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患者男,41岁,农民。因尿频,尿急,尿痛,排尿不畅,尿线变细,并进行性加重半月,脐部漏尿6天,于1992年8月26日入院。既往无脐部漏尿史。查体:脐部有尿液流出,腹部及外生殖器未见异常。直肠指诊:前列腺正常,膝胸位6点近肛门处可触及2.5cm×2.0cm大小质硬物,无触痛。B超示:膀胱顶部可见1.2cm×0.6cm暗区管道, 通向其前方一管道,前方管道位于膀脱前方,根部最粗为1.4cm,直至脐部表面,膀胱异常开口处周围显著增厚。自尿道放尿管17cm至后尿道,有梗阻不能放入;改用尿道探子于后尿道触及坚硬物体而不能进入膀胱,并可闻及金属与石质物
Male patient, 41 years old, farmer. Due to frequent urination, urgency, dysuria, poor urination, urinary tract thinning, and progressive increased half a month, umbilical leakage of urine for 6 days, on August 26, 1992 admission. No past history of umbilical leakage. Examination: umbilical urine outflow, abdominal and genital abnormalities were not seen. Digital rectal examination: normal prostate, knee chest 6 near the anus can reach the size of 2.5cm × 2.0cm quality hard objects, no tenderness. B ultrasound shows: the top of the bladder visible 1.2cm × 0.6cm dark area pipeline leading to a pipeline in front of the front pipeline is located in front of the bladder off, the root of the most coarse 1.4cm until the surface of the umbilicus, abnormal bladder around the opening was significantly thickening . Since the urethral catheter 17cm to the posterior urethra, obstruction can not be put; use of urethral probe in the posterior urethra touch hard objects and can not enter the bladder, and can smell of metal and stone material