目的探讨腔内治疗前列腺增生所致膀胱结石的快速有效方法。方法对27例前列腺增生致膀胱结石患者,采用经电切镜外鞘置入肾镜,气压弹道联合超声碎石清石。结果27例均顺利一次性清石。碎石时间4～60min。术中、术后无大出血、膀胱穿孔和水中毒等并发症。术后随访3～15个月,无结石复发和尿道狭窄。结论经电切镜外鞘气压弹道联合超声碎石清石是治疗前列腺增生所致膀胱结石安全、高效的方法。 Objective To explore a rapid and effective method of endovascular treatment of bladder stones caused by benign prostatic hyperplasia. Methods 27 cases of prostatic hyperplasia-induced bladder stones were treated by resectoscope with nephroscope and pneumatic lithotripsy combined with ultrasonic lithotripsy. Results 27 cases were smooth one-time stone. Gravel time 4 ~ 60min. No intraoperative and postoperative bleeding, bladder perforation and water poisoning and other complications. All patients were followed up for 3 to 15 months without recurrence of stone and urethral stricture. Conclusions The resectoscopic pneumatic ballistic combined with ultrasonic lithotripsy is a safe and effective method for the treatment of bladder stones caused by benign prostatic hyperplasia.