Mirizzi综合征患者的临床病理特征及外科治疗方案的选择分析  

作　　者：姚俊 周宁杰 

机构地区：[1]上饶市第五人民医院肝胆外科,江西334000

出　　处：《当代医学》2016年第31期39-40,共2页Contemporary Medicine

摘　　要：目的研究Mirizzi综合征患者的临床病理特征及外科治疗方案选择。方法将Mirizzi综合征患者患者72例作为研究对象,其中术前诊断患者为36例(术前组),术中诊断患者36例(术中组),观察2组患者主要临床症状以及治疗效果。结果对比2组患者临床症状、中转开腹例数以及手术类型情况,结果显示差异无统计学意义。此外术前组患者并发症发生率显著低于术中组,差异有统计学意义(P<0.05)。结论对Mirizzi综合征患者实施腹腔镜治疗能够显著改善Mirizzi综合征患者Ⅰ、Ⅱ型患者各临床症状,有效减少并发症的发生,且进行术前明确诊断能够明显降低并发症的发生率,提高手术的疗效。Objective To study chose analysis of clinical pathological features and surgical treatment options for patients with Mirizzi syndrome.Methods 72 cases of Mirizzi syndrome patients were taken as the research object, preoperative diagnosis patients had 36 cases （preoperative group）, intraoperative diagnosis patients had 36 patients （operation group）. The main clinical symptoms and therapeutic effect of the two groups were observed.Results Compared with the two groups of patients with clinical symptoms, conversion to open surgery and the number of types of surgery, the results showed that there was no signiifcant difference in Statistics. In addition, the incidence of complications of preoperative group was signiifcantly lower than that of operation group, the difference was statistically signiifcant （P〈0.05）.Conclusion Laparoscopic treatment of Mirizzi syndrome can signiifcantly improve the clinical symptoms of patients with Mirizzi syndrome, effectively reduce the incidence of complications, and preoperative diagnosis can signiifcantly reduce the incidence of complications, can improve the curative effect of operation.

关 键 词：Mirizzi综合征患者 临床特征 手术 

分 类 号：R657.42[医药卫生—外科学]