Mirizzi综合征的手术治疗:附95例报告
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朱秀芳

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Surgical treatment of Mirizzi syndrome:a report of 95 cases
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    摘要:

    目的:探讨Mirizzi综合征的病理特点及其诊断和手术方式。方法:回顾分析我院近12年间所收治的Mirizzi综合征(MS)95例的临床资料。结果:95例均采用手术治疗,手术方式为单纯胆囊切除2例,胆囊切除加胆总管探查、T管引流58例,胆囊切除加经胆囊管胆道镜行胆道检查15例,胆囊大部切除加胆管瘘口修补术18例,胆囊切除加胆道损伤整形修补术2例。65例获随访1~5年,均疗效优良。结论:MS病理类型不一,处理时按各类型的特殊性作相应的手术处理,可获得良好效果。

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    Abstract:Objective:To explore the pathological characteristics, diagnosis and operative treatment of Mirizzi Syndrome(MS). Methods:The clinical data of 95 cases of Mirizzi Syndrome admitted to our hospital in recent 12 years were reviewed retrospectively. Results:All of the 95 cases underwent operative therapy. In the 95 patients, simple cholecystectomy was performed in 2 patients, cholecystectomy and choledochotomy with T-tube drainage in 58 patients, cholecystectomy and choledoscopic bile duct examination via cystic duct in 15 patients, partial cholecystectomy plus repair of choledochal fistula in 18 patients, and cholecystectomy plus repair of the injured choledochus in 2 patients. 65 cases were folloned up for 1-5 years, and all of them have been in good health. Conclusions:Mirizzi Syndrome consists of varied pathology. The selection of rational operation for different types of Mirizzi Syndrome can give satisfactory results.

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朱秀芳,莫一我,孙志伟. Mirizzi综合征的手术治疗:附95例报告[J].中国普通外科杂志,2005,14(1):6-.
DOI:10.7659/j. issn.1005-6947.2005.01.006

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  • 在线发布日期: 2005-01-25