【摘要】 目的：了解晚期胆管癌姑息胆道引流的治疗效果，探讨晚期胆管癌的治疗方法。方法：分析经胆道引流术治疗的晚期胆管癌３５例的临床资料。手术方式包括胆肠吻合术，胆肠置管搭桥引流，Ｕ管引流，单纯外引流，或两种术式联用。结果：７７．１％术后两周内血清总胆红素下降５０％以上。２２．９％出现术后早期并发症，手术死亡率１４．３％。术后随访：胆肠引流术９例，中位生存期１１．３个月。Ｕ管引流７例存活１年以上。单纯外引流３例术后３个月内死亡。结论：胆道引流术是治疗晚期胆管癌的一种有效方法，可获良好的姑息治疗效果。更多还原

【Abstract】 Objective: To evaluate the therapeutic effect of surgical biliary drainage for advanced bile duct cancer. Methods: The clinical data of 35 cases of advanced bile duct cancer undergone surgical biliary drainage were analysed retrospectively. The surgery for biliary drainage used in our series included bilioenteric anastomosis, internal biliary drainage with intubation method, u-tube drainage, external drainage, or in combination. Results: Total serum bilirubin levels of 27 patients (77. 1 % ) reduced over 50% in two weeks after operation. 8 patients (22. 9% ) had complications at early postoperative period. The operative mortality was 14. 3%. Median survival time of 9 patients received internal drainage was 11.3 months. 7 patients received u-bube drainage survived for more than one year. 3 patients received external drainage died with in 3months. Conclusion: Surgical biliary drainage plays an important role in relieving symptoms, improving quality of life and prolonging time of life for advanced bile duct cancer.更多还原