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目的 回顾性分析恶性梗阻性黄疸患者的介入治疗方法及近期疗效。方法62例患者,其中肝癌7例,胆囊癌10例,胆管癌15例,胰腺癌17例,肝门部转移癌13例。43例行内外引流,19例放置了胆道支架。结果 黄疸消退明显55例,不明显7例。内外引流者血清总胆红素由（450.12±113.51）μmol/L降至（240.25±107.81）L（1周）-（90.91±101.72）μmol/L（2周）。胆道内支架置入者由（410.53±98.13）μmol/L降至（270.23±115.64）μmol/L（1周）-（105.43±97.85）μmol/L（2周）。内外引流与内支架置入疗效无明显差别,早期并发症29例,死亡7例。结论 介入治疗恶性梗阻性黄疸方法简单、安全、疗效肯定。
Objective To retrospectively analyze the interventional therapy and its short-term curative effect in patients with malignant obstructive jaundice. Methods Totally 62 patients were diagnosed as liver cancer in 7 cases, gallbladder cancer in 10 cases, cholangiocarcinoma in 15 cases, pancreatic cancer in 17 cases and hilar metastasis in 13 cases. 43 cases of internal and external drainage, 19 cases placed biliary stent. Results jaundice subsided obviously 55 cases, not obvious in 7 cases. Serum total bilirubin decreased from (450.12 ± 113.51) μmol / L to (240.25 ± 107.81) L (1 week) to (90.91 ± 101.72) μmol / L for two weeks. Biliary stent placement from (410.53 ± 98.13) μmol / L to (270.23 ± 115.64) μmol / L (1 week) - (105.43 ± 97.85) μmol / L for 2 weeks. Internal and external drainage and stent placement effect no significant difference in early complications in 29 cases, 7 cases of death. Conclusion Interventional treatment of malignant obstructive jaundice is simple, safe and effective.