肝内胆管结石合并胆管癌临床少见 ,术前难以确诊。本文收集我院 1990年以来 11例临床资料 ,结合文献分析如下。1　临床资料1.1　一般资料　本组男 7例 ,女 4例 ;年龄 38～ 6 1岁 ,平均 54岁。既往有明确胆石症病史者 9例 ,分别为 8～2 1年 ,其中 4例有胆道手术史。1.2　临床表 Intrahepatic bile duct stones associated with bile duct cancer are rare and difficult to diagnose before surgery. This article collected 11 cases of clinical data since 1990 in our hospital, combined with literature analysis as follows. 1 Clinical data 1.1 General information The group of 7 males and 4 females; aged 38 to 61 years old, average 54 years old. There were 9 patients with a history of definitive cholelithiasis, 8 to 21 years old, of which 4 had history of biliary surgery. 1.2 clinical table