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患者女,51岁。“间断尿频1年余,再发加重半个月”入院。患者1年前无明显诱因出现尿频,以白天为重(1次/h),夜尿约1~2次,伴尿急、尿失禁,无尿痛、肉眼血尿及尿道烧灼感。既往体健,无特殊。门诊行超声检查提示膀胱壁占位。尿常规白细胞1+,红细胞2+,蛋白2+。CT检查:膀胱前壁肿瘤性病变(图1A~C)。在连硬外麻下行膀胱肿瘤切除术,术中见膀胱前壁直径约4 cm肿块,向膀胱内生长,基底部较宽,未见出血,左右输尿管口可清晰显露,沿肿块边缘切开膀胱,绕肿块将肿瘤完全切除,范围至
Female patient, 51 years old. “Intermittent urinary frequency more than 1 year, recurrence increased half a month ” admission. One year ago, there was no obvious incentive for patients with frequent urination, daytime weight (1 / h), nocturia about 1 to 2 times, with urgency, incontinence, no dysuria, gross hematuria and urethral burning sensation. Past physical health, no special. Out-patient line ultrasonic examination prompted the bladder wall space. Urinary conventional white blood cells 1 +, red blood cells 2+, protein 2+. CT examination: anterior bladder tumor lesions (Fig. 1A-C). Bladder tumor resection with hard extra-anesthesia surgery, surgery, see the anterior bladder wall diameter of about 4 cm mass, to the bladder growth, basal wide, no bleeding, left and right ureteral orifice can be clearly revealed along the edge of the tumor incision bladder , The tumor around the tumor completely removed range to