带蒂胆囊瓣转移修复Mirizzi综合征Ⅱ、Ⅲ型胆管缺损  

Repair of biliary duct defect in type Ⅱ,Ⅲ Mirizzi syndrome with pedicle gallbladder flap

作　　者：刘亚光[1] 严琦敏[1] 王小林[1] 宋波[1] 蒋江环[1] 

机构地区：[1]解放军三二三医院肝胆外科,西安710054

出　　处：《中国实用外科杂志》2005年第7期423-424,共2页Chinese Journal of Practical Surgery

摘　　要：目的探讨对Mirizzi综合征实施临床合理有效的手术方法。方法自1996年9月至2004年2月采用带蒂胆囊瓣转移修复Mirizzi综合征Ⅱ、Ⅲ型胆管缺损16例,术后T管支撑3～6个月,胆道造影通畅。结果所有病人恢复良好,随访4～96个月,无并发症发生。结论带蒂胆囊瓣转移修复Mirizzi综合征Ⅱ、Ⅲ型胆管缺损,是保持胆道生理功能完整的有效方法。Objective To explore the reasonable and effective surgical methods of Mirizzi syndrome.Methods From September,1996 to February,2004,16 patients with biliary duct defect in type Ⅱ,Ⅲ Mirizzi syndrome were treated by pedicle gallbladder flap.Postoperative T-tube sustention lasted 3-6 months.Results All patients got well.The follow-up lasted 4-96 months,none of complications occurred.Conclusion Repair of biliary duct defect in typeⅡ,Ⅲ Mirizzi syndrome with pedicle gallbladder flap is an effective method to keep the biliary duct physiological function integrity.

关 键 词：MIRIZZI综合征 胆石症 胆管缺损 带蒂胆囊瓣 Ⅱ型 Ⅲ型 MS 胆总管 手术方法 

分 类 号：R575.62[医药卫生—消化系统]