Conclusions Being an effective method to treat the malignant biliary duct obstruction, the tertiary hepatiocjejunostomy takes PTBD,ERBD and EMBE at vantage.

• 结论肝内三级肝管空肠吻合术对于不能切除的恶性肝门部胆管梗阻是确实可行的治疗方法，其减黄效果优于PTBD、ERBD和EMBE。