目的　探讨以阻塞性黄疸为首发症状的肝癌病人的临床特征及治疗方法。方法　收集原发性肝癌侵犯胆管病人 39例 ,对其临床特征及诊断、治疗方法进行了分析。结果　此类患者占肝癌病人的比例为 6 .3 % ,全部病人均进行了手术治疗。B型超声及CT检查的阳性率分别为88.2 %和 80 .0 % ,合并门静脉癌栓者为 48.7%。结论　本病的主要诊断依据为影像学检查结果 ;主要手术方式为肝叶切除及胆管引流 Objective To explore the clinical features and treatment of liver cancer patients with obstructive jaundice as the first symptom. Methods 39 cases of primary hepatocellular carcinoma invading bile ducts were collected. Their clinical characteristics, diagnosis and treatment methods were analyzed. Results The proportion of such patients in liver cancer patients was 6.3%. All patients were treated with surgery. The positive rates of B-mode ultrasound and CT were 88.2% and 80.0%, respectively, and 48.7% were associated with portal vein tumor thrombosis. Conclusion The main diagnosis of the disease is based on imaging findings; the main surgical methods are hepatectomy and bile duct drainage.