不能切除的Ⅲ和Ⅳ期Bismuth型胆管癌的有效治疗报道极少。本研究评价光动力疗法对9例这样的病人的胆汁郁积、生活质量和生存率的影响。 方法 选择在内窥镜下植入支架后仍无足量胆汁排泄(胆红素下降<50％)的不能切除的Ⅲ和Ⅳ期 There are few reports of effective treatment of unresectable stage III and IV Bismuth cholangiocarcinoma. This study evaluated the effect of photodynamic therapy on cholestasis, quality of life, and survival in 9 patients. METHODS: Unselective bile excretion (bilirubin <50%) in the unresectable stages III and IV after stent implantation under endoscope