论文部分内容阅读
患者男性,70岁,以间歇性、无痛性全程血尿入院。患者平素健康状况良好。半年前出现左肾区、腰部疼痛,表现为胀痛。 超声检查,采用美国仪器ULTRAMARK 4型。见左肾增大,13.60×8.0cm,肾实质变薄,肾盂积水,范围约4.2×3.5cm,输尿管扩张,最宽处为2.4cm,沿扩张的输尿管下行追踪,近中段可见一实质性强回声光团,大小约1.7×1.8cm。外形似菜花状,表面不平滑,内部回声较均质。后方无声影。因肠气干扰,输尿管盆段显示不清。右肾大小形态及内部结构未见异常。继而,探测膀胱:膀胱充盈适度,内壁欠光滑,毛糙。于膀胱三角区亦见一实质性强回声光团,形态与输尿管内肿物相似。大小约2.1×2.3cm,自壁向腔内突出,轮廓清晰,表面不平,膀胱壁回声连续性破坏,有中断、缺损征象。异常回声团块不随体位变化而移动。后方亦不伴声影。
Male patient, 70 years old, admitted to the hospital with intermittent and painless hematuria. Patients usually healthy. Appeared six months ago left kidney area, waist pain, manifested as pain. Ultrasonography, using the United States instrument ULTRAMARK 4 type. See the left kidney increased, 13.60 × 8.0cm, thinning of the renal parenchyma, hydronephrosis, the range of about 4.2 × 3.5cm, ureteral dilatation, the widest point of 2.4cm, along the dilatation of the ureter down tracking, showing a substantial Strong echo light group, the size of about 1.7 × 1.8cm. Cauliflower appearance, the surface is not smooth, more homogeneous internal echo. No sound behind the shadow. Due to intestinal gas interference, ureteral pelvic display unclear. Right kidney size and shape of the internal structure and no abnormalities. Then, detect the bladder: moderate bladder filling, the inner wall less smooth, rough. In the bladder trigone also see a substantial echo of the light group, the shape and ureteral tumor similar. The size of about 2.1 × 2.3cm, protruding from the wall to the cavity, clear outline, uneven surface, continuous destruction of the bladder wall echo damage, interruption, defect signs. Abnormal echo mass does not move with the body position changes. The back is not accompanied by sound and shadow.