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对４５例肝胆管结石合并肝胆管癌的临床资料进行了回顾性分析，本组结石伴发肝胆管癌的发生率为９．７％。术前确诊率仅为６．７％。４５例中高分化腺癌占７１．１％，肿瘤位于左、右肝管者占４０％。左肝外叶占３３．３％。切除肿瘤１８例，切除率为４０％，平均生存３２．４月；姑息性内引流１１例，平均生存１１．４月；胆道外引流１１例，平均生存５．３月。结果表明：结石刺激，继发感染是肝胆管癌发病的重要因素；肝胆管癌切除预后良好，姑息性内引流术的预后明显优于外引流术。
The clinical data of 45 patients with hepatolithiasis associated with hepatocholangiocarcinoma were retrospectively analyzed. The incidence of hepatocholangiocarcinoma in this group was 9.7%. The preoperative diagnosis rate was only 6.7%. Among the 45 cases, 71.1% were well-differentiated adenocarcinomas, and 40% were located in the left and right hepatic ducts. Left hepatic lobe accounted for 33.3%. 18 cases underwent tumor resection. The resection rate was 40%, and the average survival time was 32.4 months. Palliative internal drainage was performed in 11 cases with an average survival of 11.4 months. External biliary drainage was performed in 11 cases with an average survival of 5.3 months. The results showed that: stone stimulation, secondary infection is an important factor in the incidence of hepatobiliary cancer; hepatobiliary cancer resection prognosis is good, the prognosis of palliative internal drainage is significantly better than external drainage.