【摘要】 目的 探讨微创经皮肾穿刺取石术治疗输尿管上段巨大结石的临床疗效。 方法 自2000年7月～2004年5月，采用微创经皮肾穿刺术治疗输尿管上段巨大结石68例。 结果 3例因为穿刺失败而改行开放手术，总的结石取净率为95.6%(65/68)，术中无严重的并发症发生。 结论 微创经皮肾穿刺取石术治疗输尿管上段巨大结石是安全、高效的，可替代开放手术和单纯输尿管镜取石术。

    关键词 输尿管结石 微创经皮肾穿刺取石术

    【Abstract】 Objective To explore the clinical effect of minimally invasive percutaneous nephrolithotomy(MPCNL)in managing the massive proximal ureteral calculi.Methods 68cases of massive proximal ureteral calculi were treated by MPCNL between Jul.2000to May.2004.Results The total ratio of stone-free was95.6%，and no severe complications happened.There was3cases converted to open surgery for the failure of puncture.Conclusion MPCNL for the massive proximal ureteral calculi is safe and effective ......