摘要
目的 探讨Mirizzi综合征的诊断和治疗。方法 对 2 3例经手术证实的Mirizzi综合征进行回顾性分析。结果 2 3例中行胆囊大部分切除术 10例 ,胆囊切除术 6例 ,胆囊切除及胆管瘘口修补术 3例 ,胆囊切除术及肝总管Roux en Y吻合术 2例 ,胆囊瓣补片加T型管引流 2例。 2 1例获随访 ,随访时间 2～ 6年 ,健康。结论 Mirizzi综合征是慢性结石性胆囊炎的并发症 ,B超能为诊断提供线索 ,ERCP是术前确诊价值的检查 ;手术是确诊的另一手段。对不同类型的Mirizzi综合征应作不同的处理和治疗。
Objective To discuss the diagnosis and treatment of M irizzi syndrome (MS). Methods 23 cases of MS proved by operatio n were retrospectively analysed. Results Of the 23 cases, 10 we re treated with partial cholecystectomy, 6 with cholecystectomy, 3 with cholecys tectomy and sature closure of the fistula, 2 with cholecystectomy and Roux-en- Y hepatio-jejunostomy, and repairing with gallbladder wall were performed in 2 cases, 2 repairing with gallbladder wall and T-tube drainage. Twenty-one cases were followed up for 2～6 years. Conclusions MS is the complication of chronic cholecystonlithiasis. B-ultrasound examination can provide clues for diagnosis. Diagnosis can be confirmed by ERCP before operation. Operation is another comfirming means. Different treatment sho uld be used according to different type, and operation is better.
出处
《消化外科》
CAS
CSCD
2004年第2期93-94,共2页
Journal of Digestive Surgery
关键词
MIRIZZI综合征
诊断
治疗
Mirizzi syndrome cholecystonlithiasis diagnosis treatment
