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病员,女20岁,未婚,因膀胱肿块入院。1年前,感排尿费力,尿线细,排尿时间延长,滴沥状,有排不尽感。夜尿4～5次,白天尿频,量少。按尿路感染治疗无效。体检:血压16/11kPa,在下腹耻骨联合上偏右处,可及约馒头大小包块1个。双合诊;包块位于子宫前,活动,边界清,无波动感,无压痛,尿道外口正常,残余尿200ml,无血。尿常规正常。B 超发现膀胱底部有5.9cm×5.9cm 大小圆形,实质性占位病变,IVU:双肾及输尿管正常。膀胱造影:见
Patient, female 20 years old, unmarried, admitted due to bladder mass. A year ago, feeling of urination laborious, fine urinary tract, urination extended, drip drip, there are rows of feeling. Nocturia 4 to 5 times during the day urinary frequency, less. Treatment by urinary tract infection is invalid. Physical examination: blood pressure 16 / 11kPa, in the lower abdomen pubic symphysis on the right side, about bread size 1. Double joint diagnosis; mass is located in front of the uterus, activities, clear boundary, no fluctuations, no tenderness, normal urinary port, residual urine 200ml, no blood. Urine routine normal. B-found at the bottom of the bladder 5.9cm × 5.9cm size round, substantial space-occupying lesions, IVU: renal and ureteral normal. Bladder angiography: see