摘要
目的 探讨 Mirizzi综合征在临床上的一种新的、合理的诊断标准与治疗方法。方法 对 3 6例经手术证实的 Mirizzi综合征进行回顾性分析。3 6例中行胆囊大部分切除术 12例 ,胆囊切除术 8例 ,胆囊切除术及胆囊瘘口修补术 10例 ,胆囊切除术及肝总管 Roux-en-y吻合术 6例。结果 2 8例获随访 ,随访时间 2～ 8年 ,痊愈 2 2例 ( 78.6% ) ,良好 4例 ( 14 .5 % ) ,欠佳 2例 ( 7.1% )。结论 对 4种类型的
Objective To discuss a new reasonable diagnosis and treatment for Mirizzi syndrome(MS) in surgical clinic.Methods Thirty six cases of MS proved by operation were analysed retrospectively.Of these 36 cases,12 were treated with partial cholecystectomy,8 with total cholecystectomy,10 with cholecystectomy and suture closure of the fistula,6 with cholecystectomy and Roux en y hepaticojejunostomy.Results Altogether 28 cases were followed up for 2~8 years with following results:excellent in 22 cases (78.6%),good in 4 cases(14.5%) and poor in 2 cases(7.1%).Conclusion Four types of Mirizzi syndrome should be treated differently.
