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巨大膀胱结石:病例报告及文献综述

Giant bladder lithiasis: case report and bibliographic review.

作者信息

Gallego Vilar Daniel, Beltran Persiva José, Pérez Mestre Mateo, Povo Martin Iván José, Miralles Aguado Jaume, Garau Perelló Carmen, De Francia Jose Antonio

机构信息

Department of Urology, Hospital General de Castellón, Castellón de la Plana, Spain.

出版信息

Arch Esp Urol. 2011 May;64(4):383-7.

PMID:21610285
Abstract

OBJECTIVE

Urinary lithiasis is a very frequent urological disease but bladder lithiasis is very uncommon.Patients usually refer voiding symptoms and hematuria. The diagnosis is made after imaging tests. We report a clinical case describing a giant bladder stone and perform a bibliographic review.

METHODS

A 43 year old man with the diagnosis of giant bladder stone (more than 10 cm diameter). We searched Medline using the terms: giant bladder stone, giant bladder lithiasis, bladder lithiasis, giant bladder lithiasis.

RESULTS

We made the diagnosis of giant bladder stone after a simple kidney, ureter and bladder (KUB) X Ray. The treatment for this patient was a cystolithotomy. We found more than 230 reports at Medline and chose the most referred ones and the last 10 years reports.

CONCLUSIONS

Giant bladder lithiasis is a very rare pathology. The gold standard for diagnosis is cystoscopy but sometimes with a KUB Xray or an ultrasound is enough. Because of its size, cistolitotomy is the correct treatment for giant bladder stone.

摘要

目的

尿路结石是一种非常常见的泌尿系统疾病,但膀胱结石非常罕见。患者通常表现为排尿症状和血尿。诊断通过影像学检查做出。我们报告一例描述巨大膀胱结石的临床病例并进行文献综述。

方法

一名43岁男性被诊断为巨大膀胱结石(直径超过10厘米)。我们使用以下术语在Medline上进行检索:巨大膀胱结石、巨大膀胱结石症、膀胱结石症、巨大膀胱结石症。

结果

通过简单的肾脏、输尿管和膀胱(KUB)X线检查后,我们做出了巨大膀胱结石的诊断。该患者的治疗方法是膀胱切开取石术。我们在Medline上找到了230多篇报告,并选择了引用最多的报告以及过去10年的报告。

结论

巨大膀胱结石是一种非常罕见的病症。诊断的金标准是膀胱镜检查,但有时KUB X线检查或超声检查就足够了。由于其大小,膀胱切开取石术是治疗巨大膀胱结石的正确方法。

相似文献

1
Giant bladder lithiasis: case report and bibliographic review.巨大膀胱结石:病例报告及文献综述
Arch Esp Urol. 2011 May;64(4):383-7.
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