肝内胆管的乳头状瘤临床上较为罕见,其病因目前尚不十分明确。尤其是无特异症状,使术前诊断率几乎为零。近十年来我们共治疗5例,在治疗上取得了一定的经验,现总结如下。1.典型病例例1　女,5 6岁,务农。因胆道T管引流术后6个月,不能夹管入院检查。病人2年前因腹痛、发热、黄疸诊 Intrahepatic biliary papilloma is relatively rare clinical, the etiology is not yet very clear. In particular, no specific symptoms, the preoperative diagnosis rate is almost zero. In the past ten years, we treated a total of 5 cases and gained some experience in the treatment. The results are summarized as follows. A typical case 1 female, 56 years old, farming. Due to biliary drainage after 6 months, T tube can not be checked for admission. Two years ago, the patient was diagnosed with abdominal pain, fever and jaundice