摘要
目的探讨M irizzi综合症的诊断治疗特点,提高其诊断和治疗水平。方法回顾性的分析了38例经手术证实的M irizzi综合症诊断和治疗情况。结果38例M irizzi综合症病人中仅3例(7.89%)术前确诊。38例中行胆囊切除术9例(23.68%),胆囊大部分切除术2例(5.26%),胆囊切除、胆囊瓣瘘口修补术5例(13.16%),胆囊切除、胆总管探查、瘘口修补、T管引流术18例(47.37%),胆囊切除、胆总管切开取石、Roux-en-Y胆肠吻合术4例(8.33%)。结论M irizzi综合症术前确诊困难,术中极易损伤胆管。B超结合ERCP检查可以提高M irizzi综合症的术前确诊率,手术方式应据病理损伤程度决定。
Objective For explore the characteristics of the diagnosis and treatment in patients with Mirizzi syndrome （ MS）, to improve the level of the diagnosis and treatment of MS. Methods we retrospectively analysed the state of 38 cases of MS proved by operation. Results The results revealed that the diagnosis before operation was made only in 3 cases（7.89% ）. Of the 38 cases, 9 （23.68%） were treated with cholecytecomy, 2 （5.26%） with partial cholecystecomy, 5 （ 13. 16% ） were treated with cholecystecomy and choledochoplasty with remnant of the gallbladder, 18 （47.37%） were treated with cholecystecomy and suture closure of gallbladder,4（8. 33% ）were treated with Roux-en-Y hepaticojejunostomy. Conclusion ItS difficulty to diagnose before operation and its easy to damnify the bile duct during the operation. The authors believe that the preoperative diagnosis rate can be much more improved by the way of taking ultrasonography first and then ERCP examination. The surgical procedure must be chosen according to the pathological condition.
出处
《肝胆外科杂志》
2006年第4期269-270,共2页
Journal of Hepatobiliary Surgery
基金
卫生部临床学科重点项目(No06-95009-2)
