膀胱软结石合并气肿性膀胱炎(附一例报告)

Bladder soft calculus with emphysematous cystitis(a case report)

目的 认识膀胱软结石的发病机理与临床特点。 方法 回顾性分析 1例膀胱软结石病例 ,结合文献复习。患者男 ,5 3岁。有膀胱癌、糖尿病及良性前列腺增生伴尿潴留病史。KUB(- ) ,尿培养见大肠杆菌 ,B超及膀胱镜见膀胱内占位。 结果 患者行手术治疗 ,术中见软结石 ,呈分层壳状结构 ,病理表现为纤维素样结构。术后给予抗生素治疗 2周 ,痊愈出院。 结论 膀胱软结石常继发于泌尿系感染和糖尿病 ,治疗以手术取石为主 ,结合敏感抗生素治疗。

Objective To understand the pathogenesis and the clinical features of the bladder soft calculi. Methods A case of bladder soft calculi with emphysematous cystitis was reported.The patient,who had underwent partial cystectomy for bladder cancer,was 53 years old with diabetes and prostate hyperplasia. E.coli was found in his urine.KUB showed negative result.B-us and cystoscopy showed bladder mass.Some of other cases were also reviewed. Results The patient underwent surgical operation,and during the procedure a multilamellar yellow/brown internal structure of the calculi was observed.It presented as something like cellulose in the pathological study.The patient received antibiotic therapy after operation for two weeks,and recovered very well. Conclusions The formation of soft calculi is typically associated with urinary infection caused by proteus species.Diabetes mellitus is believed to be the most important predisposing factor for the formation of soft calculi.In most cases, surgical manipulation is required for their removal because they are not dissolved by any means yet known, and the antibiotic therapy is necessary too.