摘要：目的：总结Mirizzi综合征的诊断与治疗特点。方法：对经手术证实的21例Mirizzi综合征进行回顾性分析。结果：术前确诊6例。按Csendes分型本组Ⅰ型13例，Ⅱ型6例，Ⅲ型2例。21例中行单纯胆囊切除10例，胆囊大部分切除3例，胆囊切除、胆管瘘口修补5例，胆囊切除及肝总管空肠Roux-en-y吻合术2例,全部治愈。结论：Mirizzi综合征术前诊断较困难，B超结合ERCP、PTC检查可提高术前确诊率。治疗应根据不同类型选择适当的手术方式。

    关键词：Mirizzi综合征；诊断；治疗

    The Analysis and Diagnosis of Mirizzi SyndromeHE Qi-ming，SHEN Chang-ming

    (Surgical Department of Nanxiong People’s Hospital, Guangdong Nanxiong 512400,China)

    Abstract： Objective:To summarize the diagnostic and therapeutic characteristics of Mirizzi syndrome. Method:Analyzing 21 cases of Mirizzi syndrome which have been cured by surgical operation. Results: The diagnosis was confirmed in 6 patients before operation. (The others were confirmed in operation. ) Thirteen cases were csendes Group I, 6 cases were Group II and 2 Group II. Among the 21 cases 10 underwent single cholecystectomy, Three underwent resection of most part of gallbladder, 5 underwent cholecystectomy and repair ofule, 2 underwent cholecystectomy and hepatojejunostomy and Roux-en-y anastomasis. Conclusion:It’s difficult to diagnose Mirizzi syndrome before operation. Combination of B-Ultrasound, ERCP and PTC may help early diagnosis of the disease. Selection of operation style should be based on the csendes type. ......