用自制的内支架管对１０例晚期胆道恶性梗阻患者作胆道涵管引流并肝动脉灌注化疗。结果胆道完全梗阻者均部分再通，血清总胆红质从（２２２±３０）μｍｏｌ／Ｌ降至（９７４±２９）μｍｏｌ／Ｌ，平均生存期８个月。术后内支架管脱落１例，涵管通而不畅３例，无严重并发症。结果表明，本治疗可缓解症状，延长生存期，提高生存质量。 Ten patients with advanced biliary malignant obstruction were treated with endobronchial drainage and hepatic arterial infusion chemotherapy with self-made stent. Results All biliary obstruction was partially recanalized. Total serum bilirubin decreased from (222 ± 30) μmol / L to (974 ± 29) μmol / L, with an average survival of 8 months. One case of stent ablation after surgery, C-pass and poor in 3 cases, no serious complications. The results show that the treatment can relieve symptoms, prolong survival and improve the quality of life.