目的探讨肾窦内肾盂切开加气压弹道碎石术治疗巨大鹿角形肾结石的手术方法及疗效。方法采用肾窦内肾盂切开加气压弹道碎石术治疗巨大鹿角形肾结石患者28例。结果全部病例顺利取出结石,术中无需阻断肾蒂和行局部降温,无损伤肾后段血管,一次性取净结石24例(85.7%)残留结石4例(14.3%)。结论该手术方式具有操作简单、术中出血少、结石残留率低,值得临床推广。 Objective To investigate the surgical method and curative effect of renal pelvis incision plus pneumatic lithotripsy in the treatment of huge antler kidney stones. Methods 28 cases of giant antler kidney stones were treated with intrarenal renal pelvic incision and pneumatic lithotripsy. Results All the cases were successfully removed stones, no need to block the renal pedicle and local cooling in the operation, without damaging the blood vessels in the posterior segment of the kidney. Four cases (14.7%) of residual stones were found in 24 cases (85.7%) at one time. Conclusion The operation method has the advantages of simple operation, less intraoperative bleeding, lower residual rate of stones, worthy of clinical promotion.