【摘要】 目的 总结晚期肝门胆管癌减黄治疗的经验。方法 对61例晚期肝门胆管癌施行不同的内引流术并进行分析及随访。结果 术后并发应激性溃疡出血28例，无胆瘘及腹腔感染，无死亡病例。术后2周黄疸明显减轻42例，完全消失10例。随访53例，术后生存期最短4个月，最长45个月，至今存活5例，生存期分别达19、17、10、9和4个月。结论 减黄手术可改善病人的生活质量，为其他治疗创造条件;术前影像学检查为术式的选择提供直接的依据;术式选择视患者营养状况及梗阻部位和术中探查情况而定;置管架桥内引流术操作简单，肝断面空肠Roux-Y吻合减黄效果好。

    关键词 晚期肝门胆管癌 手术 内引流

    Treatment of jaundice in patients with advanced hilar cholangiocarcinoma by operation

    Li Yunfu，Shao Junqing，Deng Donghai

    Department of General Surgery，The People’s Hospital of Qiaotou，Dongguan City，Guangdong523538.

    【Abstract】 Objective To summarize the experience on treating jaundice in patients with advanced hilar cholangiocarcinoma(AHCC)by operation.Methods 61cases with AHCC who underwent different internal drainage operation respectively were analyzed，admitted to our hospital from Jan.1997to Dec.2003.53cases of them were folˉlowed up after operation.Results Above all cases ......