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我院1986～1989年做尿流改道手术4例,其中尿道癌2例、肾盂癌膀胱转移1例、膀胱癌1例。3例直肠膀胱术,1例回肠膀胱术。例1:女,62岁。排尿困难、血尿、水肿5个月入院。体查:在腹股沟扪及鸭蛋大淋巴结,尿道口可见花生米大菜花样肿块,阴道前壁可扪及鸡蛋大肿块。血红蛋白80g/L,血小板47×10~9/L,肌酐207.74μmol/L,尿素氮9.85mmol/L,SPA/G0.6:1。胸片:肿瘤右下肺转移。组织活检:腺癌膀胱内浸润。心电图:结性早搏。1985年12月
Our hospital from 1986 to 1989 to do urinary diversion in 4 cases, including 2 cases of urethral cancer, renal pelvis and bladder cancer in 1 case, 1 case of bladder cancer. 3 cases of rectal bladder surgery, 1 case of ileal bladder surgery. Example 1: Female, 62 years old. Dysuria, hematuria, edema 5 months admitted to hospital. Physical examination: palpable duck in the groin large lymph nodes, urethral visible large dish of peanut mass tumor, palpable anterior vaginal wall and large egg mass. Hemoglobin 80g / L, platelets 47 × 10 ~ 9 / L, creatinine 207.74μmol / L, urea nitrogen 9.85mmol / L, SPA / G0.6: 1. Chest radiograph: Right lower lung metastasis. Tissue biopsy: Adenocarcinoma Bladder invasion. ECG: premature knot. December 1985