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1临床资料者,男,59岁,因脑出血术后18个月,脑梗塞6月入院。查体:右侧肢体活动不利,腹部膨隆,下腹压痛,左肾区扣痛,余未见异常。辅助检查:腹部B超提示膀胱区混合型占位。后经局麻行膀胱镜检查,活检病理诊断结果提示膀胱粘膜囊性膀胱炎。在腰麻下经尿道行膀胱肿瘤电切术,手中所见:膀胱底见一3×3×2cm大小新生物,蒂明显,表面光滑,活动可,与前列腺分界清楚,距左侧输尿管开口约1.5cm,双侧输尿管口呈裂隙状,喷尿良好。临床初步诊断:膀胱占位待查。
1 clinical data, male, 59 years old, 18 months after cerebral hemorrhage, cerebral infarction admitted to hospital in June. Physical examination: adverse physical activity on the right, bulging belly, abdominal tenderness, pain in the left kidney area, I did not see abnormalities. Auxiliary examination: abdomen B-ultrasound prompted hybrid area. After the line by the State Department cystoscopy, biopsy pathological diagnosis of cystic bladder cystitis prompted. Transurethral resection of the bladder tumor in the spinal anesthesia, the hands of the see: the end of the bladder to see a 3 × 3 × 2cm size of new organisms, pedicle clear, smooth surface, activity can be clear boundaries with the prostate, from the left ureter open about 1.5cm, bilateral ureteral orifice was cracked, good excretion. Preliminary clinical diagnosis: bladder space to be investigated.