Mamontov I N
Klin Khir. 2016(9):25-7.
Results of diagnosis and treatment of 21 patients, suffering Mirizzi syndrome (MS), were analyzed. Informativity of ultrasound investigation and endoscopic retrograde cholangiopancreatography in diagnosis of MS types I and II was presented. The first stage of treatment consisted of endoscopic interventions — lithotripsy with lithoextraction, the biliary ducts stenting, nasobiliary drainage. In 14.3% of patients surgical treatment was not necessary after endoscopic interventions. Variants of surgical treatment for MS were analyzed. In MS type I in 5 patients cholecystectomy was performed, and for type II — partial cholecystectomy with biliary ducts plasty — in 11, cholecystofistulolithotomy — in 2, hepaticojejunostomy — in 1.
分析了21例Mirizzi综合征（MS）患者的诊断和治疗结果。介绍了超声检查和内镜逆行胰胆管造影在I型和II型MS诊断中的信息价值。治疗的第一阶段包括内镜干预——碎石取石术、胆管支架置入术、鼻胆管引流术。14.3%的患者在内镜干预后无需手术治疗。分析了MS的手术治疗方案。I型MS患者中5例行胆囊切除术，II型患者中11例行部分胆囊切除术加胆管成形术，2例行胆囊瘘切开取石术，1例行肝空肠吻合术。
