Mirizzi综合征33例诊治体会  

Diagnosis and Management of Mirzzi's Syndrome: Analyses of 33 Cases

作　　者：李先松[1] 董学兴[1] 丁宝华[1] 朱小友[1] 

机构地区：[1]安徽省怀宁县人民医院,246100

出　　处：《实用全科医学》2005年第6期539-539,共1页Applied Journal Of General Practice

摘　　要：目的探讨Mrizzi综合征的病理特点,诊断和治疗。方法回顾性分析33例经手术证实的Mrizzi综合征病人的临床资料。结果33例病人中Ⅰ型24例、Ⅱ型5例、Ⅲ型3例、Ⅳ型1例。术前初步诊断14例,术时诊断19例。分别行胆囊切除或部分切除24例,胆囊胆管瘘口修补,胆管切开T管引流术5例,肝总管或胆总管与空肠Roux-en-Y吻合4例。均治愈。结论B超是诊断Mirzzi综合征首选的检查方法,ERCP、MRCP有助于提高术前诊断率。手术方式应依据病理分型而定。Objective To investigate the pathologic character, diagnosis and treatment of Mirzzi＇s syndrome, Methods Clinical data of 33 cases with Mirzzi＇s syndrome proved surgically was retrospectively analyzed . Results Among 33 cases, 24 cases were type Ⅰ , 5 cases type Ⅱ , 3 cases type Ⅲ, and 1 case type Ⅳ. 14 cases were diagnosed before operation, 19 cases were diagnosed in surgical treatment. 24 cases underwent cholecystectomy or partly cholecystectomy, 5 cases underwent cholecyst or bile duct fistula repair and T shape tube drainage, 4 cases underwent common bile duct or common hepatic duct to jejunurn Roux- en- Y anastomosis. All patients were cured. Conclusions B- type ultrasonography is preferred in multifarious detection methods for Mirzzi＇s syndrome, ERCP and MRCP should improve the diagnostic accordance rate. The operative pattern should be selected appropriately according to the type of Mirzzi＇s syndrome,

关 键 词：MIRIZZI综合征 T管引流术 B超检查 胆囊切除术 胆结石 胆囊萎缩 

分 类 号：R657.4[医药卫生—外科学]