Mirizzi综合征32例报告

Mirizzl syndrome: report of 32 cases

Ｍｉｒｉｚｚｉ综合征是一种以胆囊颈或胆囊管结合嵌顿引起肝总管狭窄、梗阻，并发胆管炎、阻塞性黄疸和肝功能损害为特征的少见临床综合征。我院近１５年来共收治３２例，均经手术证实，约占同期单纯胆囊结石病例的１．０％（３２／３２６０）。３２例中Ｃｓｅｎ－ｄｅｓ法分型Ⅰ型２０例，Ⅱ型９例，Ⅲ型３例，无Ⅳ型病例。经手术本组除一例术后并发胆管狭窄再次手术外，其余３１例均获满意效果。文中对本病的病理分型、诊断及治疗进行了讨论。

Abstract:Mirizzi syndrome is an uncommon clinical entity caused by incarcerated stones within the neck or cystic duct of the gallbladder. The typical clinical features are obstructive jaundice, cholangitis and damage of liver function. In 3260 hospitalized cases of gallstones, 32 cases(1.0%) were complicated with Mirizzi syndrome including 20 cases of Type I,9 cases of Type 11 and 3 of Type III.The disease was successfully cured by primary surgery in 31 cases, and the remaining one responsed to reoperation for the hepatic duct stricture secondary to primary procedure.