【摘要】 目的 探讨Mirizzi综合征的病理特点及合理的诊断与治疗方法。方法 回顾性分析21例Mirizzi综合征的临床资料。结果 21例病人分别行胆囊切除或部份胆囊切除，直接瘘口修补或胆囊壁补片修补及Rowx-en-y式肝总管空肠吻合术。所有病人均治愈出院。结论 Mirizzi综合征病理类型不一，术前诊断困难，需借多种影像技术检查。对不同病理类型的Mirizzi综合征应采取不同的手术方法。

    【关键词】 Mirizzi综合征；手术治疗；随访研究

    Surgical treatment of Mirizzi syndrome

    WANG Ben-yi, CHENG Zhang-lin,WANG Gou-feng. Department of Surgery，the First People′s Hospital of Xinyang Henan Province,Xinyang 464000,China

    【Abstract】 Objective To study the pathologic feature and rational diagnosis and treatment of Mirizzi Syndrome.Methods The clinical data of 21 cases treated by surgery were retrospectively analysed.Results Cholecystectomy，partial cholecystectomy，direct closure of fistula or closure with gallbladder wall patch ......