Mirizzi综合征诊断及腹腔镜治疗进展  

Research progress on diagnosis and LC treatment of Mirizzi syndrome

作　　者：徐铭泽(综述) 芶欣(审校)[1,2] Xu Mingze;Gou Xin(Department of Hepatobiliary Surgery,Guizhou Medical University,Guizhou Province,Guiyang 550004,China;不详)

机构地区：[1]贵州医科大学肝胆外科,贵阳550004 [2]贵州省人民医院肝胆外科,贵阳550002

出　　处：《疑难病杂志》2024年第12期1524-1527,共4页Chinese Journal of Difficult and Complicated Cases

基　　金：贵州省科技计划项目(黔科合成果[2019]4444号)。

摘　　要：Mirizzi综合征是由胆囊管或胆囊颈部结石嵌顿压迫肝总管引起的梗阻性黄疸或胆管炎性反应,因其缺乏特异性症状和体征,易与普通胆道结石、胆道炎性病变等疾病混淆,导致漏诊或误诊。为提高对该病的认识,需对Mirizzi综合征进行有效检查。目前,手术是治疗Mirizzi综合征的有效方法之一,腹腔镜下胆囊切除术(LC)在临床上的应用也较广泛。与传统的开腹胆囊切除术相比,LC可以对脏器进行针对性地切除,极大地保留腹壁肌肉和腹部组织的完整性,具有切口小、痛苦小、恢复快等优点。文章就Mirizzi综合征诊断及LC治疗技术研究进展进行综述。Mirizzi syndrome is an obstructive jaundice or cholangitis caused by external pressure on the hepatic duct caused by stones embedded in the gallbladder duct or neck of the gallbladder.Because of its lack of specific symptoms and signs,it is easy to be confused with common biliary calculi,biliary inflammation and other diseases,increasing the occurrence of missed diagnosis or misdiagnosis.In order to improve the understanding of the disease,Mirizzi syndrome needs to be effectively examined.At present,surgery is one of the effective methods to treat Mirizzi syndrome,and laparoscopic cholecystectomy(LC)is widely used in clinical practice.Compared with traditional open cholecystectomy,LC laparoscopic video can carry out targeted resection of the abdomen and organs,greatly preserving the integrity of the abdominal wall muscles and abdominal tissues,and has the advantages of small incision,less pain,and faster recovery.This article reviews the research progress of Mirizzi syndrome diagnosis and LC therapy.

关 键 词：MIRIZZI综合征 诊断 腹腔镜下胆囊切除术 研究进展 

分 类 号：R657.4[医药卫生—外科学]