Diagnosis and Treatment of Mirizzi Syndrome_West China Medical Journal

Authors：

XIAO Changwu , LI Ning , JIANG Lisheng , et al.

Department of General Surgery，West China Hospital，Sichuan University，Chengdu 610041，China;

Corresponding author：

Keywords：

Mirizzi综合症; 病理特点; 诊断; 治疗

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目的:探讨Mirizzi综合症的诊断治疗特点，以提高其诊断和治疗水平。方法：对35例经手术证实为Mirizzi综合症的临床资料进行回顾性分析。结果:35例Mirizzi综合症患者中仅4例（11.4%）术前确诊。Ⅰ型7例，Ⅱ型17例，Ⅲ型9例，Ⅳ型2例。5例行胆囊切除术，2例行胆囊大部分切除术；胆囊切除、胆囊瓣瘘口修补6例，12例行胆囊切除、胆总管探查、瘘口修补、T管引流术；胆囊切除、胆肠吻合术10例。术后恢复好，随访结果，无严重并发症.结论：Mirizzi综合症术前确诊困难，B超结合MRCP/ERCP检查可以提高Mirizzi综合症的术前确诊率，手术容易损伤胆管，手术方式应据病理损伤程度决定。

Citation： XIAO Changwu,LI Ning,JIANG Lisheng,et al.. Diagnosis and Treatment of Mirizzi Syndrome. West China Medical Journal, 2009, 24(1): 74-76. doi: Copy

1.	Csendes A，Diaz JC，Burdiles P，et al. Mirizzi syndrome and cholecystobiliary fistula:a unifying classification[J].Br J Surg，1989，76 （11）:1139-1143..
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6.	Safioleas M，Stamatakos M，Revenas C，et al.An alternative surgical approach to a difficult case of Mirizzi syndrome:a case report and review of the literature[J].World J Gastroenterol，2006，12（34）: 5579-5581..
7.	朱瑜，寇玉彬，王锦梁，等.Mirizzi综合征的腹腔镜诊治体会[J].腹腔镜外科杂志，2007，12（6）:522-524..

1. Csendes A，Diaz JC，Burdiles P，et al. Mirizzi syndrome and cholecystobiliary fistula:a unifying classification[J].Br J Surg，1989，76 （11）:1139-1143..
2. Shah OJ，Dar MA，Wani MA，et al.Management of Mirizzi syndrome:a new surgical approach.[J].ANZ J Surg，2001，71（7）:423-427..
3. Johnson LW，Sehon JK，Lee WC，et al.Mirizzi’s syndrome:experience from a multiinstitutional review[J].Am Surg，2001，67 （1）:11-14..
4. Becker C D，Hasler H，Terrier F.Preoperative diagnosis of the Mirizzi syndrome:limitations of sonography and computed tomography[J].AJR Am J Radiol，1984，143（3）:519-516..
5. Tan KY，Chng HC，Chen CY，et al.Mirizzi syndrome:noteworthy aspects of a retrospective study in one centre[J].ANZ J Surg，2004，74（10）: 833-837..
6. Safioleas M，Stamatakos M，Revenas C，et al.An alternative surgical approach to a difficult case of Mirizzi syndrome:a case report and review of the literature[J].World J Gastroenterol，2006，12（34）: 5579-5581..
7. 朱瑜，寇玉彬，王锦梁，等.Mirizzi综合征的腹腔镜诊治体会[J].腹腔镜外科杂志，2007，12（6）:522-524..

West China Medical Journal

Diagnosis and Treatment of Mirizzi Syndrome

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