2009年11月-2013年4月我院采用肾筋膜扩张器外鞘肾镜气压弹道碎石术治疗膀胱结石45例,取得良好疗效,现报道如下。1资料与方法1.1一般资料本组膀胱结石患者45例,男40例,女5例;年龄18～80岁,中位年龄62岁。结石1.5cm×1.4cm×1.2cm～4.5cm×4.3cm×4.0cm。1.2操作方法采用尿道局麻或连续硬膜外麻醉,患者取截 November 2009 - April 2013 in our hospital with renal fascia dilator sheath nephroscope pneumatic lithotripsy treatment of bladder stones in 45 cases, and achieved good results, are reported below. 1 Materials and Methods 1.1 General Information 45 cases of bladder stones in this group, 40 males and 5 females; aged 18 to 80 years, the median age of 62 years. Stone 1.5cm × 1.4cm × 1.2cm ~ 4.5cm × 4.3cm × 4.0cm. 1.2 Operation Urethra or continuous epidural anesthesia, patients take the cut