许多大和硬的肾结石妨碍了用常规经皮法清除。因此,作者探索了适合此类结石清除的较好工具,并叙述与讨论了使用何种泌尿科器械对难以完整取出的过大肾结石作经皮破碎和清除的问题。作者介绍1例61岁男性病人,已作右肾切除,且因肾结石作过2次左肾盂切开术和一个肾造口术。因左侧输尿管及上肾盏结石,由于肾功能关系,未能清除结石。术后9年,左侧两处结石,下面的一个完全阻塞了输尿管。作者决定清除输尿管结石,以减轻对肾脏的威胁。沿肾切开管道用一根 Many large and hard kidney stones prevent the use of conventional percutaneous removal. Therefore, the authors explored better tools for clearing such stones and described and discussed the use of urological instruments for percutaneous disruption and removal of over-sized kidney stones that are difficult to remove altogether. The authors describe a 61-year-old male patient who had a right nephrectomy and two left pelvis incisions and a kidney ostomy for kidney stones. Due to the left ureter and calyceal stones, due to renal function, failed to remove stones. Nine years after surgery, the left two stones, the following one completely blocked the ureter. The authors decided to clear ureteral stones to reduce the threat to the kidneys. Cut a pipe along the kidney