目的　提高上尿路结石诊治水平。方法　对 2 43 2例上尿路结石患者的资料作回顾性分析。结果　单个的肾盂肾盏结石和Ⅰ类输尿管结石选择ESWL治疗 ;复杂性肾结石和Ⅱ、Ⅲ类输尿管结石选择开放性手术取石。结论　ESWL治疗后应积极处理石街 ,控制感染和最大限度地减轻医源性肾功能损害。开放性手术要认真提高手术技巧 ,放置内引流可减少术后并发症的发生 Objective To improve the diagnosis and treatment of upper urinary tract stones. Methods The data of 2 432 patients with upper urinary tract stones were retrospectively analyzed. Results Single renal pelvis calyceal calculus and type I ureteral calculi were selected for ESWL treatment. Complex renal calculi and type II and III ureteral calculi were selected for open surgery. Conclusion ESWL treatment should be actively treated stone street, infection control and minimize iatrogenic renal damage. Open surgery to seriously improve the surgical skills, placement of drainage can reduce the incidence of postoperative complications