Mirizzi综合征的误诊临床分析  

Clinical analysis of misdiagnosis of Mirizzi syndrome

作　　者：马雪平[1] 王晋峰[1] 崔猛旺[1] 赵国发[1] 陈广斌[1] 

机构地区：[1]山西省长治医学院附属和平医院普外科,046000

出　　处：《中国局解手术学杂志》2003年第1期14-15,共2页

摘　　要：目的 总结临床经验,提高Mirizzi综合征术前诊断率,提高疗效。方法 对1983年至2002年我院收治胆道手术病人中,术前误诊Mirizzi综合征15例,总结相关资料,做进一步总结分析。结果 15例术中诊断证实,手术方式采用胆囊切除,胆囊大部切除加胆总管或肝总管探查,胆管修补,及胆肠吻合术。1例出现胆瘘,半月后自愈,1例因合并急性肾功能衰竭。结论 提高对Mirizzi综合征的认识,采用合理的诊断手段,术中精心操作,可减少Mirizzi误诊,提高疗效。Objective To improve preoperative diagnosis rate of Mirizzi syndrome (MS) and to summarize clinical experience in order to raise curative effect. Methods Clinical cases of biliary tract treated in our hospital from 1983 to 2002 were analyzed. 15 cases of MS were misdiag-nosis preoperatively. Results 15 cases of MS were misdiagnosed and were proved by operation. The operations included cholecystectomy, partial cholecystectomy, partial cholecystectomy plus common bile duct or common hepatic duct exploration, T tube drainage and biliary fistula suture, and Roux-en-Y hepaticojejunostomy. One case appeared biliary fistula, and was cured after half month. One case complicated by acute renal failure. Conclusion Heighten awareness of MS, rational diagnostic method and meticulous operation may reduce misdiagnosis of MS and improve curative effect of MS.

关 键 词：MIRIZZI综合征 误诊 临床分析 胆囊切除术 诊断 

分 类 号：R657.4[医药卫生—外科学]