膀胱结石较为常见,但以缝衣针作为核心的结石则罕见。本院曾见一例现报告如下: 患者男性,18岁,住院号17645,因血尿两月多而入院。两月前周身不适,发热,排尿困难且有烧灼感及排尿中断,呈肉眼血尿但无血块。过去常于运动后出现肉眼血尿。检查:发育营养中等,头面无异常。腹平柔软,小腹压痛明显。肝脾未触及。化验检查:血象在正常范围,大便无异常,尿多次检查,镜检及肉眼血尿。尿培养未见抗酸杆菌。 X线下腹部仰卧及站立位平片。见膀胱部稍偏左方有一长达5厘米左右之金属缝衣针,针尖指向右上方。沿针长轴,干柄端包绕一鸽蛋大小的阳性结石,约4×2.5厘米,边缘清 Bladder stones are more common, but stones with a needle as the core are rare. We have seen a recent report as follows: Male patient, 18 years old, hospital number 17645, more than two months due to hematuria and admission. Two months ago, he was unwell, fever, dysuria and a burning sensation and urination was interrupted, with gross hematuria but no blood clots. In the past often appear after the movement of gross hematuria. Check: Developmental nutrition medium, no abnormalities in the head. Abdomen soft, abdominal tenderness significantly. Liver and spleen not touched. Laboratory tests: blood in the normal range, no abnormal stools, multiple urinalysis, microscopic examination and gross hematuria. No acid-fast bacilli were found in urine culture. X-ray abdominal supine and standing flat film. See the bladder slightly to the left there is a metal sewing needle up to about 5 cm, the needle point to the top right. Along the long axis of the needle, the stem is wrapped around the size of a pigeon egg-positive stones, about 4 × 2.5 cm, margin