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为观察内窥镜技术治疗双侧上尿路结石伴肾功能不全的临床疗效，对５２例双侧上尿路结石伴慢性肾功能不全患者进行双侧同期内窥镜技术处理（窥镜组），同时采用双侧分期开放手术治疗双侧上尿路结石伴慢性肾功能不全４３例（手术组），结果两组术后肾功能均有改善，而窥镜组并发症发生率较低。提示对双侧上尿路结石伴肾功能不全者可采用对机体创伤少的内窥镜技术，在条件允许时，可双侧同期处理。认为在腔内技术处理失败后仍可再行开放手术。
In order to observe the clinical efficacy of endoscopic treatment of bilateral upper urinary tract calculi with renal insufficiency, 52 patients with bilateral upper urinary tract calculi accompanied by chronic renal insufficiency underwent bilateral endoscopic treatment (endoscopy group) , While bilateral staging open surgery for bilateral upper urinary tract stones with chronic renal insufficiency in 43 cases (surgery group), the results of postoperative renal function improved in both groups, while the complication rate of the lower endoscopic group. Tip on the bilateral upper urinary tract stones with renal insufficiency may use less endoscopic trauma on the body, when conditions permit, bilateral treatment can be synchronized. That the cavity fails to deal with the technical treatment can be reopened after surgery.