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1 病例介绍 患者 女,50岁。主诉膀胱结石行体外震波碎石术后5年,又出现尿频、尿急、尿痛、尿流中断,于1999年10月4日入院。X线腹平片示:膀胱结石,可疑右输尿管下端结石。B超示:(1)膀胱结石。(2)右侧膀胱壁占位性病变伴钙化。膀胱镜检查:膀胱内有一直径2.0cm灰白色结石。距右侧输尿管口外上方3.0cm处的膀胱壁上,有数根黑色毛发伸向膀胱腔,钳夹毛发带出粘稠分泌物。考虑为膀胱畸胎瘤。于1999年10月15日在硬膜外麻醉下手术探查,见膀胱右侧壁有一3cm×3cm×3cm肿物,表面光滑,有突起,与周围
1 case description Female patient, 50 years old. Chief complaint of bladder stones in vitro shock wave lithotripsy after 5 years, there have been frequent urination, urgency, dysuria, urinary flow interruption, in October 4, 1999 admission. X-ray abdominal film showed: bladder stones, suspicious right lower ureteral stones. B ultrasound shows: (1) bladder stones. (2) right bladder wall space lesions with calcification. Cystoscopy: Bladder has a diameter of 2.0cm gray white stones. 3.0cm from the right ureter outside the mouth at the bladder wall, there are several black hair stretching to the bladder cavity, jaw hair with viscous secretions. Considered bladder teratoma. On October 15, 1999 under epidural anesthesia surgical exploration, see the right side wall of the bladder has a 3cm × 3cm × 3cm tumor, the surface is smooth, with protrusions, and the surrounding