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患者男性,61岁。因下肢痛20年,二便失禁4年,会阴部麻木2年,排尿不尽2个月入院。患者20年前感右下肢呈坐骨神经样痛,并逐渐发展为双下肢,继而出现大便失禁,夜间遗尿。2年前感会阴部麻木、发凉。门诊B超及核磁共振均示:2~4骶椎管内7cm×2cm囊性畸胎瘤,因肿瘤基底部钙化明显不易分离,行肿瘤部分切除术及尾骨切除,术后证实为良性畸胎瘤。2个月来排尿滴沥不尽,伴腹胀,并发现恶心、呕吐、便秘、头晕、乏力,遂收入院。
Male patient, 61 years old. Due to lower limb pain for 20 years, two incontinence 4 years, 2 years of perineal numbness, urination not less than 2 months admitted to hospital. 20 years ago, the patient felt a sciatic nerve pain in the right lower limb and gradually developed into both lower extremities, followed by fecal incontinence and nocturnal enuresis. 2 years ago will feel numb numbness, cold. Out-patient B-and MRI showed: 2 ~ 4 sacral canal 7cm × 2cm cystic teratoma, calcification of the tumor base was not easy to separate, partial tumor resection and coccygeal resection, postoperative confirmed benign teratology tumor. 2 months to urinate dripping Lek endless, with abdominal distension, and found nausea, vomiting, constipation, dizziness, fatigue, then income hospital.