Mirizzi综合征治疗的研究进展

Research progress in the treatment of Mirizzi syndrome

Mirizzi综合征(MS)不仅包括胆管外在压迫所致的临床症候群,还包括胆囊-胆管瘘及胆囊-肠瘘的形成。MS的病理过程复杂,患者就诊早期需处理急诊状态,后续治疗寻求手术根治原发病灶。虽然腹腔镜治疗MS越来越被胆道外科医生认可,但目前开腹手术仍是其主要治疗方式。对不能耐受手术的高龄患者,经皮穿刺引流或内镜下引流可作为缓解MS胆道梗阻的选择。本文就相关问题做了综述。

Mirizzi syndrome(MS)represents not only a group of clinical syndromes caused by the external compression of bile duct,but also the formation of cholecystocholedochal fistula and cholecystoenteric fistula.The pathological process of MS is complex,the symptomatic treatment is better for the patients at the early stage,but patients will benefit from looking for the primary lesion in the follow up treatment.Although laparoscopic treatment of MS is increasingly recognized by biliary surgeons,but the currently laparotomy is still the main way.The elderly patients who are intolerance of operation,percutaneous transhepatic cholangial drainage or endoscopic retrograde biliary drainage can be used to release biliary obstruction.This review summarized the related issues.