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目的：探讨肝内胆管细胞癌的诊断学特点及鉴别诊断，讨论合理的手术方式。方法：回顾性分析自1990年至1995年经我院手术证实的20例肝内胆管细胞癌的临床资料。结果：CT检查19例，B超检查20例，均有不同程度肝内胆管扩张、肝内占位性病变。手术切除9例（45％），姑息性手术10例（55％），单纯剖腹探查1例。结论：CT、B超及肝功能检查相结合明显提高术前诊断率。合理的手术方式包括根治切除及适当的扩大切除。
Objective: To investigate the diagnostic characteristics and differential diagnosis of intrahepatic cholangiocarcinoma, and to discuss a reasonable surgical approach. Methods: The clinical data of 20 cases of intrahepatic cholangiocarcinoma confirmed by surgery in our hospital from 1990 to 1995 were retrospectively analyzed. Results: CT examination 19 cases, B-ultrasound examination of 20 cases, all have different degrees of intrahepatic bile duct dilatation, intrahepatic space-occupying lesions. Surgical resection was performed in 9 cases (45%), palliative operation in 10 cases (55%), and simple laparotomy in 1 case. Conclusion: The combination of CT, B-ultrasound and liver function tests significantly improves the preoperative diagnosis rate. Reasonable surgical methods include radical resection and appropriate extended resection.