【摘要】 目的 探討腎鏡結(jié)合氣壓彈道碎石治療膀胱結(jié)石的臨床療效?！》椒ā》治?004年9月－2011年3月男性膀胱結(jié)石患者87例的臨床資料。結(jié)石直徑1.5~6.7 cm，使用腎鏡結(jié)合氣壓彈道碎石術(shù)治療，統(tǒng)計(jì)手術(shù)時(shí)間、手術(shù)并發(fā)癥。隨訪3個(gè)月，觀察有無尿道狹窄?！〗Y(jié)果 所有患者碎石成功，平均手術(shù)時(shí)間為37 min，無殘留結(jié)石，無膀胱穿孔、感染性休克、膀胱大出血等并發(fā)癥；術(shù)后3個(gè)月隨訪，經(jīng)尿道手術(shù)者均未發(fā)現(xiàn)尿道狹窄?！〗Y(jié)論 腎鏡下氣壓彈道碎石術(shù)是治療膀胱結(jié)石安全、有效的方法。【Abstract】 Objective To explore the clinical efficacy of pneumatic ballistic lithotripsy via nephroscope in treating patients with bladder stones. Methods We retrospectively analyzed the clinical data of 87 patients with bladder stones from September 2004 to March 2011. The diameter of the stones were ranged from 1.5 to 6.7 cm. The patients underwent peneumatic ballistic lithotripsy via nephroscope. We recorded the operation time and complications, and observed the incidence of urethrostenosis 3 months after the beginning of the follow-up. Results All stones were fragmented and removed successfully. The average operation time was 37 minutes. No residual stone, bladder perforation, infective shock or severe bleeding of the bladder occurred. During the 3-month follow-up, no utethrostenosis occurred. Conclusion Pneumatic ballistic lithotripsy via nephroscope is a safe and efficient technique in treating bladder stones.