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患者,男,68岁。间歇性排尿困难、疼痛、尿中断伴血尿三十余年,于1985年11月13日入院。发病后曾多次按膀胱炎、肾炎等诊治,有时症状稍有缓解。今年9月份上述症状加重,来我院拍片示耻骨联合处见一锥形及两块状密度增高阴影,以后尿道结石收住院。既往健康,无结核及外伤、手术史。11月20日在硬膜外麻醉下行耻骨上膀胱切开取石术。手指伸入膀胱颈远侧可触到结石,结石右侧与尿道粘膜间尚有一狭窄间隙;结石其他部位与尿道粘膜有轻度粘连,手指可以分离。结石之横径较尿道内口
Patient, male, 68 years old. Intermittent dysuria, pain, urinary incontinence with hematuria more than thirty years, in November 13, 1985 admission. After the onset of many times by cystitis, nephritis diagnosis and treatment, sometimes slightly relieved symptoms. September of this year, the above symptoms worse, to our hospital film showed pubic symphysis Department to see a cone and two-shaped density increased shadow, after urinary tract stones admitted to hospital. Past health, no tuberculosis and trauma, surgery history. November 20 in the epidural anesthesia under the suprapubic cystectomy lithotomy. Finger into the bladder neck can reach the distal distal calculi, stones and urethral mucosa between the right there is a narrow gap; other parts of the stone and urethral mucosa with mild adhesions, fingers can be separated. The diameter of stones than urethral mouth