【摘要】 目的 总结Mirrizi综合征的诊断和治疗经验。方法 对22例经手术证实的Mirrizi综合征进行回顾分析。结果 22例病人在术前均未能确诊，经术中证实后行保留颈部的胆囊大部切除术5例;胆囊切除，瘘口直接修补10例;胆囊大部切除加胆囊瓣瘘口修补术5例;胆肠吻合2例。结论 Mirrizi综合征术前诊断困难，确诊率低;术中应根据不同情况，选择合适术式。

    关键词 Mirrizi综合征 诊断 治疗

    Experience in diagnosis and treatment of22cases of Mirrizi syndrome

    Zhang Jun，Qiao Qilu，Zhao Jianxun，et al.

    Department of General Surgery，First Hospital of Peking University，Beijing100034.

    【Abstract】 Objective To summarize the experience in diagnosis and treatment of Mirizzi syndrome.Methods 22cases of Mirizzi syndrome proved by operation were respectively analyzed.Results No case was definitely diagˉnosed before operation.Of the22cases，5were treated with subtotal cholecystectomy，10with cholecystectomy and cloˉsure of the fistula，5with subtotal cholecystectomy and choledochoplasty with remnant of the gallbladder，2with choleˉcystectomy plus Roux-en-Y hepaticojejunostomy.Conclusion It’s difficult to diagnose Mirizzi syndrome preoperaˉtively，and appropriate procedures should be selected according to different types of Mirizzi syndrome.Key words Mirizzi syndrome diagnosis treatment Mirrizi syndrome is defined as the cholangitis ......