32例Mirizzi综合征的诊治分析
Diagnosis and treatment analysis of 32 cases of Mirizzi syndrome
吴昆霖 1季卫奔 1李延旭 1吴巍1
作者信息
- 1. 扬州大学医学院,扬州大学附属医院肝胆外科,江苏扬州 225000
- 折叠
摘要
目的 探讨Mirizzi综合征的临床特点及诊治经验.方法 回顾性分析32例Mirizzi综合征患者的临床资料,总结病例的临床症状、影像学特点及诊治经验.结果 32例患者中,Ⅰ型患者22例(68.8%),Ⅱ型患者7例(21.9%),Ⅲ型患者2例(6.5%),Ⅳ型患者1例(3.2%).其中,3例患者行ERCP+鼻胆管引流,其余患者均行手术治疗.术后无二次手术患者,均痊愈出院.结论 Mirizzi综合征的术前诊断仍较困难,需根据术中具体分型及患者的腹部情况作出相应的治疗方案,从而减少术后并发症,改善患者的预后.
Abstract
Objective To explore the clinical characteristics and diagnosis and treatment experience of Mirizzi syndrome.Methods A retrospective analysis was conducted on the clinical data of 32 patients with Mirizzi syndrome,summarizing the clinical symptoms,imaging characteristics,diagnosis and treatment experience of the cases.Results Among the 32 patients,there were 22 Type Ⅰ patients(68.8％),7 Type Ⅱ patients(21.9％),2 Type Ⅲ patients(6.5％),and 1 Type Ⅳ patient(3.2％).Among them,3 patients underwent ERCP+nasobiliary drainage,and the remaining patients underwent surgical treatment.There were no patients who underwent secondary surgery after the surgery,and all recovered and were discharged.Conclusion The preoperative diagnosis of Mirizzi syndrome is still difficult,and the corresponding treatment plan must be made based on the specific intraoperative classification and the patient's abdominal condition,in order to reduce postoperative complications and improve the patient's prognosis.
关键词
Mirizzi综合征/胆囊结石/腹腔镜/开腹Key words
Mirizzi syndrome/Gallbladder stones/Laparoscopic/Laparotomy引用本文复制引用
出版年
2024
NETL
NSTL
万方数据