目的探讨晚期恶性梗阻性黄疸减黄、保肝的处理方式。方法回顾性分析我科2008年1月至2009年10月期间收治的80例恶性梗阻性黄疸患者,根据肿瘤部位、患者身体、经济条件等确定无法行根治性手术者,采用不同的减黄术式。结果本组80例患者中,9例行PTCD,42例行PTBS,29例行ERBD。并发症发生情况:PTBS组有15例,ERBD组6例,PTCD组2例。PTCD组的住院时间和住院费用明显低于PTBS组和ERBD组(P<0.05)。结论晚期恶性梗阻性黄疸,一经确诊,尽早处理,微创引流减黄是首选方式。 Objective To investigate the treatment of late malignant obstructive jaundice by reducing yellow and protecting the liver. Methods A retrospective analysis of 80 patients with malignant obstructive jaundice admitted from January 2008 to October 2009 in our department was conducted according to the location of the tumor, the body and economic conditions of the patients and so on. formula. Results Among the 80 patients in this study, 9 patients underwent PTCD, 42 patients underwent PTBS and 29 patients underwent ERBD. Complications occurred in 15 cases in PTBS group, 6 cases in ERBD group and 2 cases in PTCD group. The hospital stay and hospitalization costs in PTCD group were significantly lower than those in PTBS group and ERBD group (P <0.05). Conclusions Advanced malignant obstructive jaundice, once diagnosed, treated as soon as possible, minimally invasive drainage of yellow is the preferred method.