摘要
目的总结Mriizzi综合征的诊断和治疗经验及教训，探讨其临床特点及诊断和治疗方法。方法对经手术证实的98例Mirizzi综合征的临床资料进行回顾性分析，分析其临床特点及手术方法。结果Ⅰ型50例，行单纯胆囊切除；Ⅱ型30例和Ⅲ型12例，39例行胆囊切除胆管修补T管引流，3例行胆总管．空肠Roux-Y吻合术；Ⅳ型6例，行肝总管-空肠Roux-Y吻合术。98例中13例行腹腔镜手术，8例术中解剖困难、出血，中转开腹，3例术中损伤胆总管，术后发现再次手术，行Roux-Y吻合术；随访时间平均5年。结论Mirizzi综合征术前诊断困难，治疗应根据不同类型选择适当的手术方式；行腹腔镜术中诊断此病应及时改为开腹手术。
Objective To summarize the experience in diagnosis and treatment of Mirizzi＇s syndrome and explore fea-tures of the disease. Methods Clinical dams from 98 cases with surgically proved Mirzzi＇s syndrome were retrospectively analyzed. Results Of the 98 cases, 50 exanples were type Ⅰ , which were done cholecystectomy; 30 examples were type Ⅱ and 12 examples were the type Ⅲ ,39 of those were done cholecysteetomy the bile duct were repair and the T shape tube were rainaged in the bile duet. 3of them were done bile duct-jejunum Roux-Y anastom; 6 examples were type Ⅳ ,which were done cholecystectomy and hepet.ic bile duct-jejunum Roux-Y anastomotic; 13 of the 98 cases were laparoscopic cholecystectomy,8 Of the 13 cases were change operation method, 3 of the 13 cases＇ biliary duct were injured, then they were changed to Roux-Y operation. Conclusions It is still difficult to diagnose Mirizzi＇s syndrome preoperatively, appropriate operative patterns should be selected according to different types of Mirizzi＇ s syndrome, if Mirizzi＇s syndrome is diagnosed, laparoscopic cholecystectomy shoud be change operation method cholecystectomy in time.
出处
《中国基层医药》
CAS
2007年第2期187-188,共2页
Chinese Journal of Primary Medicine and Pharmacy
