晚期胆、胰管癌常伴有重度梗阻性黄疸 ,还可发生急性胆管炎 ,且相当部分高龄患者伴有严重心、肺、肝、肾、糖尿病等并发症 ,处理颇感困难。我们自1 994年 5月至 1 999年 1 2月采用胆道内引流术治疗难以切除的胰、胆管癌 45例 ,效果较为满意 ,报告如下。1　临床资料1 .1　一般资 Late gall bladder, pancreatic duct often accompanied by severe obstructive jaundice, but also the occurrence of acute cholangitis, and a considerable number of elderly patients with severe heart, lung, liver, kidney and other complications, the treatment is quite difficult. We from May 1994 to January 1999 12 months biliary drainage in the treatment of difficult to remove 45 cases of pancreatic and cholangiocarcinoma, the effect is more satisfactory, the report is as follows. 1 clinical data 1 .1 general information