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作者从1984年初到1990年底共收治膀胱结石124例,本文重点分析误诊原因,并讨论和提出对症状不典型患者应重视和采用辅助检查,如尿常规、腹平片、尿路造影及膀胱镜检等,以免漏诊和误治。1 临床资料1.1 性别与年龄.本组124例中,男性112例,女性12例;7个月婴儿1例,3～13岁47例,14～50岁12例,51～70岁41例,71～86岁23例。1.2 临床表现.尿频、尿急、尿痛占64例,排尿不畅,尿线中断29例,尿失禁9例,尿潴留5例,无痛性血尿8例,无任何症状者4例,腰痛5例。尿常规检查:肉眼血尿31例,镜下血尿66例,脓尿24例,尿常规正常者3例。1.3 诊治情况.本组腹平片显示膀胱阳性结石117
The authors treated 124 cases of bladder stones from the beginning of 1984 to the end of 1990. This article focuses on the causes of misdiagnosis, and discusses and suggests the importance and use of auxiliary tests for patients with atypical symptoms such as urinalysis, abdominal plain radiographs, urography and cystoscopy Check, so as to avoid misdiagnosis and mistreatment. 1 clinical data 1.1 gender and age in this group of 124 cases, 112 males and 12 females; 7 months of infants in 1 case, 3 to 13 years in 47 cases, 14 to 50 years in 12 cases, 51 to 70 years in 41 cases, 71 ~ 86 years old in 23 cases. 1.2 Clinical manifestations. Frequent urination, urgency, dysuria accounted for 64 cases of poor urination, interrupted urinary line in 29 cases, urinary incontinence in 9 cases, urinary retention in 5 cases, 8 cases of painless hematuria, 4 cases without any symptoms, low back pain 5 cases. Urine routine examination: gross hematuria in 31 cases, microscopic hematuria in 66 cases, 24 cases of pyuria, normal urine in 3 cases. 1.3 diagnosis and treatment of this group of abdominal plain film showed positive stones 117