70岁以上老年人Mirizzi综合征12例临床分析

A report of 12 cases of Mirizzi syndrome in patients aged 70 years and over

目的提高对老年人Mirizzi综合征的认识。方法回顾性分析1995—2004年间我院收治的12例70～86岁Mirizzi综合征患者的临床资料。结果术前经B超及经十二指肠胰胆管造影（ERCP）检查诊断者6例，胆囊切除3例，胆囊切除T管引流7例，胆囊切除及肝总管空肠Roux-Y吻合2例。本组无手术死亡。随访时间1～10年，平均3．2年，无胆管狭窄情况。结论Mirizzi综合征术前诊断较困难，治疗应根据不同类型选择适当的手术方式。本组无手术死亡。随访时间1～10年，平均3．2年，无胆管狭窄情况。

Objective To determine the Rey points m surgical treatment of Mirizzi syndrome in the olderlys. Methods Clinical data of 12 cases of Mirizzi syndrome treated in our hospital from 1995 to 2004 were retrospectively analyzed. Results Only 6 cases were definitely diagnosed by ERCP and ultrasounography before operations. Three cases were treated with cholecystectomy, 7 cases with cholecystectomy and T-tube drainage of common bile duct, 2 cases with cholecystectomy and Roux-Y hepaticojejunostomy. Conclusions It is still difficult to diagnose Mirizzi syndrome preoperatively. Appropriate operative patterns should be selected according to different types of Mirizzi syndrome. No patient death during operations. The patients were followed 1-10 years, average was 3.2 years. No bile duct stricture was found.