【摘要】 目的 探討腎鏡結合氣壓彈道碎石治療膀胱結石的臨床療效?！》椒ā》治?004年9月－2011年3月男性膀胱結石患者87例的臨床資料。結石直徑1.5~6.7 cm，使用腎鏡結合氣壓彈道碎石術治療，統(tǒng)計手術時間、手術并發(fā)癥。隨訪3個月，觀察有無尿道狹窄?！〗Y果 所有患者碎石成功，平均手術時間為37 min，無殘留結石，無膀胱穿孔、感染性休克、膀胱大出血等并發(fā)癥；術后3個月隨訪，經(jīng)尿道手術者均未發(fā)現(xiàn)尿道狹窄。 結論 腎鏡下氣壓彈道碎石術是治療膀胱結石安全、有效的方法?！続bstract】 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.