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單項選擇題

【A2型題】患者男，78歲。進行性排尿困難5年，尿流變細，尿后有不盡感，直腸指檢示前列腺增大，質(zhì)韌，質(zhì)地均勻，中間溝消失。首先考慮的診斷為（）

A.慢性前列腺炎
B.上尿路結(jié)石
C.膀胱結(jié)石
D.前列腺增生癥
E.尿道結(jié)石

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