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原发性膀胱畸胎瘤甚为罕见,我院曾收治2例,兹报告于下。例1 女,33岁。因尿中排毛发及结石伴膀胱刺激症状6年,于1980年3月入院。1974年曾在外院诊为膀胱结石而行手术,术中因触及膀胱壁硬,疑为膀胱肿瘤而终止手术。此后症状加剧,有几次自己用手挤出嵌顿于尿道口的较大结石。且排出成束毛发。近三四年来出现完全性尿失禁。体检:下腹有一约8cm长直切口疤痕,耻骨上偏左可触及一4×6cm肿物,质硬,活动差。实验室检查:血常规及肝肾功能均正常。尿常规:WBC(+++)RBC(+)。KUB可见膀胱区左上方有一约4×0.8cm条状致密影,边缘不光滑。IVP显示双侧输尿管下端积水征象。膀胱造影提示膀胱容量小,左上方有占位性病变,病变中央为上
Primary bladder teratoma is very rare, our hospital has admitted 2 cases, it is reported in the next. Example 1 female, 33 years old. Due to urinary row of hair and stones with bladder irritation for 6 years, in March 1980 admitted. In 1974, he was diagnosed with bladder stones outside the hospital surgery, surgery due to touch the bladder wall hard, suspected of bladder cancer and termination of surgery. Since then the symptoms intensified, there are several times by hand squeeze out the larger stones embedded in the urethra. And expelled into bunches of hairs. Nearly three or four years of complete urinary incontinence. Physical examination: there is about 8cm long straight incision in the lower abdomen, left side of the suprapubic touches a 4 × 6cm mass, hard, poor activity. Laboratory tests: blood and liver and kidney function are normal. Urine routine: WBC (+++) RBC (+). KUB visible upper left bladder area there is a strip of about 4 × 0.8cm dense film, the edge is not smooth. IVP shows signs of bilateral ureter waterlogging. Bladder imaging prompted bladder capacity is small, there is occupying the upper left lesions, lesions on the central