患者,女,39岁,于9年前出现尿频、尿急,B超发现膀胱左侧壁增厚,有一直径约3cm×4cm实性肿块,膀胱镜下见膀胱左侧壁黏膜隆起增厚,取活检为炎性病变,未作治疗。患者尿频、尿急症状无改善,逐渐出现排尿、排便费力,有时伴肉眼血尿,自行扪及下腹部肿块。2012年2月13日因“排尿困难伴左腰部疼痛、发热3天”入住我科。体检:左肾区明显叩击痛,下腹膀胱区明显膨隆,扪及 Patients, female, 39 years old, urinary frequency, urinary urgency, 9 years ago, B-found thickening of the left wall of the bladder, a diameter of about 3cm × 4cm solid mass, cystoscopy see the left side of the bladder mucosal uplift, Take biopsy for inflammatory lesions, without treatment. Patients with frequent urination, urinary symptoms without improvement, and gradually urination, defecation laborious, and sometimes with gross hematuria, palpable lower abdominal mass. February 13, 2012 due to “dysuria with left lumbar pain, fever 3 days ” stay in our department. Physical examination: obvious percussion pain in the left kidney area, bulging bulging of the lower abdomen in the bladder area, palpable