Mirizzi综合征26例诊治分析

Mirizzi Syndrome Diagnosis and Treatment of 26 Cases

目的:探讨Mirizzi综合征的诊断与治疗方法。方法:回顾总结分析26例Mirizzi综合征患者的临床资料。结果:26例患者均采用手术治疗,手术方式为胆囊大部切除、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。术中右肝管损伤l例,肝总管损伤1例,均行损伤胆管修补加胆总管T管引流术。所有患者均痊愈出院。结论:Mirizzi综合征术前诊断较困难,手术治疗应依据不同的病理类型选择最合理的术式。

Objective：To explore the clinical experience of the diagnosis and treatment of Mirizzi syndrome.Methods： The clinical data of 26 patients with Mirizzi syndrome were an alyzed retrospectively.Results： All the 26 cases were treated by surgical operation.The operation methods included partial cholecystectomy,cholecystecomy,cholecystectomy combined with common bile duct or common hepatic duct exploration,T tube drainage and choledochojejunostomy.Two cases occurred intraoperatively the injury of right hepatic bile and hepatic common bile duct respectively,and treated by repairing the injury and commonbile duct exploration with T type tube drainage.All of the patients were cured.Conclusions： Mirizzi syndrome is difficult to diagnose before operation.The best reasonable methods of the operative therapy is selected according to the different pathologic type of Mirizzi syndrome.