【摘要】 目的 探讨部分复杂肾结石并肾积水术式及疗效。方法 对32例患者经肾盏积水肾实质切开取石，盏颈整形，积水肾实质折叠缝合。结果 32例手术经过顺利，其中28例取尽结石，4例肾小盏残留小结石，残石率12%，术中平均出血110ml，术中肾盏狭窄切开1～1.5cm26例，1.5～2.0cm6例。结论 此术式适用于肾鹿角形结石肾盏嵌顿3.5cm×3.5cm×3.0cm结石并肾盏积水，手术简单，可以减少手术对肾实质的损伤，减少出血。

    关键词 肾盏 取石整形

    Removal of calculi and calyxplasty through hydrocalyxznlision

    for complex renal calculi complicating hydronephrosis

    Wu Xiaobo，Du Dachang.

    Department of Urology，The people’s Hospital of YiYang city，Yiyang413001.

    【Abstract】 Objective To explore the operative treatment for complex renal calculi complicating hydronephroˉsis.Methods 32cases were all manipulated by incising the renal parenchyma and removing stone ......