腹腔镜疝修补术后补片感染为术后并发症，一般与补片材料、手术操作方法等有关。感染通常合并肠瘘、皮肤瘘等，罕有合并膀胱瘘。本文报道1例腹腔镜疝修补术后补片感染合并肠瘘、膀胱瘘治疗经过。患者既往有腹腔镜疝修补术史，主要症状是血尿、下腹隐痛。入院完善腹部CT，肠镜等相关检查，行经尿道膀胱镜膀胱气压弹道取石术，膀胱病损电切术，盲肠切除术等取出膀胱结石及感染补片。本文报道此病例探讨其可能发病机制，避免疾病的误诊漏诊。

Mesh infection is a postoperative complication following laparoscopic hernia repair, which is generally associated with mesh materials, surgical techniques and other factors. Such infections are often complicated by enteric fistulas and cutaneous fistulas, whereas concurrent bladder fistulas are extremely rare. This article reports the treatment course of one patient who developed mesh infection combined with enteric fistula and bladder fistula after laparoscopic hernia repair. The patient had a previous history of laparoscopic hernia repair, and presented with gross hematuria and dull hypogastric pain as chief complaints. After admission, comprehensive examinations including abdominal computed tomography (CT) and colonoscopy were completed. The patient underwent transurethral pneumatic lithotripsy for bladder calculi, transurethral electroresection of bladder lesions, and cecectomy to remove bladder stones and the infected mesh. By reporting this rare case, this paper discusses its potential pathogenesis, so as to avoid misdiagnosis and missed diagnosis of similar conditions.