摘要
目的 为探讨 Mirizzi综合征在临床上的一种新的、合理的诊断标准与治疗方法 .方法 对 36例经手术证实的 Mirizzi综合征进行回顾性分析。 36例中行胆囊大部份切除术 12例 ,胆囊切除术 8例 ,胆囊切除术及胆管瘘口修补术 10例 ,胆囊切除术及肝总管 Roux- en- y吻合术 6例。结果 2 8例获随访 ,随访时间 2~ 8年 ,痊愈 2 2例 (78.6 % ) ,良好 4例 (14.5 % ) ,欠佳 2例 (7.1% )。结论 对不同类型的 Mirizzi综合征应作不同的处理和治疗。
Objective For discussing a new reasonable diagnosis and treatment for Mirizzi syndrome(MS) in surgical clinic.Methods Retrospectively analysed 36 cases of MS proved by operation.Among the 36 cases,12 were treated with partial cholecystecomy,8 with cholecystecomy,10 with cholecystecomy and sature closure of the fistula,6 with cholecystecomy and Roux-en-y hepaticojejunostomy.Results Twenty-eight cases were followed up for 2~8 years,the results were excellent in 22(78.6%) cases,good in 4(14.5%)and poor in 2(7.1%).Conclusion Different treatment should be used according to these four types
出处
《肝胆外科杂志》
2000年第4期269-270,共2页
Journal of Hepatobiliary Surgery