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患者,男,56岁,因尿频,尿急,伴无痛性肉眼血尿1年,于1986年2月11日入院。10个月前曾在外地医院诊为“膀胱肿瘤”行膀胱部分切除。术后约1月再次出现尿频,尿急及肉眼血尿,且呈进行性加重,膀胱镜检查:膀胱内壁满布乳头状新生物,表面充血和散在的出血点。于1986年3月21日在本院行膀胱切除直肠代膀胱术,术后恢复顺利。病理报告:膀胱多发性乳头状移行细胞癌,Ⅱ级A期。术后4个月原尿道口流出新鲜血性液及血块。于1986年11月21日手术,术中发
The patient, male, 56 years old, was admitted to hospital on February 11, 1986 because of frequent urination, urgency, and painless gross hematuria for 1 year. 10 months ago in the field hospital diagnosed as “bladder tumor” line partial bladder resection. Urine frequency, urinary urgency, and gross hematuria appeared again in January after the operation, and were progressively aggravated. Cystoscopy revealed that the inner wall of the bladder was covered with papillary neoplasms, and surface congestion and scattered bleeding points. On March 21, 1986 in our hospital cystectomy rectal replacement of bladder surgery, postoperative recovery smoothly. Pathology Report: Bladder multiple papillary transitional cell carcinoma, grade Ⅱ A. 4 months after the original urethral outflow of fresh bloody fluid and blood clots. In November 21, 1986 surgery, intraoperative hair