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患者男性,58岁.因间竭性排全程肉眼血尿伴尿末胀痛4月余.去年十月,开始出现不明原因排肉眼血尿,呈洗肉水样,尿末有小凝血块排出,伴有尿末胀痛,每天排尿7—8次,血尿持续10天,未用药物治疗而血尿消失.B超检查:经腹壁探及,膀胱轻度充盈,内壁不光滑,在膀胱的无回声区内见多个大小不等,自膀胱壁向腔内呈乳状突起,8点处见4.0×3.1cm~2,6点处见0.5×0.8~2,12点处见1.8×1.6cm~2,3点处见1.6×1.4cm~2等.轮廓清晰,表面不平整,无明显包膜的实质性欠均质增强回声团块、无声影、不移动,基底部与膀胱壁肌层界限不清,双肾及输尿
Male patient, aged 58. due to exhaustive row full of gross hematuria with urinary pain at the end of more than 4 months last October, began to appear unexplained row of hematuria, was washed with water samples, urinary small clot discharge, with Urine end of pain, urination 7-8 times a day, hematuria continued for 10 days, without medication and hematuria disappeared.B ultrasound examination: Exploring the abdominal wall and, mild filling of the bladder, the inner wall is not smooth, anechoic area in the bladder Inside the see a number of different sizes, from the bladder wall to the cavity was milky processes, see 4.0 × 3.1cm at 8:00 to 2,6 points at 0.5 × 0.8 ~ 2,12 points at 1.8 × 1.6cm ~ 2, 3 points at 1.6 × 1.4cm ~ 2. Clear contour, the surface is not flat, no significant capsule less substantial heterogeneous enhanced echo mass, no sound shadow, do not move, the basal and bladder wall muscle layer ill-defined , Kidney and ureter