女性无症状型巨大膀胱结石合并双肾重度积水一例  

Asymptomatic giant vesical calculus with severe bilateral hydronephrosis: a female case report

作　　者：张海霞[1] 肖洁[1] 龚晴意 段雄[1] 申均 谢文全[2] 袁磊[1] 

机构地区：[1]长沙医学院第一临床学院 [2]长沙医学院附属岳化医院泌尿外科,岳阳414014

出　　处：《新医学》2014年第10期699-701,共3页Journal of New Medicine

基　　金：湖南省大学生研究性学习和创新性实验计划项目(湘教通[2013]191号-431;湘教通[2012]402号-445)

摘　　要：膀胱结石多见于男性患者,女性患者中直径>5 cm的巨大膀胱结石罕见。该文报道了1例女性巨大膀胱结石合并慢性肾功能不全、继发性癫痫和泌尿系感染患者,并根据其临床特点对该例无症状型混合性巨大膀胱结石的成因、临床症状和治疗方案进行了探讨以及相关文献的回顾,该例提示巨大膀胱结石症状隐匿,易于疏忽,加上其可引起自发性膀胱破裂,且并发症发生率高,应引起临床重视。Vesical calculus are more commonly seen in males than female counterparts.Giant vesical calculus with a diameter 〉5 cm is extremely rare in females.We reported a female case of giant vesical calcu-lus complicated with chronic renal insufficiency,secondary epilepsy and urinary infection.Furthermore,the causes of diseases,clinical symptoms and therapeutic regimen were investigated based upon clinical character-istics,and relevant literatures were retrospectively reviewed.This female case hinted that much attention should be paid to giant vesical calculus because it is easily neglected due to reclusive symptoms.Moreover,it yields a high incidence of spontaneous rupture of the bladder and related complications.

关 键 词：巨大膀胱结石 肾重度积水 膀胱 泌尿系感染 混合型结石 

分 类 号：R692.2[医药卫生—泌尿科学] R694.4[医药卫生—外科学]