目的探讨经腔内途径治疗膀胱结石的方法及疗效。方法输尿管镜气压弹道碎石将膀胱结石击碎并经膀胱镜鞘通道在输尿管镜直视下将结石冲出。结果195例患者均一次成功碎石,结石冲净率100%,无大出血及膀胱穿孔等并发症。结论输尿管镜气压弹道碎石及经膀胱镜鞘通道冲洗治疗膀胱结石损伤小,并发症少,适应证广,是治疗膀胱结石经济有效的方法。 Objective To investigate the method and efficacy of transluminal approach for the treatment of bladder stones. Methods ureteroscopic pneumatic lithotripsy will be crushed bladder stones and urethral scoliosis through urethral catheteroscopy will be out of stone. Results A total of 195 patients were successfully treated with gravel. The rate of stones was 100%. No complications such as hemorrhage and perforation of the bladder were found. Conclusions Ureteroscopic pneumatic lithotripsy and bladder scalp sheath channel flushing treatment of bladder stones less injury, fewer complications, indications wide, is a cost-effective treatment of bladder stones.