12例晚期恶性梗阻性黄疸病人经剖腹手术中置放塑料内支架行胆道引流术 ,与同期行胆肠内引流术的 2 0例患者比较术后效果。所有病人均痊愈出院 ,两组病人术后退黄效果无差异 ,但内支架治疗组的术后并发症较少 (P <0 .0 5 ) ,住院时间较短 (P <0 .0 5 )。剖腹手术中置内支架行胆道引流是治疗晚期恶性梗阻性黄疸的一种简便、有效、并发症少的姑息性手术方法。 Twelve patients with malignant obstructive jaundice underwent laparotomy with plastic stent in the laparotomy for cholangiography and 20 patients with choledochojejunostomy in the same period. All patients were cured and discharged. There was no difference between the two groups after operation. However, there were fewer postoperative complications (P <0.05) and shorter hospital stay (P <0.05) . Cesarean section in the stent placement of biliary drainage is a simple, effective, less palliative surgical treatment of advanced malignant obstructive jaundice.