目的探讨经腹腹腔镜手术治疗输尿管下石的临床疗效。方法对12例应用经腹腹腔镜手术治疗输尿管下段结石患者的临床资料进行回顾性分析。结果 12例均一期取出结石,术后3月复查尿路造影均示患肾积水减轻,肾图示患肾功能均有不同程度恢复。结论对反复ESWL、URL治疗失败的输尿管下段结石,经腹腹腔镜手术是一种创伤小、恢复快、痛苦小、安全、有效的治疗方法,可以代替开放输尿管切开取石术。 Objective To investigate the clinical effect of transabdominal laparoscopic surgery for ureteral calculi. Methods The clinical data of 12 patients who underwent transabdominal laparoscopic surgery for lower ureteral calculi were analyzed retrospectively. Results Out of the 12 cases, the stones were removed in one phase, and urinary tract angiography was performed in 3 months after operation to relieve the hydronephrosis. The renal function in the kidney showed different degrees of recovery. Conclusions Laparoscopic laparoscopic surgery is a less invasive, faster, less painful, safe and effective treatment for lower ureteral stones with failed ESWL and URL treatment. It may be an alternative to open ureterolithotomy.