Purpose:To assess the feasibility and available of 4 different ways to develop renal tract percutaneous nephrolithotomy.Method:116 cases with calculus of upper urinary tract were reported. 65 cases were established the renal tract of percutaneous nephrolithotomy guided by the portable fluoroscopic imaging system, and 35 cases by ultrasound B. 16 cases were established the renal tract of percutaneous nephrolithotomy by direct puncture, and 4 cases were established the renal tract of percutaneous nephrolithotomy by a small incisions.Result:112 cases were successfully established the renal tract of percutaneous nephrolithotomy, and 4 cases were failed. The rate of residual stone was 15.2. The average length of stay is 6.5 days.Conclusion:The different way can be used in different situation.