目的 :探讨巨大鹿角状肾结石的手术方法。方法 :对采用肾窦内肾盂加肾后下段联合切开方法治疗的6 6例巨大鹿角状肾结石患者的临床资料进行分析。结果 :取出结石最大为 7.5 cm× 4.3cm× 3.1cm ,最多的 1例有结石 117枚。术中不需阻断肾蒂 ,平均术中出血约 2 80 ml,手术耗时约 10 0 min。 37例术后复查 B超或 KUB平片 ,5例有肾内残石 ,但直径均小于 1.0 cm。结论 :本术式具有手术操作简单、易掌握 ,取石方便 ,出血少等优点 ,是处理巨大鹿角状肾结石的良好术式 Objective: To explore the surgical method of huge antler kidney stones. Methods: The clinical data of 66 patients with huge staghorn nephrolithiasis treated with intrarenal renal pelvis and kidney combined with posterior approach were analyzed. Results: The largest stone removed was 7.5 cm × 4.3 cm × 3.1 cm, and the largest one had 117 stones. Intraoperative need to block the renal pedicle, the average intraoperative bleeding of about 2 80 ml, the operation takes about 10 0 min. Thirty-seven patients underwent B-mode ultrasonography or KUB radiography. Five patients had intra-renal residual stones but the diameters were less than 1.0 cm. Conclusion: This procedure has the advantages of simple operation, easy to grasp, easy to take stone, less bleeding and so on. It is a good surgical method to deal with huge staghorn kidney stones