目的　探讨经皮膀胱穿刺取石术的临床价值。方法　总结应用经皮膀胱穿刺取石术治疗34例膀胱结石的临床资料。结果　34例手术均一次性取尽结石,手术时间6～30min ,平均10min。术中出血5～10ml。术后住院时间3～6d。无明显手术并发症发生。随访2～36个月,无结石复发。结论　经皮膀胱穿刺取石术具有操作简便、创伤小、出血少、恢复快等优点,可成为膀胱结石微创治疗的一线新选择。 Objective To investigate the clinical value of percutaneous bladder puncture and lithotripsy. Methods The clinical data of 34 cases of bladder stones treated with percutaneous bladder puncture and lithotripsy were summarized. Results 34 cases of surgery were all done a one-time stone, operation time 6 ~ 30min, an average of 10min. Intraoperative bleeding 5 ~ 10ml. Postoperative hospital stay 3 ~ 6d. No obvious complications occurred. Follow-up 2 ~ 36 months, no recurrence of stones. Conclusion Percutaneous bladder puncture lithotomy has the advantages of simple operation, less trauma, less bleeding, faster recovery and so on, which may become the first choice of minimally invasive treatment of bladder stones.