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哈地尔,男,64岁,维族。下腹部肿块,尿频20余年。自22岁开始常感尿痛、尿流中断、曾服中药“排石汤”尿出小石块少许。尿中无脓血。84年7月住院。体检:一般情况好,右侧下腹部可触及8×5cm肿物,边缘清楚、无压痛、质硬、光滑。肿物随体位而变動,叩诊实音、直肠指诊:右侧盆腔有硬性肿物无触痛,活動度不大,前列腺Ⅱ°肥大。肾叩痛不显,肾功正常。尿检WBC 0～2,RBC 0～2。下腹平片:膀胱区显示重叠阴影。肾静脉造影;双侧输尿管扩张,双肾盂积水。术前拟诊:膀胱结石行下腹探查术,切开膀胱,取出两块灰
Hardy, male, 64 years old, Uygur. Lower abdominal mass, frequent urination more than 20 years. Since the age of 22 often feel dysuria, urinary disruption, had served traditional Chinese medicine “row of stone soup” little urine out of small stones. No blood in the urine. 84 years in July hospitalization. Physical examination: the general situation is good, the right lower abdomen can reach 8 × 5cm tumor, clear edge, no tenderness, hard, smooth. Mass changes with the position, percussion real audio, digital rectal examination: the right pelvic hard tumor without tenderness, activity is not large, prostate Ⅱ ° hypertrophy. Perineal pain was not significant, normal kidney function. Urinalysis WBC 0 ~ 2, RBC 0 ~ 2. Lower abdominal radiographs: Bladder area shows overlapping shadows. Renal vein angiography; bilateral ureteral dilatation, hydronephrosis. Preoperative consultation: Bladder stones underbelly exploration, incision of the bladder, remove the two ash