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探讨阻塞性黄疸的病因及诊断。方法对１２０４例阻塞性黄疸进行临床分析。结果良性梗阻９７０例（８１％），其中胆总管结石９５２例，胆总管狭窄１２例，Ｏｄｄｉｓ括约肌狭窄４例；恶性梗阻２３４例，其中胆管癌９９例，胰头癌７７例，十二指肠乳头癌３４例，胆囊癌１４例，肝癌１０例，胆总管囊肿１例，十二指肠结核１例。结论对阻塞性黄疸，通过Ｂ超、ＣＴ、经皮肤肝穿刺胆管造影术、内窥镜逆行胰胆管造影术等检查，了解阻塞部位、病因及诊断
To explore the etiology and diagnosis of obstructive jaundice. Methods 1204 cases of obstructive jaundice were analyzed. Results A total of 970 patients (81%) had benign obstruction, including 952 cases of common bile duct stones, 12 cases of choledocholithiasis stenosis and 4 cases of Oddis sphincter stenosis. 234 cases of malignant obstruction including 99 cases of cholangiocarcinoma, 77 cases of pancreatic head cancer and duodenal 34 cases of papillary carcinoma, 14 cases of gallbladder cancer, 10 cases of liver cancer, 1 case of choledochal cyst and 1 case of duodenal tuberculosis. Conclusion Obstructive jaundice, through B-ultrasound, CT, percutaneous transhepatic cholangiography, endoscopic retrograde cholangiopancreatography and other tests to understand the obstruction, etiology and diagnosis