33例Mirizzi综合征手术治疗分析  

Surgical treatment of mirizzi syndrome:analysis of 33 cases.

作　　者：周旭 易继林[1] 陈强谱[2] 邢雪[2] 欧琨[2] 

机构地区：[1]华中科技大学同济医学院附属同济医院普外科,武汉430030 [2]滨州医学院附属医院肝胆外科,滨州256603

出　　处：《中国实用外科杂志》2002年第4期234-236,共3页Chinese Journal of Practical Surgery

摘　　要：目的　探讨Mirizzi综合征的病理特点 ,总结新的、合理的诊断与治疗方法。方法　对所收集的经手术证实的 33例Mirizzi综合征进行回顾性分析。结果　 33例均采用手术治疗 ,手术方式分别采用胆囊大部分切除、胆囊切除、胆囊切除加胆总管或肝总管探查或胆肠内引流术。其中 2 8例获随访 ,随访时间 2～ 5年 ,痊愈 2 2例 ,良好 5例 ,欠佳 1例。结论　Mirizzi综合征病理类型不一 ,术前诊断困难 ,需借助多种影像学技术。对不同病理类型的Mirizzi综合征应采取不同的手术方法。Objective To discuss pathologic feature and summarize a new,rational diagnosis and treatment for Mirizzi syndrome.Methods Clinical data of 33 cases of Mirizzi syndrome surgically-proved were retrospectively analyzed.Results All the 33 cases were treated by surgical operation.The operations included partial cholecystectomy,cholecystectomy,cholecystectomy+common bile duct or common hepatic duct exploration,T tube drainage and choledochojejunostomy.Among the 33 cases,28 cases were followed up for 2～5years.The results were excellent in 22 cases,good in 5 cases and poor in 1 case.Conclusion The pathologic type of Mirizzi syndrome is diversified.It is difficult to diagnose before operation.To make a definite diagnosis,varied imaging technique should be adopted.Different treatment should be used according to its pathologic type.

关 键 词：MIRIZZI综合征 梗阻性黄疸 外科手术 

分 类 号：R657.4[医药卫生—外科学]