Mirizzi综合征的误诊临床分析.pdfVIP

中国局解手术学杂志2003年第12卷第1期 14 ￡娅』墨!翌Q趔皇趔鱼Q匹趔堡塾强：!堂，!!1．蝗-№：! Mirizzi综合征的误诊临床分析 马雪平+ 王晋峰’ 崔猛旺。 赵国发‘ 陈广斌’，)，．， ． K6s月 【摘要】 大部切除加胆总管或肝总管探查，胆管修补．及胆肠吻合术。1例出现胆瘘，半月后自愈，1例因合并急性肾功能衰竭。结论提高 对Mifizzi综台征的认、飒，采用合理的诊断手段．术中精心操作，可减少^Ii五孟误诊，提高疗效。 【关键词】Mirizzi综合征；胆囊切除术；诊断 Clinical analysisofnCtcdla鲫is0f删sy『ldaromeMaXⅢ,pin，WangJir耐engtChuiMengsheng，etalDepar々nentofGeneralSurgery，鲈 faiated脚i昭Hospital，Changzhimedicalcollege，Chaa∥d，046000 To rateofMirizzi tOsummarizeclirfical inorderto 【Al硎a-aet】Objectiveimprovepreoperativedia91／osis syndrome(MS)and experience of raisecurativeeffectMethodsClimcMCcqtseS ta-acttreatedinour from1983to2002were cas酋ofMSwere Nliary hospital afIdy耐15 mi曲丑g- ofMS and ncsis 15cases were The included misdlagnosedwe“pmvedbyoperation preoperatively．Results opemdmas ductof∞mn duct tube and flstMa pjm∞㈣bile hepatic sututE，and choleeystectotay，partiMchoMcystectomy exploration．TdrMnageN／；ary Oneease WOS reIlal Roux-en-Y appearedbilJary盘tola，andc删afterlmlfmonth．One byacute failure． h。p“o叫ejtmostomy ca跚complicated Condmiml aWa唧雌0f methodandmeticulotm reduce MS MS，rationaldiagn隔-fic and cur丽ve Heighten operationmay misdiagnosis。fimprove effect ofMS words】Mirizzi 【Key sMdr