目的　提高肾内型肾盂肾鹿角状结石的手术成功率 ,减少并发症。方法　回顾性分析 76例肾盂肾实质联合切开取石治疗肾内型肾盂肾鹿角状结石 ,并结合实践和文献进行比较分析。结果　肾盂肾实质联合切开取石手术直视下操作 ,出血少 ,取石成功率高 ,并发症少。结论　肾盂肾实质联合切开取石是治疗肾内型肾盂肾鹿角状结石的一种较好的手术方法 Objective To improve the success rate of renal pelvic and renal deer antler calculus and reduce the complications. Methods A retrospective analysis of 76 cases of pelvis and kidney parenchyma combined with lithotripsy for the treatment of renal pelvic and renal deer horn - like stone, and the practice and literature for comparative analysis. Results pelvis and kidney parenchymal surgery combined with open surgery under direct vision, less bleeding, stone high success rate, fewer complications. Conclusions Pelvic and renal parenchyma combined with stone removal is a good surgical method for the treatment of renal pelvic and renal deer hornlike calculi