胆囊癌侵袭能力强,就诊时有20％～40％出现黄疸,在晚期胆囊癌黄疸发生率高达90％。梗阻性黄疸是胆囊癌较突出的临床问题,这种恶性胆管梗阻如不能解除,常由于进行性胆道梗阻并胆管炎致肝功能衰竭而加速死亡,预后很差。因此对于胆囊癌并胆道梗阻的病人应持积极的治疗态度,即使不能做到治愈性切除、姑息性手术,也应解决胆道梗阻性黄疸所导致的肝损害和全身性影响,从而提高病人的生存质量。 Invasion of gallbladder cancer is strong, treatment, 20% to 40% jaundice, jaundice in advanced gallbladder cancer incidence as high as 90%. Obstructive jaundice is more prominent clinical problems of gallbladder cancer, such malignant biliary obstruction if not relieved, often due to progressive biliary obstruction and cholangitis caused by liver failure and accelerated death, the prognosis is poor. Therefore, for patients with gallbladder cancer and biliary obstruction should take a positive attitude toward treatment, even if can not be cured, palliative surgery, but also should solve the biliary obstructive jaundice caused by liver damage and systemic effects, thereby enhancing the patient’s survival quality.