膀胱尿路上皮癌常表现为无痛性全程肉眼血尿,少数病例主诉为顽固性下尿路症状,易延误诊断。本文介绍3例患者误诊过程并原因分析。1病历摘要例1:男,75岁。因尿急尿频尿痛、会阴不适2 a,间断血尿13个月于2010-01-21入院。患者于2008-01开始尿频,伴尿道灼热和排尿前下腹部绞痛,先 Bladder urothelial carcinoma often showed painless whole eye hematuria, a small number of cases of refractory lower urinary tract complaints, easy to delay diagnosis. This article describes the three cases of misdiagnosis and analysis of the causes. 1 case summary 1: male, 75 years old. Urinary dysuria due to urgency, perineal discomfort 2 a, intermittent hematuria 13 months in 2010-01-21 admission. Patients started urinary frequency in 2008-01, with urinary burning and urinary incontinence before abdominal pain, first