37例Mirizzi综合征的诊断与治疗  

Diagnosis and treatment for Mirizzi syndrome in thirty-seven patients

作　　者：杨俊涛[1] 顾红光[1] 周月庆[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所肝胆外科,400042

出　　处：《消化外科》2004年第1期31-33,共3页Journal of Digestive Surgery

摘　　要：目的　探讨Mirizzi综合征的诊断依据、病理分型和手术方法。方法　对我院从 1990年1月至 2 0 0 3年 6月收治的 37例Mirizzi综合征进行回顾性分析。结果　 37例均采取手术治疗 ,其中开腹手术 31例 ,腹腔镜手术 6例。手术方式为胆囊切除术、胆囊大部切除、肝总管瘘口修补、及肝总管空肠Roux en y吻合术。术中损伤胆管 1例。 32例获随访 ,随访时间 3个月至 5年 ,无明显并发症。结论　术前胆道影像学检查和术中探查是主要的诊断依据 。Objective To discuss the diagnostic basis, pathological type and surgical management for Mirizzi syndrome. Methods Thirty-seven patients with Mirizzi syndrome between January 1990 and June 2003 in our hospital were analyzed retrospectively. Results All 37 cases were operated. Of the patients, 31 were treated with the traditional open approach, 6 with the laparoscopic approach. The surgical procedures included cholecystectomy, subtotal cholecystectomy, repair of fistula or breakage of the common hepatic duct, T-tube drainage and Roux-en-y hepaticojejunostomy. Surgical injury to the bile ducts occurred in 1 cases. 32 cases were in good general condition during the time followed up from 3 months to 5 years. Conclusions Preoperative cholangiography and perioperative exploration are the main diagnostic basis. The correct procedures should be chosen according to the characteristics of pathology.

关 键 词：MIRIZZI综合征 胆囊结石 胆管 

分 类 号：R657.4[医药卫生—外科学]