摘要
目的探讨微创治疗在 Mirizzi 综合征诊治中的临床价值。方法回顾性分析2001年6月至2006年5月,采用微创方法(十二指肠镜、胆道镜和腹腔镜联合)治疗 Mirizzi 综合征患者38例的情况。结果 Mirizzi 综合征患者均经 B 超、ERCP 等影像学检查,其 ERCP 典型表现为肝总管可见边缘完整的充盈缺损,充盈缺损以上的肝总管及肝内胆管轻至重度扩张,合并胆囊萎缩及胆囊结石。术前放置 ENBD 导管,38例中35例通过三镜联合(腹腔镜、胆道镜和十二指肠镜)手术获得成功,无胆漏、胆道出血、胆管狭窄等严重并发症的发生。结论 ERCP 检查是一种可靠、直接的检查手段可以显著提高 Mirizzi 综合征患者的术前诊断率,微创手术治疗是安全可行的。
Objective To summarize the manifestation of Mirizzi syndrome under ERCP and explore the possibility of minimally invasive surgical therapy. Methods A retrospective analysis of Mirizzi syndrome cases treated by combination of minimally invasive surgery, duodenascopy, choledoscopy and laparascopy were made from June 2001 to May 2006. Results B-uhrasonography and ERCP had been taken, and ENBD was inserted successfully for all the patients before operation. Smooth edeged filling defeat at the lower end of common hepatic duct and atrophic gall bladder and stones were observed in most patients by ERCP image. Among 38 patients, 35 had succeeded in surgery and no serious complications such as bile leakage, biliary bleeding and stricture were found. As a direct biliary imaging method, ERCP was reliable and could raise the diagnosis rate of Mirizzi syndrome before operation. Conclusion ERCP could be used in the diagnosis of Mirizzi syndrome, and minimally invasive surgical therapy was feasible and safe.
出处
《中华消化内镜杂志》
2007年第5期357-359,共3页
Chinese Journal of Digestive Endoscopy
关键词
Mifizzi综合征
诊断
胰胆管造影术
内窥镜逆行
外科手术
微创性
Mirizzi syndrome
Diagnosis
Cholangiopancreatography, eadoscopic retrograde
Surgical procedures, minimally invasive
