巨大膀胱结石并膀胱炎1例报告并文献复习

Large Bladder Calculi with Cystitis: A Case Report and Literature Review

摘要: 目的：探索巨大膀胱结石并膀胱炎的临床特点、影像诊断、治疗方案。方法：对收治的1例巨大膀胱结石并膀胱炎患者进行回顾性分析并文献复习。结果：来自云南的58岁长期卧床的女性患者一月前出现尿失禁，膀胱X线检查显示有巨大的膀胱结石，患者接受了膀胱切开取石术。手术中发现膀胱内有19颗大小不一的圆形结石，其中最大为4.5*3.6 cm，重达105克。结论：膀胱结石是一种常见的泌尿系统疾病，但可预防，需定期监测、复查。单个膀胱结石重达100克以上的情况很少见，手术是最重要的治疗方式，术后定期监测，避免结石再次形成的风险。

Abstract: Objective: To explore the clinical features, imaging diagnosis and treatment of large bladder calculi complicated with cystitis. Methods: A case of huge bladder stone complicated with cystitis was ret-rospectively analyzed and the literature was reviewed. Results: A 58-year-old long-term bedridden female patient from Yunnan Province presented with urinary incontinence one month ago and un-derwent cystotomy after bladder X-ray examination revealed a large bladder stone. During the op-eration, 19 round stones of different sizes were found in the bladder, the largest of which was 4.5*3.6 cm and weighed 115 grams. Conclusion: Bladder stone is a common disease of urinary sys-tem, but it can be prevented. It needs regular monitoring and reexamination. It is rare for a single bladder stone to weigh more than 100 grams. Surgery is the most important treatment. Regular postoperative monitoring can avoid the risk of stone recurrence.