报道并分析以梗阻性黄疸为表现的肝细胞癌的临床特点及治疗方法。回顾分析 1 7例病人的影像学表现、误诊原因、治疗方式。 1 7例病人经不同手术方法治疗 ,无死亡手术病例 ,术后随诊 1 7例存活时间均超过1年 ( 0 /1 7) ,其中 2、3、5年存活率分别为 47% ( 8/1 7)、2 9% ( 5 /1 7)和 5 .9% ( 1 /1 7)。提高对此类病人的认识 ,早期明确诊断 ,争取病灶切除是提高病人存活率的重要方法。 Reported and analyzed the clinical features and treatment of hepatocellular carcinoma manifested by obstructive jaundice. A retrospective analysis of imaging manifestations of 17 patients, causes of misdiagnosis, treatment. Seventeen patients were treated by different surgical methods and no death was found. All the patients were followed up for more than 1 year (0/17), and the survival rates at 2, 3 and 5 years were 47% (8 / 1 7), 29% (5/1 7) and 5.9% (1/1 7). Improve the understanding of such patients, an early diagnosis, for focal resection is an important way to improve the survival rate of patients.