患者男性，34岁。近半个月来反复出现右上腹钝痛，发作呈持续性。入院前一天突然出现持续性石上腹剧痛，进行性加重，向右侧腰背部放射。无发热、尿频、尿急、尿痛及血尿。体检见右肾区饱满，可触及一包块，边界清，表面平滑，质地中等。活动度差，不随呼吸上下活动。有压痛及 Patient male, 34 years old. Nearly half a month to repeatedly appear dull right upper quadrant pain, the onset was sustained. Suddenly appeared on the day before admission stone persistent abdominal pain, progressive increase in radiation to the right lower back. No fever, frequent urination, urgency, dysuria and hematuria. Physical examination showed right kidney area full, palpable mass, border clear, smooth surface, medium texture. Poor activity, not with the breath up and down activities. Have tenderness and