【摘要】 目的总结M irizz i综合征的诊断与治疗特点。方法对所收集经手术证实的12例M irizz i综合征患者资料进行回顾性分析。结果12例均采用手术治疗。C sendes分型:Ⅰ型9例,Ⅱ型2例,Ⅲ型1例。手术方式分别采用胆囊大部分切除、胆囊切除、胆囊切除加胆总管或肝总管探查或胆肠内引流术。其中9例获随访,随访时间4~6年,全部治愈。结论M irizz i综合征术前诊断较困难,B超结合ERCP、PTC检查可提高术前确诊率。治疗应根据不同类型选择适当的手术方式。更多还原

【Abstract】 Objective To summarize the diagnostic and therapeutic characteristics of Mirizzi syndrome.Methods Clinical data of 12 cases of surgically-proved Mirizzi syndrome were retrospectively analyzed.Results All the 12 cases were treated by surgical operation.Type Ⅰ were 9 cases,type Ⅱ 2 сases and type Ⅲ 1 case according to Csendes taxonomy.The operations included partial cholecystectomy,cholecystectomy,cholecystectomy+common bile duct or common hepatic duct exploration,T tube drainage and choledochojejunostomy.Among the 12 cases,9 cases were followed up for 4～6 years with excellent results.Conclusion It’s difficult to diagnose Mirizzi syndrome before operation.Combination of B-Ultrasound,ERCP and PTC may help early diagnosis of the disease.Selection of operation style should be based on the Csendes taxonomy.更多还原