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患者男性,67岁。因尿频、无痛性肉眼血尿,加重一周来诊。病人自述2年来间断出现无明显诱因的尿频,色如洗肉水样尿,因无腰腹痛史,也未引起注意,未经治疗,近一周上述症状加重,尿内出现血丝及少量血块。检查:患者精神好,体温正常,双肾区无明显叩击痛。尿呈酱油色.尿液镜检:红细胞满视野/HP,尿蛋白200mg/dl.B超检查:使用LS一300A型超声诊断仪,探头频率3.5MHz,探查双侧肾脏轮廓清晰,体积大小正常,集合系统无分离.膀胱充盈下,壁厚0.9～1.1cm,毛糙,部分双线,膀胱三角区左侧可见两个基底相连的桑椹状物,大小分别为:2.6×1.3cm,1.9×1.1cm,其内分别包裹2枚包谷粒大小强光团,后伴声影,此物上方膀胱内依次排列嵌顿多数小米粒状强光斑,后伴弱声影,采取多方位及三日后观察,上述图像无变化,B超提示:①膀胱左侧壁实性乳头状占位(息肉)其内包裹结石;②膀胱左侧壁间嵌顿米粒石;③膀胱炎、部分膀胱壁水肿。手术证实:膀胱三角区左侧后上方两个指状息肉,基底略宽,根部相连,
Patient male, 67 years old. Due to frequent urination, painless gross hematuria, increased week to clinic. Patient read 2 years intermittent there is no obvious incentive to urinary frequency, color, such as washing water, urine, history of abdominal pain without abdominal pain, nor attention, untreated, the last week, the above symptoms worse, bloodshot eyes and a small amount of blood clots. Check: good patient, normal body temperature, no significant percussion pain in the kidneys area. Urine was soy sauce. Urine microscopy: red blood cells full field / HP, urine protein 200mg / dl.B ultrasonography: LS-300A using a type of ultrasound diagnostic apparatus, the probe frequency of 3.5MHz, to explore bilateral kidney clear outline, the size of the normal , The collection system without separation.Filling the bladder, the wall thickness of 0.9 ~ 1.1cm, rough, part of the double line, the left side of the bladder trigone can be seen two base connected mulberry, the size of: 2.6 × 1.3cm, 1.9 × 1.1 cm, respectively, which were wrapped two grain size light package, accompanied by sound shadow, the top of the bladder in turn arranged in the majority of the majority of millet granular light spot, followed by weak sound shadow, take a multi-directional and three days after the observation, the above Image no change, B-Tip: ① bladder left side of the solid papillary space-occupying (polyps) its wrapped stones; ② bladder incarcerated between the left side of the stone tablets; ③ cystitis, some of the bladder wall edema. Surgery confirmed that: the bladder trigone polygon two left behind the top of the polyps, slightly wider base, connected to the root,