论文部分内容阅读
患者,男,38岁。间隙性尿频尿急20年,持续性尿频尿急尿痛1年。腹部平片:膀胱区可见1.5×2.0cm不透X线结石阴影,诊断为膀胱结石。体检:阴茎阴囊、双侧睾丸、附睾及输精管发育均正常,尿道外口开口于正常位置。于1990年6月2日在硬膜外麻醉下行膀胱取石术,下腹正中切口,依次切开至腹膜反折处。从尿道外口插入导尿管至膀胱,用生理盐水充盈膀胱后,切开膀胱前壁2cm,未扪及膀胱内结石,遂扩大膀胱切口,进一步在直视下探查膀胱:右输尿管开口明显可见,插入输尿管导管通畅。左输尿管开口未见。膀胱内仍未见有结石。继续扩大腹壁切口探查左侧输尿管下段,于左输尿管下段切开向下插入输尿管导管深约15cm并注入生理盐水,见其未进入右侧膀胱,而进入左侧膀胱,与右侧膀胱完全不通,遂切开左膀胱前壁约3cm,取出1.5×2×1.5cm结石一枚,再探查左
Patient, male, 38 years old. Vaginal urinary frequency urgency 20 years, persistent urinary frequency urgency dysuria 1 year. Abdominal plain film: visible in the bladder area 1.5 × 2.0cm radiographs of stone, diagnosis of bladder stones. Physical examination: Penile scrotum, bilateral testis, epididymis and vas deferens are normal development, opening of the urethral orifice in the normal position. On June 2, 1990 under epidural anesthesia bladder lithotomy, incision in the middle of the abdomen, followed by incision peritoneal fold. Urinary catheter inserted into the bladder from the urethral orifice, filling the bladder with saline, incision of the anterior wall of the bladder 2cm, not palpable bladder stones, and then expand the bladder incision, further exploration of the bladder under direct vision: the right ureter opening is clearly visible , Insert the ureteral catheter patency. No left ureteral opening. Bladder still no see stones. Continue to expand the abdominal incision to explore the lower left ureter in the lower left ureter incision inserted into the ureteral catheter down about 15cm deep and saline injection, it did not enter the right bladder, and enter the left bladder, and the right bladder completely blocked, Then cut the left anterior bladder wall about 3cm, remove the 1.5 × 2 × 1.5cm stones, and then explore the left