31例Mirizzi综合征诊治的探讨

Experience in the Diagnosis and Management for 31 Cases of Mirizzi Syndrome

目的 探讨Mirizzi综合征术前诊断及手术治疗的方法。方法 对 3 1例经手术证实的Mirizzi综合征进行回顾性分析研究。结果 术前诊断率较低 ( 3 8 71% ) ,3 1例经不同的手术方法治愈 ,无并发症发生。结论 提出了Mirizzi综合征的诊断要点 ,认为结石性胆囊炎出现夏科氏症应高度考虑Mirizzi综合征。

Objective To investgate the methods of preoperative diagnosis and management of Mirizzi syndrome.Methods 31 cases of Mirizzi syndrome confirmed by operation were retrospectively analysed.Results The rate of preoperative diagnosis was low (38 71%).All patients were cured by different operation without complication. Conclusions We consider that the key criteria of the diagnosis of Mirizzi syndrome is gallstones cholecystitis with manifested charcot's syndrome occurrence,it could strongly suggest Mirizzi syndrome. The operative method should be selected by the typing of Mirizzi syndrome and the degree of pathological injury .