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上尿路梗阻性肾功能不全２２例，孤立肾结石１例；双侧肾结石１４例，合并一侧输尿管结石４例，双侧输尿管结石２例；单纯输尿管结石３例；先天性肾盂输尿管连接部狭窄１例；直肠癌、宫颈癌盆腔浸润输尿管共３例。行膀胱镜输尿管插管８例，后分别择期行肾切开取石或输尿管切开取石术，２例插管失败后急诊行输尿管切开取石；双肾造瘘５例，其中２例择期行肾盂、肾实质切开取石术；另外７例未行肾造瘘引流术者分别作择期肾切开取石４例或输尿管切开取石术３例；１７例血Ｃｒ、ＢＵＮ正常出院；４例血Ｃｒ、ＢＵＮ稍高于正常值。急性梗阻者应积极采取外科治疗，行输尿管逆行插管、肾穿刺造瘘或开放手术解除梗阻；慢性梗阻者宜首选透析治疗，待全身情况改善后择期手术治疗。
Upper urinary tract obstruction of renal insufficiency in 22 cases, isolated kidney stones in 1 case; bilateral kidney stones in 14 cases, combined with ureteral calculi in 4 cases, bilateral ureteral calculi in 2 cases; simple ureteral calculi in 3 cases; congenital pyeloureteric junction Department of stenosis in 1 case; rectal cancer, cervical cancer pelvic infiltration ureter in 3 cases. Cystoscopy ureter intubation in 8 cases, respectively, after elective nephrectomy or ureteral incision lithotomy, 2 cases of failed emergency catheter ureterotomy lithotripsy; double nephrostomy in 5 cases, of which 2 cases elective renal pelvis , Renal parenchyma cut lithotomy; the other seven cases without renal fistula draining were taken for elective kidney incision in 4 cases or ureterolithotomy in 3 cases; 17 cases of blood Cr, BUN normal discharge; 4 cases of blood Cr , BUN slightly higher than normal. Acute obstruction should be actively taken surgical treatment of retrograde ureteral catheterization, renal puncture fistula or open surgery to relieve obstruction; chronic obstruction should dialysis treatment of choice, until the general condition of the elective surgery.