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患者女,84岁。于1974年不慎摔倒后出现血尿,经用止血剂后血止。2年后再次出现肉眼血尿,当时曾作膀胱镜检查未见异常。以后仍反复血尿,但未作任何检查。近1年来血尿频繁,于1989年4月作尿道口息肉摘除;1990年2月又因血尿不止,伴有血块,再次作膀胱镜检查:膀胱内亦未见异常,左输尿管导管插入2cm受阻。5月份同位素肾图示左肾无功能,B超示左肾积水,左输尿管扩张。因尿中找到癌细胞而拟诊为左输尿管肿瘤,于1990年6月收住入院。入院后尿找癌细胞三次均为阳性,于全麻下作左输尿管探查,先于髂部血管上方找到输尿管,见整个中下段输尿管增粗直径达1.5cm,下端10cm,外观呈香肠状,扪之实质感,遂作左肾输尿管及膀
Female patient, 84 years old. After he fell accidentally in 1974 hematuria, blood after stopping with hemostatic. 2 years after the gross hematuria again, when there was no abnormal cystoscopy. Hematuria is still repeated after, but did not make any examination. Nearly 1 years of frequent hematuria, in April 1989 for urethral polypectomy; February 1990 due to hematuria, with blood clots, again for cystoscopy: the bladder was no exception, left ureter catheter inserted 2cm blocked. May isotope kidney diagram showed no function of the left kidney, B ultrasound showed left hydronephrosis, left ureteral dilatation. Left ureteral tumors were diagnosed because of the presence of cancer in urine and were admitted to hospital in June 1990. Urine looking for cancer cells after admission were three positive, under general anesthesia for left ureteral exploration, prior to iliac vessels found above the ureter, see the entire lower ureteral thickening diameter of 1.5cm, the lower 10cm, the appearance of sausage-like, palpable The real sense, made for the left kidney and ureter and bladder