Mirizzi综合征诊治14例
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郭金星, 张宗明, 朱建平, 宿砚明, 蒋 艺, 姜 楠, 张子超
Mirizzi综合征;诊断;手术,郭金星,张宗明,朱建平,宿砚明,蒋艺,姜楠,张子超,通讯作者:,Diagnosisandtreatmentof14patientswithMirizzisyndrome,Jin-XingGuo,Zong-MingZhang,Jia
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郭金星, 张宗明, 朱建平, 宿砚明, 蒋艺, 姜楠, 张子超, 清华大学第一附属医院消化医学中心普外科 北京市 100016
通讯作者: 郭金星, 100016, 北京市朝阳区酒仙桥一街坊6号, 清华大学第一附属医院消化医学中心普外科.
guojinxing@hotmail.com
电话: 010-64372362 传真: 010-64361322
收稿日期: 2007-10-12 修回日期: 2007-12-14
Diagnosis and treatment of 14 patients with Mirizzi syndrome
Jin-Xing Guo, Zong-Ming Zhang, Jian-Ping Zhu, Yan-Ming Su, Yi Jiang, Nan Jiang, Zi-Chao Zhang
Jin-Xing Guo, Zong-Ming Zhang, Jian-Ping Zhu, Yan-Ming Su, Yi Jiang, Nan Jiang, Zi-Chao Zhang, Department of General Surgery, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, Beijing 100016, China
Correspondence to: Jin-Xing Guo, Department of General Surgery, Digestive Medical Center, the First Affiliated Hospital of Tsinghua University, 6 Yijiefang, Jiuxian Bridge, Chaoyang District, Beijing 100016,China. guojinxing@hotmail.com
Received: 2007-10-12 Revised: 2007-12-14
Abstract
AIM: To explore the characteristics of the diagnosis and treatment in patients with Mirizzi syndrome, so as to improve its diagnosis and avoid the damage of the bile duct.
METHODS: A retrospective analysis was performed on the 14 patients with Mirizzi syndrome in our hospital from Nov 2004 to Aug 2007.
RESULTS: 4 cases were made the definite diagnosis before the operation, the others were diagnosed during the operation. According to the standard of Nagakawa typing, 10 cases belonged to Type Ⅰ, 2 cases Type Ⅱ and 2 cases Type Ⅲ. All patients were discharged from our hospital without complications.
CONCLUSION: The preoperative diagnosis of Mirizzi syndrome is difficult. Intraoperative careful exploration, the necessary cholangiography and the suitable operative methods is important to avoid iatrogenic bile duct injury ......
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