Mirizzi综合征26例诊治体会

Diagnosis and treatment of 26 cases of Mirizzi syndrome

目的探讨Mirizzi综合征的诊断与治疗。方法回顾性分析26例Mirizzi综合征病人的临床资料,对其诊断及治疗方式进行总结。结果全部病例均采用手术治疗。按Csendes分型,Ⅰ型15例,Ⅱ型7例,Ⅲ型3例,Ⅳ型1例。随访6个月～2年,治愈25例,恢复良好1例。结论 Mirizzi综合征是慢性结石性胆囊炎的一种特殊类型,术前诊断较难;依据Csendes分类法选择不同的手术处理方式可达到良好的治疗效果。

Objective To discuss the diagnosis and treatment of Mirizzi syndrome. Methods The clinical data of 26 cases of Mirizzi syndrome were retrospectively analyzed and a summary to its diagnosis and treatment was made. Results All patients were treated surgically. By using Csendes stand ard,15 cases were classified into pattern I ,7 into pattern II ,3 into pattern III and 1 into pattern IV. During a follow-up period of 6 months to 2 years,25 cases were cured, and 1 case restored well. Conclusion Mirizzi syndrome is a particular type of chronic calculous cholecystitis complications, and its preoperative diagnosis is difficuh. Different surgical procedures can achieve good results according to the classification of Csendes standard.