目的探讨膀胱镜直视下耻骨上膀胱穿刺造瘘取石术治疗膀胱结石的方法及经验。方法在膀胱镜直视引导下,在耻骨联合上2 cm处作一1.0~2.0 cm小切口,使用腹腔镜10 mmTrocar行膀胱穿刺造瘘术,经Trocar置入胆囊结石取石钳或有齿抓钳,直视下钳夹结石,连同Trocar一并取出。结果 72例均一次取净结石,所有病例无手术并发症发生。结论膀胱镜直视下耻骨上膀胱穿刺造瘘取石术治疗膀胱结石微创、安全可靠、简单易行。 Objective To explore the method and experience of bladder stones treated with suprapubic bladder puncture and ostomy under cystoscopy. Methods Under the guidance of direct cystoscopy, a 1.0 ~ 2.0 cm small incision was made at 2 cm on the pubic symphysis, and a laparoscopic 10 mm Trocar bladder puncture was performed. Trocar was implanted with gallstone or stone grasper by Trocar , Clamp the stone under direct vision, together with Trocar removed. Results 72 cases were taken net stones, all cases without surgical complications. Conclusions Under direct vision of cystoscopy, suprapubic bladder puncture and ostomy lithotomy is a safe, reliable and simple method for the treatment of bladder stones.