期刊文献+

25例Mirizzi综合征诊治分析 被引量:2

下载PDF
导出
摘要 目的探讨Mirizzi综合征(MS)的临床特点、诊断、分型及手术方式。方法回顾性分析25例被明确诊为MS患者的病历资料。结果手术前明确诊断8例(32%),术中明确诊断17例(68%)。按Csendes分型为Ⅰ型患者14例,5例行腹腔镜胆囊切除或部分切除术,9例开腹行胆囊切除或部分切除术;Ⅱ型8例,均为开腹行胆囊切除、胆总管探查、瘘口修补、T管引流术;Ⅲ型3例,均为开腹手术,其中2例行胆囊切除、胆总管探查、瘘口修补、T管引流术,1例行胆囊切除、胆肠吻合术。结论MS术前诊断较困难,应根据不同的分型选择相应的手术方式。腹腔镜在MS治疗中可谨慎应用。
作者 侯立男
出处 《重庆医学》 CAS CSCD 北大核心 2010年第9期1126-1128,共3页 Chongqing medicine
关键词 MIRIZZI 诊断 治疗
  • 相关文献

参考文献11

  • 1王勇强,陈平,何振平.Mirizzi综合征的诊断与治疗[J].中国普通外科杂志,1998,7(3):136-138. 被引量:10
  • 2吴学民.Mirizzi综合征诊治体会[J].肝胆外科杂志,2008,16(1):56-57. 被引量:5
  • 3Joseph S,Carvajal S,Odwin C.Sonographic diagnosis of Mirizzi's syndrome[J].J Clin Ultrasound,1985,13 (3):199.
  • 4Wehrmann T,Riphaus A,Martchenko K,et al.Intraductal ultrasonography in the diagnosis of Mirizzi syndrome[J].Endoscopy,2006,38(7):717.
  • 5陈辰,王卫星,张勇,陶绪雄,赵彦会.Mirizzi综合征的临床诊治分析[J].武汉大学学报(医学版),2007,28(5):677-679. 被引量:3
  • 6罗雪芬,董海波.MRCP对Mirizzi综合征的诊断价值[J].医学影像学杂志,2008,18(7):770-772. 被引量:9
  • 7Mcsherry CK,Ferstenberg H,Virshup M.The Mirizzi syndrome:suggested classification and surgical therapy[J].Surg Gastroenterol,1982,1:219.
  • 8Csendes A,Dlaz JC,Burdihs P,et al.Mirizzi syndrome and cho1ecystobiliary fistula:a unifying classification[J].Br J Surg,1989,76 (11):1139.
  • 9Khan TF,Muniandy S,Hayat FZ.Mirizzi syndrome-a report of 3 cases with a review of the present classifications[J].Singapore Med J,1999,40(3):171.
  • 10Kwon AH,Inui H.Preoperative diagnosis and efficacy of laparoscopic procedures in the treatment of Mirizzi syndrome[J].J Am Coll Surg,2007,204(3):409.

二级参考文献26

  • 1包炎毅,阎波,朱雯怡.结石嵌顿性胆囊炎的腹腔镜手术体会[J].腹腔镜外科杂志,2006,11(5):439-440. 被引量:32
  • 2Csendes A,Diaz JC,Burdiles P,et al.Mirizzi syndrome and cholecystobiliary fistula:a unifying classification[J].Br J Surg,1989,76(11):1 139-1 143.
  • 3Karakoyunlar O,Sivrel E,Koc O,et al.Mirizzi's syndrome must be ruled out in the differential diagnosis of any patients with obstructive jaundice[J].Hepatogastroenterology,1999,46(28):2 178-2 182.
  • 4Joseph S,Carvajal S,Odwin C.Sonographic diagnosis of Mirizzi's syndrome[J].J Clin Ultrasound,1985,13(3):199-201.
  • 5Fulcher AS,Turner MA,Capps GW.MR cholangiography:technical advances and clinical applications[J].Radiographics,1999,19(1):25-44.
  • 6Barish MA,Yucel EK,Ferrucci JT.Magnetic resonance cholangiopancreatography[J].N Engl J Med,1999,341(4):258-264.
  • 7Guzman-Valdivia G.Xanthogranulomatous cholecystitis:15 years,experience[J].World J Surg,2004,28(3):254-257.
  • 8Yip AWCmChom WC, Chan J, et al. Mirizzi's syndrome with cholecystocholedochal fistula: preoperative diagnosis and management [J]. Surgery,1992,111(3) :335-341.
  • 9Baer HU,Matthews JB, Schweizer WP,et al . Management of the Mirizzi syndrome and the surgical implications of cholecystcholedochal fistula[J]. Br J Surg, 1990, 77 (7) : 743 -745.
  • 10Kok Y T, Hong C C, Cosmas Y Y, et al. Mirizzi syndrome: noteworthy aspects of a retrospective study in one centre [ J]. ANZ J Surg,2004,74 : 833 -837.

共引文献22

同被引文献15

引证文献2

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部