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男,18岁。6年前因车祸致骨盆骨折,后尿道断裂而施行尿道会师术。出院排尿正常,未行尿道扩张,三月后尿流变细,逐渐排尿困难,继而小便呈滴状排出。近一年来小便失禁,X线摄片诊断为膀胱结石而住院。体查:步态无明显异常。下腹可见手术切口瘢痕,尿道外口尿液继续滴出。X线片显示耻骨联合处及其上方各有5.5×7cm、3.5×4cm大小结石阴影。血象正常。尿内有大量脓球。肾功能正常。膀胱取石术中见较小结石位于膀胱内,较大结石位于膀胱外,
Male, 18 years old. 6 years ago due to a car accident caused by pelvic fractures, posterior urethra rupture and urethral division surgery. Discharged urination normal, no urethral dilatation, urinary flow in March after thinning, gradually dysuria, followed by urinary drop was discharged. Urine incontinence in the past year, X-ray diagnosis of bladder stones and hospitalization. Physical examination: no obvious abnormal gait. Surgical incision scar visible under the abdomen, urinary urethra continue to drip. X-ray showed pubic symphysis at the top and above each have 5.5 × 7cm, 3.5 × 4cm size stone shadow. Normal blood. There is a lot of pus balls in the urine. Normal renal function. Bladder lithotomy see smaller stones in the bladder, the larger stones in the bladder,