。MUQIANYI KAIZHANLEKAIFANGSHOUSHUJIFUQIANGJINGQIANLIEXIANAIGENZHISHUJUNCHAOGUO100LI,JINXIENIANGENGKAIZHANLEDANKONGFUQIANGJINGQIANLIEXIANGENZHIXINGQIECHUSHU,CHUYUGUONEILINGXIANSHUIPING。

                                    850棋盘游戏   WOKEFUQIANGJINGQIANLIEXIANGENZHIXINGQIECHUSHUZHUYAOCAIYONGJINGFUMOWAITUJING,CHULECHANGGUIDEQIANLIEXIANGENZHIXINGQIECHUSHUWAI,DUIYUZAOQIBINGRENYEKAIZHANBAOLIUSHENJINGXUEGUANSHUGENZHIJISHU。WOKESHIKAIZHANDEFUQIANG JINGQIANLIEXIANAIGENZHIJISHUYOUZHEZISHENDETEDIAN:YI,YANGEBAWOSHOUSHUSHIYINGZHENG,JINGUANKENENGDUANQINEISHOUSHUSHULIANGJIANSHAO,DANSHIGENGYOUYIYUHUANZHEDEYUHOU;ER,SHOUSHUJISHUYANGEANZHAOGUIFANJINXING,JIANSHAO LEQIEYUANYANGXINGLV、ZAOQISHENGHUAFUFALV,GENGHAODEBAOCUNLESHUHOUHUANZHEDENIAOKONGGONGNENG,GENGYOULIYUTIGAOHUANZHEDESHENGHUOZHILIANG;SAN,SHUHOUSUIFANGYOUZHUANRENFUZE,ZHIDINGGUIFANMINGQUEDESUIFANGJIHUAHEZHIDAOKANG FUGONGNENGXUNLIAN。YINCIZAIWOKESHISHISHIFUQIANGJINGQIANLIEXIANAISHUDEHUANZHEZAIZHILIAODEGEGEJIEDUANDOUGENGYOUYILIAOHEXINLIZHICHI。YEHUODELEHUANZHEDEGUANGFANHAOPING。

                                    850棋盘游戏   ZHEIXIANGJISHUDUOCIZAIQUANGUOMINIAOWAIKENIANHUISHANGJINXINGQIANLIEXIANAIYANJIUHESHOUSHUJISHUDEXUESHUBAOGAO。ZAIBEIJINGSHINIANHUIHEGELEIDEQIANLIEXIANAIZHUANTIYANTAOHUISHANGJINXINGBAOGAO。SHOUDAOYUHUIZHUANJIADEGUANZHU。WOKESHIHAIZHUZHONGQIANLIEXIANAIXIANGGUANJICHUYANJIU、LINCHUANGYANJIUYIJILINCHUANGJISHUYINGYONGYANJIUDEJIEHE,ZHUZHONGYANJIUJIEGUODELINCHUANGZHUANHUA。ZUOWEIYANJIUFUZEDANWEICHENGDANDUOXIANGSHENGBUJIYANJIUKETI,RU: “QIANLIEXIANAILINCHUANGZAOQIZHENDUANHEYUHOUPINGJIADEJIYINJISHUYANJIU”、“NANXINGQIANLIEXIANAISHAICHADELINCHUANGYINGYONGYOUHUAYANJIU”、“40-49SUINANXINGZHONGJINXINGYIPSAWEIJICHUDEQIANLIEXIANAISHAICHADE LINCHUANGYIYIYANJIU”、“QIANLIEXIANAILINCHUANGZAOQIZHENDUANDEZONGHEJISHUYANJIU”DENG,MUQIANZAIYANQIANLIEXIANAIKETIYANJIUJINGFEI480YUWANYUAN。

                                    经皮肾镜碎石取石术

                                      WOKESHIMUQIANYONGYOUEMSCHAOSHENGSUISHIQINGSHIXITONG,HUOJIGUANG,DIANZIRUANSHUNIAOGUANJING,DIANZIRUANSHENJING,DUOTIAOJINKOUYINGSHUNIAOGUANJINGJISHENJING。KAIZHANLEJINGPISHENJINGXIAEMSCHAOSHENGSUISHIQUSHISHU、FUZAJIE SHISHUANGTONGDAOSUISHISHOUSHU、SHUNIAOGUANJINGXIAHUOJIGUANGSUISHIQUSHISHUJIWEICHUANGSHUNIAOGUANRUANJINGSUISHISHU。SHENJINGTONGDAOWEIBIAOZHUNTONGDAO,JIAOWEITONGDAOJUYOUQINGSHIKUAI,SHUIZHONGDUJILVXIAO,QUANSHENYANZHENGFANYINGZONGHEZHENGSHAODE TEDIAN。DANYEYOUSHOUSHUCHUXUEFENGXIANSHAOGAO,JIQIAOXINGQIANG,XUEXIQUXIANDOUQIAODENGTEDIAN。

                                      CONG2007NIANZHIJIN,YIJINGKAIZHAN120YULISHANGNIAOLUQIANGNEISUISHISHOUSHU,JUNQUDELELIANGHAODEZHILIAOXIAOGUO,WUYILIYANZHONGBINGFAZHENGFASHENG。QIZHONGJINGPISHENJINGXIAEMSCHAOSHENGSUISHIQUSHISHUWANCHENG 70YULISHOUSHU,SHOUSHUCHENGGONGLV100%,WUZHONGZHUANJISHIBAIBINGLI。YIQIJIESHIWANQUANQINGCHULV73%,ERQIJIESHIWANQUANQINGCHULV91%,SHUXUELV4%,SHENJIHEXITONGCHUANKONG1.3%,QUANSHEN YANZHENGFANYINGZONGHEZHENG2.8%。SHOUSHUXIAOGUOWEIJUGUONEIXIANJINSHUIPING。QIEFUZABINGLI,GAOLINGHUANZHEJIAODUO,YOUBUFENFUZABINGLICAIYONGYIQISHUANGTONGDAO、DUOTONGDAOSHOUSHU。SHUNIAOGUANJINGXIAHUOJIGUANGSUISHIQUSHISHU CONG2008NIAN1YUEKAIZHANZHIJINYIWANCHENG80YULISHOUSHU。SHOUSHUCHENGGONGLV97%,QINGSHILVDA93%,SHUNIAOGUANCHUANKONGLV2.5%,SHUNIAOGUANXIAZHAILV2.5%,ZHONGZHUANKAIFULV2.5%,WUSHUXUEJIQITABINGFAZHENG。YOUBUFENFUZABINGLICAIYONGRUANXINGSHUNIAOGUANJINGSUISHI,SHOUSHUXIAOGUOHAO,SHIBEIJINGNAIZHIGUONEISHAOSHUCAIYONGRUANSHUNIAOGUANJINGZHILIAOJIESHIDEYIYUANZHIYI。KAIZHANGAISHOUSHUYILAI,ZENGQIANGLEMINIAO WAIKEDEYILIAOFUSHENENGLIHEYINGXIANGLI,MEINIANJIUZHENDEJIESHIHUANZHERENSHUWENBUZENGJIA。SHOUSHUHUANZHEZHUNIANDIZENGDA50%,NIANSHOUSHULIANGDA30LI。

                                    TONGSHIZAISHANGNIAOLUQIANGNEISUISHIJISHUDEJICHUSHANG,WOKESHIXIANGJIKAIZHANLESHANGNIAOLUQIANBIAOZHONGLIUHUOJIGUANGQIECHUSHU,SHANGNIAOLUXIAZHAIHUOJIGUANGQIEKAISHU,ZHISHIXIAXIAZHAIQIUNANGKUOZHANSHUDENGGAONANDUFUZASHOUSHU。ZHUCHIKAIZHANXINJISHU:JINGPISHENJINGXIAEMSCHAOSHENGSUISHIQUSHISHU、SHUNIAOGUAN(YING、RUAN)JINGHUOJIGUANGSUISHISHU、JINGPISHENJINGUPJXIAZHAIKUOZHANGSHU、RUANXINGSHUNIAOGUANJINGZHENDUANJIZHILIAO。DADAOGUOJIJIGUONEILINGXIANSHUIPING。

                                     

                                    前沿课题

                                    QIANLIEXIANAILINCHUANGZAOQIZHENDUANDEZONGHEJISHUYANJIU

                                      QIANLIEXIANAISHILAONIANNANXINGCHANGJIANEXINGZHONGLIUZHIYI,JINGUANCHUANTONGSHANGLAIJIANGRENWEIWOGUOQIANLIEXIANAIDEFABINGLVBINGBUGAO,DANSHIZAIJIN20NIANLICHENGZHUJIANSHANGSHENGDEQUSHI。LIRU:SHANGHAISHIQIANLIEXIANAIDEBIAOHUAFA BINGLVCONG1973~1975NIANDE1.8/10WANSHANGSHENGZHI 1997~1999NIANDE 5.5/10WAN,ZENGJIALE205.6%,NIANPINGJUNBIANHUALVWEI6.1%。YOUQISHIJINRU21SHIJIHOU,SUIZHEQIANLIEXIANTEYIKANGYUAN(PSA )JIANCHAZAILINCHUANGSHANGDEGUANGFANYINGYONG,ZAIGEGECHENGSHIDEDAXINGZONGHEYIYUANZHONG,QIANLIEXIANAIDEFASHENGLVZAIKUAISUSHENGGAO,YIXIEYIYUANZHONGQIANLIEXIANAIYIJINGCHAOYUESHENAICHENGWEIMINIAONANSHENGZHIXIZHONGLIUZHONGDIERCHANGJIANDE JIBING。WOYUANMINIAOWAIKE 2008NIANQIANLIEXIANAIFASHENGLVCHAOGUOBANGGUANGAI, WEIYUXINFAMINIAONANSHENGZHIXITONGEXINGZHONGLIUDEDIYIWEI。

                                      PSA DEGUANGFANYINGYONGSHIDEYUELAIYUEDUODEQIANLIEXIANAIHUANZHEDEDAOZHENDUAN,DANSHIMUQIANWOMENRENGBUNENGQUEDINGNEIXIEHUANZHEDEZHONGLIUHUIDUIQISHENGHUOHUOSHENGMINGZAOCHENGYINGXIANG,YINCIHENDUOHUANZHESHISHISHANGJIESHOULEGUODUDEJIANCHAHE ZHILIAO。RUHEBIMIANDUIZHEIXIEMEIYOULINCHUANGYIYIDEQIANLIEXIANAIJINXINGGUODUZHENDUANHEZHILIAOMUQIANYIJINGCHENGWEIOUMEIGUOJIAGUANZHUDEREDIAN。ZAIWOGUO,ZHENDUIPSA DEGUANGFANYINGYONGDUIYUQIANLIEXIANAIDEZHENDUAN、ZHILIAOYIJIYUHOUDEYINGXIANGSHANGWUYANJIU。DUIYUPSA SHAICHASUOYINGZHENDUIDERENQUN、ZHENGCHANGPSADELINJIEZHI、CHUANCIHUOJIANDEZHIZHENGDENGYIXILIEWENTIDOUHAIWEIQUEDING。LINGWAIGUANGFANYINGYONG PSA JIANCHAZENGJIAZAOQIQIANLIEXIANAIZHENDUANLVDETONGSHI,RUHEBIMIAN PSA SUODAILAIDEGUODUJIANCHAHEGUODUZHILIAODEWENTIYEHAIMEIYOUYANJIU。ZHEIYANGXIAQU,WOMENJIANGHUIZHONGFUMEIGUOZAIGUOQUERSHINIANLIZOUGUODEWANLU,DALIANGDEYILIAOZIYUANBEILANGFEI,DAPIDEBINGRENJIESHOUBUBIYAODEJIAN CHAHEZHILIAO,BINGCHENGSHOUCHENZHONGDEYALIYIJIZHILIAOSUODAILAIDETONGKU。YINCIWOMENYEXUYAODUIYU PSA SHAICHADEYINGYONGRENQUNJINXINGJINYIBUDEYOUHUA,BIMIANFAN“JIAOWANGGUOZHENG”DECUOWU 。

                                    850棋盘游戏   QIANLIEXIANAIYANZHONGYINGXIANGNANXINGDESHENGZHIJIANKANG,SUIZHERENKOUDELAONIANHUA,QIANLIEXIANAIDUIRENLEIJIANKANGDEWEIXIEBIANDEYUELAIYUEYANZHONG。KAOLVDAOZAOQIZHENDUANZAIQIANLIEXIANAIZHILIAOZHONGDEGUANJIANZUOYONG,XUNZHAOMINGAN XINGJITEYIXINGGENGGAODEQIANLIEXIANAIFENZISHAICHAJUYOUFEICHANGZHONGYAODELINCHUANGJIAZHI。YINCI,BENSHENQINGNIZHUANTITANSUOHEXUNZHAOXINDEZAOQIDETEYIDEZHENDUANQIANLIEXIANAIDEFENZIZHIBIAO,YIXIEZHUQIANLIEXIANAIDEZAOQIZHENDUAN,JIANSHAOBUBIYAODEQIANLIEXIANCHUANCIHUOJIANDETONGKUHEHUAXIAO,ZHEIXIANGYANJIUDEJIEGUOJUYOULIANGHAOJINGJIHESHEHUIXIAOYI。

                                     

                                    850棋盘游戏 NVXINGYALIXINGNIAOSHIJINYUBANGGUANGGUODUHUODONGZHENGDEWAIKESHOUSHULIAOXIAOJIANQUANXINGPINGJIA

                                      YALIXINGNIAOSHIJINSHILAONIANNVXINGCHANGJIANJIBING,YUEZHANCHENGNIANRENDE20%YISHANG。YIXIANGDIAOCHAXIANSHIBEIJINGSHEQUFABINGLVWEI46.5%,YIZHONGLAONIANNVXINGGENGWEICHANGJIAN,SUIZHELAOLINGHUASHEHUIDEDAOLAI,NVXING NIAOSHIJINDEWENTIGENGJIATUCHU,YANZHONGYINGXIANGHUANZHEDESHENGHUOZHILIANG。MEIGUOMINIAOWAIKEXUEHUIDETONGJIXIANSHI,YOUYIBANYISHANGDENVXINGDOUYOUGUONIAOSHIJINDEKUNRAO,QIZHONGYOUYOUJINYIBANDENVXINGNIAOSHIJINHUANZHEYINGXIANG SHENGHUOZHILIANG。

                                    850棋盘游戏   BANGGUANGGUODUHUODONGZHENGYESHILAONIANRENCHANGJIANJIBINGZHIYI。ZAIFAGUO、YIDALI、RUIDIAN、YINGGUO、XIBANYADENGQIFABINGLVWEI11%~22%。ERGUJIOUMEIGUOJIADAYUE17%DECHENGNIANRENLIHUANCI BING。QUANSHIJIEHUANBINGRENSHUDAYUEZAI5QIANWANZHI1YIZUOYOU。HUANZHEZHONGNVXINGLVEDUOYUNANXING,QIFABINGLVSUINIANLINGZENGJIAERSHANGSHENG。WOGUOMUQIANSHANGWUBENBINGDELIUXINGBINGXUEZILIAO,BUGUOBEIJINGDAXUEMINIAOWAIKEYAN JIUSUOZAIBEIJINGDIQUDIAOCHAXIANSHI:50SUIYISHANGNANXINGJIPOXINGNIAOSHIJINDEFASHENGLVWEI16.4%,18SUIYISHANGNVXINGHUNHEXINGNIAOSHIJINHEJIPOXINGNIAOSHIJINDEFASHENGLVWEI40.4%。

                                    850棋盘游戏   YISHANGLIANGZHONGJIBINGDEFASHENGLVSUIGAO,DANSHIBINGRENDEJIUZHENLVJIDI,HENDUOHUANZHEJUNCHENGSHOUJIBINGDAILAIDETONGKUERBUQUXUNQIUZHILIAO。YINCIDUIYUZHEILIANGZHONGJIBINGDEZHENDUANZHILIAODEYANJIUYIJIDUIYUJIBINGZHISHIDEPUJIJIANGHUIDUILAONIANRENDESHENGHUOZHILIANGYIJISHENTIJIANKANGDAILAIJIDADEXIANSHIYIYI。

                                     

                                    850棋盘游戏 ZONGHEFENXIBANGGUANGCHUKOUGENGZUCHENGDUHEBINIAOJIGONGNENGZHUANGKUANGDUIQIANLIEXIANZENGSHENGHUANZHEGANYUDEYIYI

                                      SUIZHEWOGUORENKOULAONIANHUA,LIANGXINGQIANLIEXIANZENGSHENGZHENGJIANGYINGXIANGGENGDUODELAONIANNANXINGJIANKANG。LIANGXINGQIANLIEXIANZENGSHENG(BPH)SHILAONIANNANXINGDECHANGJIANBING,NENGGOUYINQINIAOPIN、NIAOJI、PAINIAOKUNNAN、NIAO ZHULIUDENGZHENGZHUANG,ZAOCHENGBANGGUANG、SHENZANGGONGNENGDESUNHAI,CONGERYINGXIANGZHELAONIANNANXINGDESHENTIJIANKANGJISHENGHUOZHILIANG。WOGUOSHISHIJIESHANGLAONIANRENKOUZUIDUODEGUOJIA,MUQIAN60SUIYISHANGLAONIANRENZHANQUANGUORENKOUDE 10%,YOULIUXINGBINGXUEDIAOCHAJIEGUOBIAOMING,GAIRENQUNZHONGBPHHUANBINGLVGAODA60%ZUOYOU,SUIZHERENKOUSHOUMINGDE,B,BPHJIANGYINGXIANGZHEZHONGDUOBEIJINGLAONIANNANXINGDESHENTIJIANKANGHESHENGHUOZHILIANG。

                                      LINCHUANGSHANGZHILIAOYINQIANLIEXIANZENGDADAOZHIGENGZUDELIAOXIAOBIJIAOMINGQUE,YOUQISHIMINIAOJIEGONGRENDEZHILIAOQIANLIEXIANZENGSHENGDEJINBIAOZHUNSHOUSHU—“JINGNIAODAOQIANLIEXIANDIANQIESHU”KAIZHANYILAI,SHIDEMINIAOWAI KEYISHENGYOULEZHILIAOYINQIANLIEXIANZENGSHENGDAOZHIDEBANGGUANGCHUKOUGENGZUDEQIANGYOULIWUQI,KEYISHUOGAISHOUSHUZAIJIEJUEQIANLIEXIANZENGSHENGSUOZHIGENGZUDELIAOXIAOLIGANJIANYING。ERSHOUSHUHOUHENDUOQIANLIEXIANZENGSHENGHUANZHEYINGENGZUZAO CHENGDEBUKENIDEBANGGUANGSUNHAIERSHIDECHUNIAOQIZHENGZHUANGBUNENGDEDAOLIXIANGDEGAISHAN。MUQIANYIYOUBUSHAOMSHOUTIZUZHIJIYONGYUZHILIAOCHUNIAOQIDENIAOJI、NIAOPINZHENGZHUANG,DANJIUYINQIANLIEXIANZENGDASUOZHIGENGZUZAOCHENGDEBANG GUANGGONGNENGSHOUSUNYINGYONGMSHOUTIZUZHIJIZHILIAO,YISHIYIWEISHIYIWAN,BUFUHE“FANGDAYUZHI”DEXIANDAIYILIAOLINIAN,ERSHILIAOXIAOYEBULINGRENMANYI,BINGQIEBINGRENHAIXUCHENGDANZHEXIANGYINGDEYILIAOFEIYONGHEYAOWUDE FUZUOYONG。

                                      BENKETIDEZHEYANDIANJIUZAIYUYANJIUQIANLIEXIANZENGSHENGHUANZHEBANGGUANGCHUKOUGENGZUCHENGDUYUCHUNIAOQIZHENGZHUANGDEXIANGGUANXING,LITUXUNZHAODAOJINENGGOUSHISHIJIEJUEQIANLIEXIANZENGSHENGHUANZHEBANGGUANGCHUKOUGENGZUZHENGZHUANG,YOUNENGGOUBIMIANBANGGUANGGONGNENGBUKENISHOUSUNDEZUIJIAZHILIAOSHIJIANDIAN,CONGERSHIQIANLIEXIANZHENGDELIAOXIAOZUIDAHUA,JUYOUFEICHANGZHONGYAODELINCHUANGYIYI。

                                     

                                    850棋盘游戏 LAONIANQIANLIEXIANZENGSHENGZHENGGANYUGUIFANYANJIU

                                      YOUYUWOGUODUIYUBPHDEZIRANZHUANGUIDEPANDUANHEZHILIAOFANGANDEXUANZERENGMEIYOUYIGEMINGQUEDEBIAOZHUN,ZHEIJIUSHIXUDUOJINXUDINGQIMENZHENGUANCHADEBPHHUANZHEJIESHOULEBUBIYAODEYAOWUZHILIAO。LINGWAI,DUIYU HUANZHESHOUSHUSHIJIDEXUANZEYEMEIYOUYIGEMINGQUEDEYIJU,SHIYIBUFENYIYINGCAIQUSHOUSHUDEHUANZHEYEJIESHOUZHEBUBIYAODEYAOWUZHILIAO,ERBUFENYAOWUZHILIAONENGGOUHENHAOKONGZHIDEHUANZHEQUEKENENGBUQIADANGDIXUANZELE SHOUSHU。WOMENAN60SUIYISHANGLAONIANNANXINGBPHHUANZHEDEFABINGLVWEI50%,QIZHONGYOU5%DEBPHHUANZHEXUYAOZHILIAOLAICULVEJISUAN,WOGUOMUQIANZHENGZAIJIESHOUZHILIAODEBPHHUANZHERENSHUDA160 DUOWAN[1.3YI×50%(FABINGLV)×50%(NANXINGBILI)×5%(ZHILIAOBILI)],MEIWEIHUANZHEDEPINGJUNMEINIANZHILIAOFEIYUEWEI100-2000YUAN,ZHENZHIGAIJIBINGMEINIANJIANGXIAOHAOYUE 1.6-32YIYUANDEYILIAOZIYUAN。

                                    850棋盘游戏   JISHIQIZHONGZHIYOUXIAOBUFENBUHELIDEZHENZHIQINGKUANGCUNZAI,MEINIANZAOCHENGDEYILIAOLANGFEIYESHIJUDADE。YINCIRUHEYOUHUABPHDELINCHUANGGUANCHAZHIBIAO,BINGYICIDUIHUANZHEJINXINGGENGWEIHELIDEZHILIAO,SHIMU QIANWOGUOYILIAOJIEMIANLINDEYIGEZHONGYAOYITI。ERBENKETIDEYANJIUMUDEJIUSHIZHIDINGBPHZHENZHIDEBIAOZHUNCANKAOLIANGBIAO,BUJINNENGGOUJIEYUEDALIANGDEYILIAOJINGFEI,ERQIEHAIKEYISHIBPHHUANZHEDEZHENZHIGENGWEI KEXUEHELI,TIGAOGAILEIHUANZHEDESHENGCUNZHILIANG,JUYOUJIDADESHEHUIJINGJIXIAOYI。

                                    主    任:万奔

                                    副主任:魏东  刘明   张耀光

                                     

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