超过100克的膀胱结石称为巨大膀胱结石。1978年Becher统计英国文献仅发现29例,其中1900年以前有14例,以后有15例。Becher报告1例,共30例。我院25年间共收治4例,资料较完整的2例,报告如下。例1 男,35岁,农民。8年前出现尿频、尿痛,昼夜排尿20—30次。有时有排尿困难和尿流中断现象。劳累后有血尿。经治疗和休息后症状可减轻,但数日或月余后重新加重。每日排尿最多60—70次。下腹部有下坠感。大便次数也增加。查体:下腹部可触及巨大肿块,上界在耻骨上三指处,质硬,叩浊。肛诊亦可触及膀胱区巨大肿块。化验:红细胞402万/立方毫米,血色素81%,白细胞7400/立方毫米,中性67%,淋巴33%,尿中脓球 Bladder stones over 100 grams are called giant bladder stones. In the 1978 Becher statistic, only 29 cases were found in the British literature, of which 14 were before 1900 and 15 afterwards. Becher reported 1 case, a total of 30 cases. In our hospital for 25 years were treated 4 cases, more complete information in 2 cases, the report is as follows. Example 1 Male, 35 years old, farmer. 8 years ago, frequent urination, dysuria, diurnal urination 20-30 times. Sometimes dysuria and urinary flow disruptions. After hemorrhage hematuria. Symptoms may be alleviated after treatment and rest, but re-aggravated on days or months. Urine up to 60-70 times daily. Lower abdomen have a sense of falling. Stool frequency also increased. Physical examination: the lower abdomen can reach a huge mass, the upper bound on the pubic symphysis in three fingers, hard, knock turbid. Rectal diagnosis of bladder area can also reach the huge mass. Laboratory: erythrocyte 4020000 / cubic millimeter, hemoglobin 81%, white blood cells 7400 / cubic millimeter, 67% neutral, lymphatic 33%, urinary pus