目的探讨Mirizzi综合征的诊断和治疗选择。方法对1982～2000年经手术证实的36例Mirizzi综合征进行回顾性分析。结果术前确诊仅8例(22.2%)，其中5例经ERCP确诊。36例分别选择性地施行了胆囊切除术、胆囊大部切除术、胆管瘘口修补术以及胆肠RouxenY吻合术。32例术后一期愈合，4例出现并发症，其中2例并发胆管狭窄而再次手术。结论B超结合ERCP检查可以提高Mirizzi综合征的术前确诊率， 手术治疗是其主要治疗方法，手术方式取决于局部病理损伤程度和解剖变异。
Citation：
马毅,吴佩,张应开,江峰. Clinical Management of Mirizzi Syndrome. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(2): 155-156. doi:
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| 1. |
Csendes A, Diaz JC, Burdiles P, et al. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification [J]. Br J Surg,1989; 76(11)∶1139.
|
| 2. |
Didlake R, Haick AJ. Mirizzi’s syndrome. An uncommon cause of biliary obstruction [J]. Am Surg, 1990; 56(4)∶268.
|
| 3. |
Baer 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.
|
| 4. |
Nagakawa T, Ohta T, Kayahara M, et al. A new classification of Mirizzi syndrome from diagnostic and therapeutic viewpoints [J]. Hepatogastroenterology, 1997; 44(13)∶63.
|
| 5. |
Tanaka N, Nobori M, Furuya T, et al. Evolution of Mirizzi syndrome with biliobiliary fistula [J]. J Gastroenterol,1995; 30(1)∶117.
|
- 1. Csendes A, Diaz JC, Burdiles P, et al. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification [J]. Br J Surg,1989; 76(11)∶1139.
- 2. Didlake R, Haick AJ. Mirizzi’s syndrome. An uncommon cause of biliary obstruction [J]. Am Surg, 1990; 56(4)∶268.
- 3. Baer 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.
- 4. Nagakawa T, Ohta T, Kayahara M, et al. A new classification of Mirizzi syndrome from diagnostic and therapeutic viewpoints [J]. Hepatogastroenterology, 1997; 44(13)∶63.
- 5. Tanaka N, Nobori M, Furuya T, et al. Evolution of Mirizzi syndrome with biliobiliary fistula [J]. J Gastroenterol,1995; 30(1)∶117.
