恶性梗阻性黄疸是指由胰胆系统肿瘤引起胆道梗阻所致的黄疸。由于多数病例就诊时肿瘤已难以切除,只能行减黄手术。外流术弊病较多,多主张内引流术。但传统的内引流术也有困难。作者自1991年开始采用间置T管胆肠架桥内引流术治疗晚期恶性梗阻性黄疸18例,取得良好疗效,现报道如下。 Malignant obstructive jaundice refers to jaundice caused by biliary obstruction caused by pancreaticobiliary system tumors. Because most cases are difficult to remove when they are seen, they can only undergo yellow reduction surgery. There are many disadvantages of drainage surgery, and many advocate internal drainage. However, traditional internal drainage is also difficult. Since 1991, the authors have used internal T-tube biliary bypass to treat 18 patients with advanced malignant obstructive jaundice and achieved good results. The following are reported.