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目的 总结19例肝泡状球蚴病致梗阻性黄疸，行超高位胆肠吻合术的治疗经验。方法 肝泡状球蚴病根治性切除12例（右半肝6例，左半肝4例，右三叶2例）。空肠与右肝管Roux-Y吻合4例。空肠与左肝管Roux-Y吻合8例，中肝叶姑息性切除7例，行空肠间置胆肠吻合。结果 18例泡型黄疸病人痊愈出院，1例术后发生胆肠瘘，死于肝肾综合征。16例坚持口服吡喹和甲苯咪唑。结论 泡型黄疸经泡肝根治性或姑息性切除，超高位胆肠吻合可改善肝功能，延长病人生存期限。

Report of 19 cases of obstructive jaundice of alveolar hydatid disease treated by hepatico-cholangiojejunostomy

Objective To summarize the experience of treating 19 cases of alveolar hydatid disease with obstructive jaundice by hepatic- cholangiojejunostomy in our hospital. Methods Radical hepatectomy performed in 12 cases (right hemihepatectomy in 6 cases,left hemihepatectomy in 4 cases,right three lobectomy of liver in 2 cases).Hepatojejunostomy was done by jejunum and right hepatic bile duct in 4 cases,hepatojejunostomy by jejunum and left hepatic bile duct in 8 cases.Palliative excision of middle lobe of liver in 7 cases.Results Eighteen cases were cured,in 1 case,anastomotic leakage occurred after operation,and died due to hepatic and renal failure after operation.Sixteen cases insisted taking Mebedazal or Abendazal.Conclusion After radical operation or palliative excision of alveoalr hydatid disease with jaundice,hepaticocholanje junostomy in super-high position can improve liver function,and prolong the suvival time.