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Mirizzi综合征26例诊治体会

Diagnosis and treatment of 26 cases of Mirizzi syndrome
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摘要 目的探讨Mirizzi综合征的诊断与治疗。方法回顾性分析26例Mirizzi综合征病人的临床资料,对其诊断及治疗方式进行总结。结果全部病例均采用手术治疗。按Csendes分型,Ⅰ型15例,Ⅱ型7例,Ⅲ型3例,Ⅳ型1例。随访6个月~2年,治愈25例,恢复良好1例。结论 Mirizzi综合征是慢性结石性胆囊炎的一种特殊类型,术前诊断较难;依据Csendes分类法选择不同的手术处理方式可达到良好的治疗效果。 Objective To discuss the diagnosis and treatment of Mirizzi syndrome. Methods The clinical data of 26 cases of Mirizzi syndrome were retrospectively analyzed and a summary to its diagnosis and treatment was made. Results All patients were treated surgically. By using Csendes stand ard,15 cases were classified into pattern I ,7 into pattern II ,3 into pattern III and 1 into pattern IV. During a follow-up period of 6 months to 2 years,25 cases were cured, and 1 case restored well. Conclusion Mirizzi syndrome is a particular type of chronic calculous cholecystitis complications, and its preoperative diagnosis is difficuh. Different surgical procedures can achieve good results according to the classification of Csendes standard.
出处 《腹部外科》 2010年第5期290-291,共2页 Journal of Abdominal Surgery
关键词 胆囊结石病 胆囊炎 诊断 治疗 Cholecystolithiasis Choleeystitis Diagnosis Therapy
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  • 1许军,刘昶,孙备,孟庆辉,姜洪池.医源性胆管损伤的预防和处理(附74例报告)[J].中华肝胆外科杂志,2004,10(7):441-443. 被引量:24
  • 2叶震世,钟燕,吴艳环,郭明玉,蔡志萍,任建林.ERCP对梗阻性黄疸病因的诊断价值[J].世界华人消化杂志,2004,12(7):1748-1749. 被引量:10
  • 3Redaelli CA,Buchler MW,Schilling MK,et al.High coincidence of Mirrizzi syndrome and gallbladder carcinoma.Surgery,1997,121(7):60.
  • 4Csendes A,Diaz JC,Burdiles P,et al.Mirizzi,s syndrome and cholecytobiliary fistula:a unifying classification.Br J sury,1989,76(11):1139.
  • 5Menzel J, Hoepffner N, Sulkowski U, Reimer P, Heinecke A, Poremba C, Domschke W. Polypoid tumors of the major duodenal papilla: preoperative staging with intraductal US, EUS, and CT-a prospective, histopathologically controlled study. Gastrointest Endosc 1999, 49:349-357.
  • 6Tseng LJ, Jao YT, Mo LR, Lin RC. Over-the-wire US catheter probe as an adjunct to ERCP in the detection of choledocholithiasis. Gastrointest Endosc 2001, 54:720-723.
  • 7Krishna NB, Saripalli S, Safdar R, Agarwal B. Intraductal US in evaluation of biliary strictures without a mass lesion on CT scan or magnetic resonance imaging: significance of focal wall thickening and extrinsic compression at the stricture site. Gastrointest Endosc 2007, 66:90-96.
  • 8Moon JH, Cho YD, Cha SW, Cheon YK, Ahn HC, Kim YS, Kim YS, Lee JS, Lee MS, Lee HK, Shim CS, Kim BS. The detection of bile duct stones in suspected biliary pancreatitis: comparison of MRCP, ERCP, and intraductal US. Am J Gastroenterol 2005, 100:1051-1057.
  • 9Stavropoulos S, Larghi A, Verna E, Stevens P. Therapeutic endoscopic retrograde cholangiopancreatography without fluoroscopy in four critically ill patients using wire-guided intraductal ultrasound. Endoscopy 2005, 37:389-392.
  • 10Das A, Isenberg G, Wong RC, Sivak MV Jr, Chak A. Wire-guided intraductal US: an adjunct to ERCP in the management of bile duct stones. Gastrointest Endosc 2001, 54:31-36.

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