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。
To investigate the pathological characteristics, diagnosis and treatment of rectal carcinoid tumors, 26 cases, which had been diagnosed and treated in our hospital from 1987 to 1997, were retrospectively analysed. The rectoscopic examination were taken in all 26 patients and final diagnosis were made by pathological examination, among them, 19 cases were treated with local resection or expensively local resection, 7 cases with radical operation because the diameter of tumor was beyond 2 cm. These patiests were followed up 1-10 years with 5 patients died. The authors consider that rectoscopic examination and biopsy are important method to diagnose rectal carcinoid tumors preoperatively, in addition, for suspicious case, argentation and immunohistochemistry staining should be further made besides routine HE staining. The operative treatment is the best therapy to this kind of disease, the choice of operative mode must be made according to the size, infiltration of the tumor, the condition of infiltrated lymph node and hepatic metastasis.