肝门部胆管癌多以黄疸为首发症状就诊,在综合性医院并不少见;然而,在基层医院,因其发病率低,早期误诊率较高,既延误了治疗,又严重影响了治疗效果,如何早期诊断,采取有效的治疗,更好地解除患者痛苦,延长生存期提高生活质量,仍然是肝胆外科在基层医院需要解决的难题。我院近十年(1988年10月～1998年10月)共收治肝门部胆管 Most of hilar cholangiocarcinomas are treated with jaundice as the first symptom, which is not uncommon in general hospitals; however, in the primary hospitals, due to low morbidity rate and high rate of misdiagnosis in the early stages, treatment delays and treatment effects are seriously affected. How to diagnose early, take effective treatment, better relieve patient suffering, prolong survival and improve quality of life are still problems that need to be solved in primary hospitals for hepatobiliary surgery. In our hospital for the last ten years (October 1988-October 1998), we have treated patients with hilar bile duct