本文报道北京6个医院自1964～1987年经手术探查及活检病理确诊的胆管癌85例,无一例属早期,切除率低(16.5％),为了改善预后,应争取早期诊断.本组2/3病例首发症状是上腹痛、饱胀、食欲不振等.我们认为重视上述黄疸前期症状并应用B型超声检查,对早期诊断胆管癌可能有帮助. This article reports 85 cases of cholangiocarcinoma confirmed by surgical exploration and biopsy in 6 hospitals in Beijing from 1964 to 1987. No case is early, and the resection rate is low (16.5%). In order to improve the prognosis, early diagnosis should be sought. The first symptoms in the 3 cases were epigastric pain, fullness, loss of appetite, etc. We believe that the emphasis on the early symptoms of jaundice and the use of B-mode ultrasonography may be helpful in the early diagnosis of bile duct cancer.