Mirizzi综合征的手术治疗(附43例报告)

Surgical treatment of Mirizzi syndrome (a report of 43 cases)

目的 探讨Mirizzi综合征的病理特点及合理的诊断与治疗方法。方法 回顾性分析 43例Mirizzi综合征的临床资料。结果 43例均采用手术治疗 ,手术方式包括胆囊大部切除 8例、胆囊切除16例、胆囊切除加胆总管探查、切开取石、T管引流术 9例 ,胆肠内引流术 10例。 36例获随访 ,随访时间 1～ 5年 ,痊愈 2 9例 ,良好 6例 ,欠佳 1例。结论 Mirizzi综合征病理类型不一 ,术前诊断困难 ,需借助多种影像学技术检查。

Objective To study the pathologic feature and rational diagnosis and treatment of Mirizzi Syndrome. Method The clinical data of 43 cases treated by surgery were retrospectively analysed. Results All the 43 cases underwent operation, including partial cholecystecomy in 8 cases, cholecystectomy in 16cases , cholecystectomy plus common bile duct exploration with T tube drainage in 9 cases, choledochojejunostomy in 10 cases. Of the 43 cases, 36 cases were followed up for 1～5 years. Of them, 29 cases were in excellent, 6 cases in good and 1 case in poor. Conclusions The pathologic type of Mirizzi Syndrome is variant. It is difficult to make a definite diagnoses before operation. So vary imaginal technique should be adopted. Different operative procedures should be used according to patients' pathologic type.