目的:观察微创治疗急性输尿管结石梗阻合并严重感染的临床治疗效果。方法 :选取2012年3月-2014年9月本院收治的急性输尿管结石梗阻合并严重感染的患者80例,对患者进行积极的抗感染、电解质纠正以及败血症纠正治疗,同时采用膀胱镜进行逆行的插管引流或者在超声指导下做相应的经皮肾细针的穿刺引流置管治疗,同时患者在感染病症有效控制后进行输尿管镜下指导的碎石以及相应的体外冲击波碎石治疗。结果:15例患者进行膀胱镜下逆行插管成功,65例患者进行超声图像指导下的经皮肾微创穿刺,所有患者均一次穿刺成功,穿刺成功率为100%,手术过程中可见浑浊的脓性尿液渗出,所有患者在术后均无气胸、肾周血肿以及腹腔脏器损伤的并发症发生,术后4周内结石均全部排尽,患者在术后6个月的复查显示其肾功能均恢复正常。结论:在输尿管结石梗阻合并严重感染的临床治疗中采用微创治疗能够降低并发症的发生率,同时具有较好的术后恢复效果。 Objective: To observe the clinical effect of minimally invasive treatment of acute ureteral obstruction complicated with severe infection. Methods: Eighty patients with acute ureteral obstruction and severe infection admitted to our hospital from March 2012 to September 2014 were selected and positive anti-infection, electrolyte correction and correction of sepsis were performed. At the same time, retrograde cystoscopy Intubation or under the guidance of ultrasound to do the corresponding percutaneous needle puncture drainage catheter treatment, while patients with effective control of the infection after ureteroscopic guidance of the gravel and the corresponding extracorporeal shock wave lithotripsy. Results: 15 patients underwent retrograde cystoscopy retrograde intubation. 65 patients underwent percutaneous renal microinvasive puncture under the guidance of ultrasound images. All the patients were successfully punctured at one time. The puncture success rate was 100%. Visible turbid during operation Pus purulent urine exudation, no pneumothorax, peritoneal hematoma, and complications of abdominal viscera occurred in all patients. All stones were drained within 4 weeks after operation, and the patients were reviewed after 6 months Their renal function are back to normal. Conclusion: The minimally invasive treatment in the clinical treatment of ureteral calculi obstruction and severe infection can reduce the incidence of complications, and has good postoperative recovery.