有症状的肾盏憩室通常采用手术治疗,近年来有少数关于经皮途径治疗肾盏憩室内结石和感染的报道,Ellis报道12例治疗经验,着重评价经皮治疗方法的安全性及有效性。男性3例,女性9例,均为成年人,临床症状包括反复尿路感染,胁痛及肉眼血尿等。所有患者经逆行或顺行肾盂造影证实为Ⅰ型肾盏憩室,2例憩室内结石曾行ESWL治疗无效。憩室大小8×10mm～25×48mm,10例憩室内含有单发多个结石,直径2～27mm,2例有感染。经皮操作在局麻或静脉麻醉后于x光引导下进行,肾切开术后,9例结石患者直接行憩室穿刺,然 Surgical treatment of symptomatic calyceal diverticula is usually performed. In recent years, there have been a few reports of perineal calculus stones and infections in the perineal canal. Ellis reported 12 cases of treatment experience, focusing on the evaluation of the safety and efficacy of percutaneous treatment. 3 males and 9 females, all of whom were adults. Clinical symptoms included recurrent urinary tract infections, hypochondriac pain and gross hematuria. All patients were retrograde or concurrent pyelography confirmed type Ⅰ calyceal diverticulum, 2 cases of diverticula stones have ESWL treatment ineffective. Diverticulum size 8 × 10mm ~ 25 × 48mm, 10 cases diverticulum contains a single multiple stones, diameter 2 ~ 27mm, 2 cases of infection. Percutaneous operation in local anesthesia or intravenous anesthesia in the x-ray guidance, after the nephrectomy, 9 cases of stone directly diverticulum puncture, however