Mirizzi综合征22例诊治经验

Experience in diagnosis and treatment of 22 cases of Mirizzi syndrome

目的总结Mirizzi综合征的诊断和治疗经验。方法对22例经手术证实的Mirizzi综合征进行回顾分析。结果22例病人在术前均未能确诊,经术中证实后行保留颈部的胆囊大部切除术5例;胆囊切除、瘘口直接修补10例;胆囊大部切除加胆囊瓣瘘口修补术5例;胆肠吻合2例。结论Mirizzi综合征术前诊断困难,确诊率低;术中应根据不同情况,选择合适术式。

Objective:To summarize the experience in diagnosis and treatment of Mirizzi syndrome.Methods:22cases of Mirizzi syndrome proved by operation were respectively analyzed.Results:No cases was definiftely di-agnosed before operation.Of the22cases,5were treated with subtotal cholecystectomy,10with cholecystectomy and suture closure of the fistula,5with subtotal cholecystectomy and choledochoplasty with remnant of the gallblad-der,2with cholecystectomy plus Roux-en-Y hepaticojejunostomy.Conclusion:It's difficult to diagnosis Mirizzi syndrome preoperatively,appropriate procedures should be selected according to different types of Mirizzi syndrome.