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患者,58岁,因排尿不畅30年入院。患者曾因膀胱结石行膀胱切开取石术。术后3年又出现尿流不畅,尿流中断,但无尿潴留。体检:腹平软,未触及包块,双输尿管行径无压痛,膀胱不充盈,双肾区不饱满,无叩击痛。肛诊:直肠粘膜光滑,前壁可触及一质硬包块,约小鸡蛋大,边界清楚,中央沟不清楚。KUB 平片提示:双肾影不明确,第三腰椎左上角有一粟米大钙质影,膀胱区内可见3.5×4cm~2大小钙质影,双输尿管下段各有两个黄豆大钙质影,大结石影外缘可见大小不等多个密集的
The patient, 58 years old, was admitted to hospital 30 years after she had poor urination. Patients had vesical calculus bladder incision lithotomy. 3 years after the emergence of poor urinary flow, urinary flow interrupted, but no urinary retention. Physical examination: abdominal soft, no mass, double ureter no tenderness, bladder filling, kidney area is not full, no percussion pain. Rectal diagnosis: rectal mucosa smooth, the front wall can reach a hard mass, about a small egg, the border is clear, the central ditch is not clear. KUB plain film tips: renal shadow is not clear, the third upper left corner of the lumbar spine has a corn calcareous shadow, the bladder area visible 3.5 × 4cm ~ 2 size calcareous shadow, the lower ureter two soy calcium calcareous shadow, Large stones can be seen from the outer edge of the size of a number of intensive