Mirizzi综合征手术治疗及临床预后分析

Analysis of Operation Treatment and Clinical Prognosis of Mirizzi Syndrome

目的研究分析Mirizzi综合征的手术治疗方式以及预后。方法回顾性分析该院2016年2月—2017年2月收治的100例Mirizzi综合征患者的临床信息,根据其临床特点,分析Mirizzi综合征患者采用不同的手术方式治疗后的疗效及预后。根据其不同分型应用不同的手术方式,其中腹腔镜手术治疗65例,开腹手术治疗35例。结果所有Mirizzi综合征患者,在术后出现胆瘘的5例,给予充分引流后均康复出院。胆瘘发生率为5%。结论Mirizzi综合征术后并发症较多,故术前明确诊断,术中谨慎操作以及采取合适的手术方式,可以有效防减少并发症,提高患者预后。

Objective To research and analyze the operation treatment and clinical prognosis of Mirizzi syndrome.Methods 100 cases of patients with Mirizzi syndrome admitted and treated in our hospital from February 2016 to February 2017 were selected, and the clinical information was reviewed, and the curative effect and prognosis of patients with Mirizzi syndrome after treatment of different operation methods were analyzed, and different operation methods were applied according to the different typing, including 65 cases with laparoscopic surgery and 35 cases with laparotomy. Results Of all patients with Mirizzi syndrome, 5 cases with biliary fistula were discharged after the full drainage, and the incidence rate of biliary fistula was 5%. Conclusion The postoperative complications of Mirizzi syndrome are multiple, and we should conduct the clear diagnosis before surgery, conduct the cautious operation, and use the proper operation ways, thus effectively preventing the diseases and reducing the complications and improving the prognosis of patients.