Mirizzi综合征的诊治进展  

Progress in diagnosis and treatment of Mirizzi syndrome

作　　者：于朋涛 孙海军[1] 李之拓[1] 王鹏飞 白晓东 YU Pengtao;SUN Haijun;LI Zhituo(Department of Minimally Invasive Biliary Surgery,the First Affiliated Hospital of Harbin Medical University,Herbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院微创胆道外科

出　　处：《临床外科杂志》2019年第8期721-723,共3页Journal of Clinical Surgery

摘　　要：Mirizzi综合征是胆囊结石的特殊类型,发病率低,临床上比较少见。该病临床表现缺乏特异性,术前诊断困难,大多数病人是在术中得以确诊。该病多存在解剖变异,术中易造成医源性胆道损伤,胆道外科医师需提高对该病的警惕。本文拟对Mirizzi综合征的发病机制、病理分型、临床表现、诊断及治疗的最新进展作一综述。Mirizzi syndrome is a special type of gallstone,with a low incidence and is relatively rare in clinical practice.The disease lacks specific clinical manifestations and is difficult to diagnose before surgery.Most patients are diagnosed during surgery.Because of the anatomical variation of the disease,iatrogenic biliary tract injury is easily caused during surgery,so biliary surgeons need to be more vigilant about the disease.This article intends to review the latest developments in the pathogenesis,pathological type,clinical manifestations,diagnosis and treatment of Mirizzi syndrome,in order to provide reference for biliary surgeons.

关 键 词：MIRIZZI综合征 发病机制 诊断治疗 腹腔镜 

分 类 号：R65[医药卫生—外科学]