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我院外科自1977年2月至19872月10年共施行膀胱切开取石术89例,其中1例在取右术中发现膀胱结石与膀胱癌并存。现报告如下: 男,49岁。尿频、尿急、尿痛,肉眼血尿及排尿困难3月余,腹部平片见膀胱区有一鸡蛋大致密分层阴影,边缘整齐,耻骨上方深压痛。Hb56g/L,RBC2.86×10~(12)/L,WBC6×10~9/L,N 60%,L24%,E16%;尿蛋白(++),RBC(+),WBC(++),脓球(++)。临床诊断:膀胱结石。处理经过:行膀胱切开取石术,取出棕黑色结石一块,约5.5×5.0×4.0cm~3,呈椭圆形,表面粗糙。于膀胱底长一肿物,约2.5×2.5×2.0m~3,呈菜花状,表面高低不平,基底坚硬,部分有糜烂,质
Surgery in our hospital from February 1977 to January 1972, 10 were performed a total of 89 cases of cystectomy, including 1 case of bladder surgery found bladder stones coexist with bladder cancer. The report is as follows: Male, 49 years old. Frequent urination, urgency, dysuria, gross hematuria and dysuria more than 3 months, abdominal plain film see the bladder area has an egg roughly dense stratification of the shadow, tidy edges, suprapubic deep tenderness. Hb56g / L, RBC2.86 × 10-12 / L, WBC6 × 10-9 / L, N 60%, L24%, E16%; urinary protein ), Pus ball (++). Clinical diagnosis: bladder stones. After treatment: line lithotomy, remove the brown-black stones, about 5.5 × 5.0 × 4.0cm ~ 3, was oval, rough surface. A long tumor at the bottom of the bladder, about 2.5 × 2.5 × 2.0m ~ 3, was cauliflower-like, the surface rugged, hard substrate, some erosion, quality