Mirizzi综合征12例诊治分析  

Diagnosis and treatment of Mirizzi′s syndrome: analysis of 12 cases

作　　者：黎水声[1] 郭生坤 

机构地区：[1]浙江省宁波开发区中心医院外科,宁波315800 [2]四川省攀枝花市十九冶医院外科,攀枝花617023

出　　处：《江西医药》2004年第1期5-7,共3页Jiangxi Medical Journal

摘　　要：目的探讨Mirizzi综合征的诊断方法及外科手术治疗方式。方法对1993年1月～2002年12月诊治的12例Mi鄄rizzi综合征的临床资料进行回顾性分析。结果12例均采用手术治疗,手术方式分别为胆囊切除或部分切除、直接瘘口修补、胆囊切除加胆总管或肝总管探查或胆肠内引流术,全部病人均治愈出院。结论Mirizzi综合征术前诊断困难,内镜逆行性胰胆管道造影(ERCP)及B超等多种影像学技术是术前明确诊断的主要手段。依据Mirizzi综合征的不同病理类型,选择不同的手术方式。objective To investigate the diagnosis and surgical management of Mirizzi′s syndrome. Methods The clinical manifestations of 12 patients with Mirizzi′s syndrome from 1993 January to 2002 December in our hospital were analyzed retrospectively. Results All the 12 cases treated by surgical operation.The operation included cholecystectomy or partial cholecystectomy, direct closure of fistula.cholecystestomy +common bile duct or common hepatic duct exploration,T tube drainage and choledochojejunostomy.and all of them were cured. Conclusion Mirizzi′s syndrome is difficult to diagnosis before operation, ERCP and B-ultrasound et al.Varied imaging technique are the important methods in the preoperation diagnosis of Mirizzis′s syndrome. Different treatment should be sued according to its pathologic type.

关 键 词：MIRIZZI综合征 诊断 治疗 外科手术 

分 类 号：R657.42[医药卫生—外科学]