患者 ,男 ,68岁。因排尿不畅 ,尿线中断 ,间歇性排肉眼血尿 ,伴尿频、尿痛、尿急 2 0余年。近一个月来症状加重 ,并时有下腹疼痛 ,于 1997年 3月 6日入院治疗。查体 :一般状况好 ,膀胱区可触及一大小约 12× 10 cm圆形质硬包块 ,其上缘于脐下三横指 ,表面光滑 ,活动度差 ,无压 Patient, male, 68 years old. Due to poor urination, urinary interruption, intermittent voluminous hematuria, with frequent urination, dysuria, urgency 20 years. In the past month, the symptoms have worsened and there was abdominal pain, which was admitted to hospital on March 6, 1997. Physical examination: the general condition is good, the bladder area can reach a size of about 12 × 10 cm round hard mass, the upper edge of the three fingers below the navel, smooth surface, poor mobility, no pressure