内镜逆行胰胆管造影对Mirizzi综合征的诊断价值

目的 探讨内镜逆行胰胆管造影（ＥＲＣＰ）对Ｍｉｒｉｚｚｉ综合征的诊断价值，提高对该病的术前诊断率。方法 对３０例Ｍｉｒｉｚｚｉ综合征的临床特征，实验室检查、十二指肠镜下特点及ＥＲＣＰ的Ｘ线表现进行分析，并与Ｂ超、ＣＴ检查棹比较。结果 Ｍｉｒｉｚｚｉ综合征病史较长，ＥＲＣＰ的典型表现为肝总管可风级完整的充盈缺损，缺损以上的肝总管及肝内胆管轻至重度扩张。并胆囊萎缩及胆囊结石。ＥＲＣＰ确诊率为８６．６７

Diagnostic significance of endoscopic retrograde cholangiopancreatography for Mirizzi syndrome

Objective The value of preoperative diagnosis for Mirizzi syndrome via endoscopic retrograde cholangiopancreatography ( ERCP) was studied Methods 30 cases with suspected Mirizzi syndrome were enrolled Their clinical features, lab findings, duodenoscopic and X-ray appearances were analysed and compared with those seen in BUS and CT scan Results A longer history of suffering could often be elicited, smooth edged filling defeat at the lower end of common hepatic duct was frequently observed associated with atrophic gall bladder and stones The preoperative detection rate by ERCP for Mirizzi syndrome attained approximately 86 67%(n=26/30), in contrast with each 6 67%(n=2/30) by BUS and CT Conclusion Being a direct method to illuminate biliary tracts ERCP provides more reliable signs for Mirizzi syndrome than the indirect BUS and CT scan