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目的：观察与评价肝内肝管空肠吻合术治疗恶性肝门部胆管梗阻的减黄效果。方法：切除部分肝左外侧叶，解剖出左外下段支肝管或切除右前叶下段部分肝组织，解剖出右前下段支肝管与空肠行Roux－y吻合。结果：有效减黄率，95．0％，肝内胆管回缩率81．4％，早期合并发生例数，1／10例，黄疸再发率，0，平均生存期246天。结论：肝内肝管空肠吻合术对于不能切除的恶性肝门部胆管梗阻是确实可行的治疗方法。
Objective: To observe and evaluate the effect of intrahepatic hepaticojejunostomy on the reduction of malignant hilar bile duct obstruction. Methods: Part of the left lateral lobe was resected, the left subdural segment was dissected, or the part of the right hepatic segment was resected. The Roux-y anastomosis of the right anterior segment and the jejunum was performed. Results: The effective reduction of yellowness, 95.0%, intrahepatic bile duct retraction rate of 81.4%, the number of cases of early merger, 1/10 cases, jaundice recurrence rate, 0, the average survival time of 246 days. Conclusion: Intrahepatic hepaticojejunostomy is a feasible and feasible method for the treatment of unresectable malignant hilar bile duct obstruction.