【摘要】 目的观察自体材料修复Mirizzi综合征非周径性胆管缺损的疗效。方法选取采用不同自身材料修复的Mirizzi综合征非周径性胆管缺损患者21例,回顾性分析患者的临床资料。其中,Mirizzi综合征Ⅱ型18例,行带蒂胆囊瓣修补术15例,行脐静脉瓣修补术3例;Mirizzi综合征Ⅲ型3例,行带蒂胆囊瓣修补术2例,行脐静脉瓣修补术1例。术后均放置直径合适的T管4~9个月。结果 21例患者均顺利完成手术,无手术死亡。1例行带蒂胆囊瓣修补术的Mirizzi综合征Ⅲ型患者术后发生胆漏,引流2周后愈合。患者均在术后3~6个月经T管胆道造影,无结石或胆管狭窄等。随访1~6年,患者均未出现腹痛、黄疸、胆管狭窄等。结论自体材料修复Mirizzi综合征非周径性胆管缺损安全、有效。更多还原

【Abstract】 Objective To observe the clinical efficacy of autologous materials in the repair of non-circumferential bile duct defects in Mirizzi syndrome.Methods The clinical data of 21 cases of Mirizzi syndrome with bile duct defect were analyzed retrospectively,who were treated with different autologous materials.There were 18 cases with type Ⅱ,of whom 15 cases were given gallbladder pedicle flap repair and 3 cases received umbilical vein flap repair.There were 3 cases with typeⅢ,of whom 2 cases were treated with gallbladder pedicle flap repair and 1 case was given umbilical vein flap repair.The T tubes were placed for 4 to 9 months postoperatively in all cases.Results The operation was successfully performed in all the 21 patients without any death.After operation,the bile leakage occurred in 1 patient of typeⅢ,who underwent biliary bladder flap repair and the leakage was healed after 2 weeks drainage.All cases were treated with T cholangiography.The patients were followed up for 1 to 6 years,which showed no case with abdominal pain,jaundice or bile duct stricture.Conclusion Repairing the non-circumferential bile duct defects with autologous materials is effective and safe in the patients with Mirizzi syndrome.更多还原