摘要
目的探讨胆囊切除术中Mirizzi综合征的诊断、外科治疗,以及预防胆总管损伤经验。方法对1998~2008年2 800例胆囊切除术中,46例经手术证实的Mirizzi综合征进行回顾性分析。结果 46例Mirizzi综合征患者均行外科手术治疗。包括：胆囊切除术、胆囊切除及胆管瘘口修补术、胆囊切除及肝总管Roux-en-y吻合术等。术后均未出现胆瘘及胆道狭窄。结论 Mirizzi综合征术前诊断困难,应根据其病理分型作相应的外科手术治疗。
Objective To study the diagnosis and surgical treatment of the patients with Mirizzi syndrome underwent cholecystectomy and the experience for the prenvention.Methods We retrospective analysed 46 patients underwent cholecystectomy in 2 800 cases which were diagnosed as Mirizzi Sydndrome from Jan.1998 to Aug.2008.Results The 46 cases were all treated by surgical operation,including cholecystectomy,cholecystectomy＋common bile duct orificium fistulae repair,cholecystectomy＋ common hepatic duct Roux-en-y anastomosis,etc.There were no biliary fistula and stenosis of bile duct after operations.Conclusion The diagnosis of Mirizzi syndrome is difficult berfore operation,so the various surgical treatments should be taken according to various pathlogical types.
出处
《检验医学与临床》
CAS
2011年第8期952-953,共2页
Laboratory Medicine and Clinic
