双侧上尿路结石合并积水、肾功能不全的治疗较为困难,特别是肾功能受损较重时,常需先行血液透析,待全身状况改善后,方能进行手术治疗。但基层医院设备条件有限,治疗此类患者更为困难,如处理不当,可危及生命。我院近7年来共收治双侧上尿路 Bilateral upper urinary tract stones with hydrothorax, the treatment of renal insufficiency more difficult, especially when the renal function is impaired, often require hemodialysis, until the general condition improved, before surgery. However, due to limited equipment conditions in primary hospitals, it is even more difficult to treat such patients. If they are handled improperly, they can be life-threatening. Nearly 7 years in our hospital admitted to the bilateral upper urinary tract