本文对肾结核与尿路结石并存患者34例进行分析,男21例,女13例,平均年龄35.5岁。病程3～4年,最长达21年。临床表现多样性,诊断困难,平均在初诊后1.5年后经腹部平片、尿路造影及手术后病理检查才获确诊。结核病变、部位和结石大小分布情况不一,结合病损程度及肾功能情况采取适当的处治方法才能提高对本病的诊治水平。 In this paper, renal tuberculosis and urinary tract stones coexist in 34 patients were analyzed, 21 males and 13 females, with an average age of 35.5 years old. Duration of 3 to 4 years, up to 21 years. The clinical manifestations of diversity, the diagnosis is difficult, on average, 1.5 years after the first diagnosis of abdominal plain film, urography and postoperative pathological examination was diagnosed. Tuberculosis, location and size distribution of stones vary, combined with the extent of lesions and renal function to take appropriate treatment methods to improve the diagnosis and treatment of the disease.