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患者 58岁,已婚。主因排尿及大便困难3个月于1989年4月17日入院。病后曾出现两次尿潴留行导尿治疗,每次排便时喊叫,并需用双手按压腹部以增大腹压,大便呈细条状。一般检查未见异常,下腹部膨隆,无压痛,外生殖器、睾丸及附睾均无异常。直肠指诊,前列腺约鸡卵大,表面光滑,上极边界不清,可触及包块,质中等硬,包块表面光滑,无触痛。膀胱镜检查见膀胱三角区及底部突起,尤以底部明显。IVU见双肾盂肾盏、输尿管显影正常,膀胱无充盈缺损。逆行膀胱造影,正位片显示膀胱颈部变平抬高,斜位片见膀胱底部呈弧形压迹,前列腺区无钙化影。双输精管精囊造影见双侧精囊部分显影,右侧略抬高。经腹B型超声提示,耻骨联合上可探及约15.3×11.5cm肿物,壁厚,内为大小不等的不规则低回声及无回声区,在此肿物右侧探及一7.3×7.3cm边缘不规则低回声肿物,
Patient 58 years old, married. Mainly due to urination and stool 3 months in April 17, 1989 admission. There have been two urinary retention catheterization catheterization after treatment, shouted every time defecation, and need to press the abdomen with both hands to increase abdominal pressure, stool was thin strips. No abnormalities in general examination, bulging lower abdomen, no tenderness, external genitalia, testis and epididymis were normal. Rectal finger, prostate about chicken large, smooth surface, the top border is unclear, palpable mass, medium hard, mass surface smooth, no tenderness. Cystoscopy see the bladder trigone and the bottom of the protrusion, especially at the bottom of the obvious. IVU see double renal pelvis calyx, normal ureterography, bladder filling defect. Retrograde cystography, anteroposterior film showed that the bladder neck flattened elevated oblique film at the bottom of the bladder showed arc-shaped indentation, prostate area without calcification. Double spermatic seminal vesicle angiography showed partial seminal vesicle development on both sides of the right slightly elevated. Transabdominal B-mode ultrasound, the pubic symphysis can be explored and about 15.3 × 11.5cm tumor, wall thickness, ranging from irregular hypoechoic anechoic and non-echo size, the right side of this tumor exploration and a 7.3 × 7.3cm edge irregular hypoechoic tumor,