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患者男性,62岁,主因血尿3周入院,为间断性无痛性全程肉眼血尿,无尿频、尿急、尿痛等。B超提示:膀胱左侧壁见约3cm实质性反射,欠均匀、不活动。门诊膀胱镜及报告:于膀胱左侧壁左输尿管口外上方3cm处可见3×2cm结节样肿块,表面出血,并有血痂,无蒂。CT检查报告膀胱左侧壁占位性病变。以膀胱肿瘤收住院。查体:一般情况良好,出凝血时间正常,无手术禁忌。在腰麻下行TuR-BT术,F21~#“镜顺利插入,见左输尿管口外上方有一约3cm直径肿物,实体性,表面未见乳头及绒毛,有一层黄色物质覆盖,近下极处有渗血,肿物组织脆,触之易出血,蒂看不清,但触之可活动。换F24~#电切镜,自《临床荟萃》一九九三年第八卷第7～8期
Male patient, aged 62, mainly due to hematuria for 3 weeks admitted to the hospital for the intermittent painless gross hematuria, urinary frequency, urgency, dysuria and so on. B-Tip: The left side of the bladder see about 3cm substantial reflection, less uniform, not active. Out-patient cystoscopy and reports: left ureteral orifice in the left side of the bladder 3cm at the top of the mouth can be seen 3 × 2cm nodular mass, surface bleeding, and blood scab, pedicle. CT examination of the left side of the bladder space-occupying lesions. To bladder cancer hospital. Physical examination: the general situation is good, a normal clotting time, no surgery taboos. In the spinal anesthesia TuR-BT surgery, F21 ~ # “mirror successfully inserted, see the left ureter above the mouth there is a diameter of about 3cm tumor, physical, no nipple and villi surface, a layer of yellow material coverage, Oozing blood, the tumor tissue brittle, easy to touch the bleeding, pedicle can not see, but the touch can move. For F24 ~ # resectoscope, since the ”Clinical Metatrader" Volume VIII in 1993 the first 7 to 8