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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。
Objective: To understand the therapeutic effects of palliative biliary drainage in advanced bile duct cancer and explore the treatment of advanced cholangiocarcinoma. Methods: The clinical data of 35 patients with advanced cholangiocarcinoma treated with biliary drainage were analyzed. Surgical methods include biliary-enteric anastomosis, biliary bowel bypass, U-tube drainage, external drainage, or two surgical procedures. Results: 77.1% of total serum bilirubin decreased by more than 50% within two weeks after operation. 22.9% had early postoperative complications and the operative mortality rate was 14.3%. Postoperative follow-up: 9 cases with biliary bowel drainage had a median survival of 11.3 months. U tube drainage in 7 cases survived for more than 1 year. Simple external drainage in 3 cases died within 3 months after operation. Conclusion: Biliary drainage is an effective method for the treatment of advanced cholangiocarcinoma and can be used as a good palliative treatment.