65例Mirizzi综合征的外科治疗

Surgical Treatment for 65 Cases of Mirizzi Syndrome

目的 探讨Mirizzi综合征的临床表现、发病机理及治疗方法。方法 对 6 5例Mirizzi综合征患者进行回顾性分析。结果 该组Mirizzi综合征患者中按Csendes分型分为 :Ⅰ型 18例 (2 7 6 % ) ,Ⅱ型 2 5例 (38 4 % ) ,Ⅲ型 13例 (2 0 0 % ) ,Ⅳ型 9例 (13 8% ) ,均经相应的手术治疗和围手术期处理而痊愈。结论 准确的诊断。

Objective To explore the clinical manifestations, pathogenic mechanisms and treatment of Mirizzi syndrome.Method 65 patients with Mirizzi syndrome were analysed retrospectively.Results According to Csendes typing, patients with Mirizzi syndrome included type Ⅰ in 18 patients(27 6%), type Ⅱ in 25 patients (38 4%), type Ⅲ in 13 patients(20 0%), type Ⅳin 9 patients(13 8%), all patients were healed by corresponding operation and perioperative management.Conclusions Good outcome of Mirizzi syndrome patients can be achieved by accurate diagnosis,exact operation and active perioperative management.