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患者,男性,40岁。因排尿不畅,时有排尿中断,伴尿频、尿急、尿痛及血尿,为全程血尿3个多月。曾到外院治疗无效,而来我院检查,B超显像示:左、右肾上下径超过超声窗,左肾前后径6.6cm,右肾前后径5.4cm,双肾轮廓清,形态失常,左肾内见一个大小为1.0×0.5cm强光点伴声影,集合系统内见液性暗区厚3.9cm,输尿管上段扩张。右肾内见多个大小为1.4×0.6cm、1.4×0.5cm、2.8×0.5cm强光点伴声影,集合系统内见液性暗区厚2.7cm。膀胱探查:于膀胱三角区见一个7.1×6.9cm实性光团,边缘尚清,欠规整。超声诊断:1.双肾结石及积液。2.膀胱占位性病变(膀胱癌可能性大)。
Patient, male, 40 years old. Due to poor urination, urination interrupted at times, with frequent urination, urgency, dysuria and hematuria, hematuria for more than 3 months. Have to outside the hospital treatment is invalid, and to our hospital examination, B-scans showed: left and right renal diameter than ultrasonography window, the anteroposterior diameter of the left kidney 6.6cm, anteroposterior diameter of 5.4cm, renal clear outline, morphological disorders, See the left kidney, a size of 1.0 × 0.5cm light point with sound shadow, see the collection system, liquid dark area 3.9cm thick, the upper ureteral dilatation. In the right kidney see multiple sizes 1.4x0.6cm, 1.4x0.5cm, 2.8x0.5cm light spots with sound shadow, the collection system to see liquid dark area 2.7cm thick. Bladder exploration: See a 7.1 × 6.9cm solid light in the trigone of the bladder, the edge is still clear, less regular. Ultrasound diagnosis: 1. Kidney stones and fluid. 2. Bladder space-occupying lesions (bladder cancer is highly likely).