Strong echogenic spot in both kidneys usually suggests the possibility of renal calcification foci or renal stones, and the treatments include medication (lithotripsy granules), extracorporeal shock wave lithotripsy, percutaneous nephrolithotripsy lithotripsy and lithotripsy. 1. Drug treatment: if the stone is less than 0.6cm and the surface is smooth, or if there is no obstruction in the urinary tract below the stone, drug treatment can be used to remove the stone (e.g. lithotripsy granules, tamsulosin, etc.). 2. Extracorporeal shock wave lithotripsy: renal stones and upper ureteral stones with a diameter of less than 2cm can be treated with extracorporeal shock wave lithotripsy. If there is distal urinary tract obstruction or urinary tract infection, this method is not applicable. 3. Percutaneous nephrolithotripsy: For renal stones that are not effectively treated by conservative therapy, percutaneous nephrolithotripsy can be tried, including complete and incomplete staghorn calculi, and renal stones larger than or equal to 2cm. For simple foci of renal calcification, if they do not cause other uncomfortable symptoms such as hydronephrosis, they can be reviewed regularly. If the examination result shows strong echogenic spots in both kidneys, you should consult the urology department of regular hospitals in time, and standardize the treatment at an early stage under the guidance of professional doctors, so as to improve the prognosis and reduce the complications.