目的总结壁段切开结合体外震波碎石术 ( ESWL)治疗嵌顿性输尿管壁段结石的经验。方法对 6 8例嵌顿性输尿管壁段结石患者的临床资料进行回顾性研究 ,其中 48例应用了本方法。结果 48例中 42例成功 ,成功率 87.5 %。30例获得随访 ,随访时间 1～ 2 4月 ,平均 12月 ,4例发生轻度膀胱输尿管返流 ,3例输尿管口狭窄。结论壁段切开结合 ESWL治疗嵌顿性输尿管壁段结石创伤性小 ,操作简单 ,是治疗嵌顿性输尿管壁段结石的有效方法 Objective To summarize the experience of wall incision combined with extracorporeal shock wave lithotripsy (ESWL) in the treatment of incarcerated ureteral wall stones. Methods The clinical data of 68 patients with incarcerated ureteral wall stones were retrospectively studied. Among them, 48 patients applied this method. Results of 48 cases, 42 cases were successful, the success rate of 87.5%. Thirty patients were followed up for 1-2 months, with an average of 12 months. Four patients had mild vesicoureteral reflux and three had ureteral orifice stenosis. Conclusion Wall segment combined with ESWL in the treatment of incarcerated ureteral wall stones is less invasive and simple to operate and is an effective method for the treatment of incarcerated ureteral wall stones