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膀胱平滑肌瘤较少见,本院曾收治2例,报告如下:例1男,40岁,1977年1月因尿频、尿痛、血尿1年而入院,曾以泌尿系感染治疗无效。膀胱镜检查发现膀胱顶部有3×4×3cm圆形实质样肿物,诊断为膀胱癌。体检无阳性所见,尿检红细胞满视野,白细胞3-5/HP。手术时发现膀胱顶部肿物3×4×3cm大,表面有钙盐沉积,基底宽,与腹膜粘连,遂将肿瘤、部分膀胱和腹膜整块切除。术后病理:膀胱平滑肌瘤。例2男,38岁,1984年10月因尿频伴排尿困难,体位变换有助于排尿2年而入院。无尿痛和血尿史。B超提示膀胱肿物,测残余尿量为200ml。
Bladder leiomyoma is rare, the hospital had two cases, the report is as follows: A male, 40 years old, January 1977 due to frequent urination, dysuria, hematuria and admission for 1 year, had urinary tract infection treatment ineffective. Cystoscopy revealed a 3 × 4 × 3 cm circular parenchyma at the top of the bladder and was diagnosed as bladder cancer. No positive physical examination, urine stained red blood cells full field, white blood cells 3-5 / HP. Surgery was found on the top of the bladder tumor 3 × 4 × 3cm large surface deposition of calcium salts, basal wide, and peritoneal adhesions, then the tumor, part of the bladder and peritoneal resection. Postoperative pathology: bladder leiomyoma. Example 2 Male, 38 years old, October 1984 Due to frequent micturition accompanied by dysuria, postural change helped to urinate for 2 years and was admitted to the hospital. No history of dysuria and hematuria. B-Tip bladder mass, measuring residual urine volume of 200ml.