Clinical Management of Mirizzi Syndrome_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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马毅 ¹ , 吴佩 ¹ , 张应开 ² , 江峰 ³

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Keywords：

胆囊结石; Mirizzi综合征; 诊断; 手术

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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RouxenY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: Copy

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Management of Mirizzi Syndrome

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