• 四川大學(xué)華西醫(yī)院普外科，四川成都 610041;

目的:探討Mirizzi綜合癥的診斷治療特點(diǎn)，以提高其診斷和治療水平。方法：對(duì)35例經(jīng)手術(shù)證實(shí)為Mirizzi綜合癥的臨床資料進(jìn)行回顧性分析。結(jié)果:35例Mirizzi綜合癥患者中僅4例（11.4%）術(shù)前確診。Ⅰ型7例，Ⅱ型17例，Ⅲ型9例，Ⅳ型2例。5例行膽囊切除術(shù)，2例行膽囊大部分切除術(shù)；膽囊切除、膽囊瓣瘺口修補(bǔ)6例，12例行膽囊切除、膽總管探查、瘺口修補(bǔ)、T管引流術(shù)；膽囊切除、膽腸吻合術(shù)10例。術(shù)后恢復(fù)好，隨訪結(jié)果，無嚴(yán)重并發(fā)癥.結(jié)論：Mirizzi綜合癥術(shù)前確診困難，B超結(jié)合MRCP/ERCP檢查可以提高M(jìn)irizzi綜合癥的術(shù)前確診率，手術(shù)容易損傷膽管，手術(shù)方式應(yīng)據(jù)病理損傷程度決定。

引用本文： 肖昌武,李寧,蔣力生,周勇. Mirizzi綜合征的臨床診斷與治療探討分析. 華西醫(yī)學(xué), 2009, 24(1): 74-76. doi: 復(fù)制

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2. Shah OJ，Dar MA，Wani MA，et al.Management of Mirizzi syndrome:a new surgical approach.[J].ANZ J Surg，2001，71（7）:423-427..
3. Johnson LW，Sehon JK，Lee WC，et al.Mirizzi’s syndrome:experience from a multiinstitutional review[J].Am Surg，2001，67 （1）:11-14..
4. Becker C D，Hasler H，Terrier F.Preoperative diagnosis of the Mirizzi syndrome:limitations of sonography and computed tomography[J].AJR Am J Radiol，1984，143（3）:519-516..
5. Tan KY，Chng HC，Chen CY，et al.Mirizzi syndrome:noteworthy aspects of a retrospective study in one centre[J].ANZ J Surg，2004，74（10）: 833-837..
6. Safioleas M，Stamatakos M，Revenas C，et al.An alternative surgical approach to a difficult case of Mirizzi syndrome:a case report and review of the literature[J].World J Gastroenterol，2006，12（34）: 5579-5581..
7. 朱瑜，寇玉彬，王錦梁，等.Mirizzi綜合征的腹腔鏡診治體會(huì)[J].腹腔鏡外科雜志，2007，12（6）:522-524..
  1. 1. Csendes A，Diaz JC，Burdiles P，et al. Mirizzi syndrome and cholecystobiliary fistula:a unifying classification[J].Br J Surg，1989，76 （11）:1139-1143..
  2. 2. Shah OJ，Dar MA，Wani MA，et al.Management of Mirizzi syndrome:a new surgical approach.[J].ANZ J Surg，2001，71（7）:423-427..
  3. 3. Johnson LW，Sehon JK，Lee WC，et al.Mirizzi’s syndrome:experience from a multiinstitutional review[J].Am Surg，2001，67 （1）:11-14..
  4. 4. Becker C D，Hasler H，Terrier F.Preoperative diagnosis of the Mirizzi syndrome:limitations of sonography and computed tomography[J].AJR Am J Radiol，1984，143（3）:519-516..
  5. 5. Tan KY，Chng HC，Chen CY，et al.Mirizzi syndrome:noteworthy aspects of a retrospective study in one centre[J].ANZ J Surg，2004，74（10）: 833-837..
  6. 6. Safioleas M，Stamatakos M，Revenas C，et al.An alternative surgical approach to a difficult case of Mirizzi syndrome:a case report and review of the literature[J].World J Gastroenterol，2006，12（34）: 5579-5581..
  7. 7. 朱瑜，寇玉彬，王錦梁，等.Mirizzi綜合征的腹腔鏡診治體會(huì)[J].腹腔鏡外科雜志，2007，12（6）:522-524..