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膀胱平滑肌瘤少见,因缺少特有的症状与体征,术前常易误诊。兹报告4例如下:我院自1952年至1991年4月收治膀胱肿瘤298例,其中膀胱平滑肌瘤4例,占1.38％。女性3例,男性1例,年龄21～56岁,平均35.3岁。临床表现 4例中,膀胱刺激症状3例,肉眼或镜下血尿3例,排尿困难1例,下腹可扪及肿物2例。B超 4例中,见2例肿物突入膀胱腔内,肿瘤各为7×7cm,10×10cm。另2例,似在膀胱前壁肌层内,各为4.6×2.6cm,2.8×3.9cm。膀胱镜检 4例中,发现突向膀胱腔内2例。有蒂,广基各1例。另2例位于膀胱前肌
Bladder leiomyoma rare, due to the lack of specific symptoms and signs, preoperative misdiagnosis often. Here are 4 cases reported as follows: In our hospital from 1952 to April 1991 admitted 298 cases of bladder cancer, including 4 cases of bladder leiomyoma, accounting for 1.38%. 3 females, 1 males, aged 21 to 56 years, an average of 35.3 years old. Clinical manifestations in 4 cases, 3 cases of bladder irritation, macroscopic or microscopic hematuria in 3 cases, dysuria in 1 case, lower abdomen palpable and mass in 2 cases. B ultrasound in 4 cases, see 2 cases of tumor into the bladder cavity, the tumor each 7 × 7cm, 10 × 10cm. The other two cases, like in the anterior wall of the bladder muscle, each 4.6 × 2.6cm, 2.8 × 3.9cm. Cystoscopy in 4 cases, found in 2 cases of bladder cavity. Pedicle, wide base each in 1 case. The other two cases were located in the anterior bladder