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目的为探讨Ｍｉｒｉｚｚｉ综合征在临床上的一种新的、合理的和规范的分类方法。方法对２４例此征病人从诊断和治疗的角度加以分析，结合以往对Ｍｉｒｉｚｚｉ综合征的分类方法，重新总结出一种新的分类方法，得出三种不同的类型：Ⅰ型，由于胆囊管或胆囊颈部嵌顿的结石压迫肝总管或者堵塞肝总管而致肝总管狭窄为特点；Ⅱ型，由于胆囊管或胆囊颈部结石压迫肝总管，形成胆囊、肝总管瘘；Ⅲ型，反复的胆囊炎、胆管炎，以及其它良性疾病引起肝管狭窄，上段胆管扩张。结果Ⅰ型１６例，Ⅱ型２例，Ⅲ型６例，三种类型根据临床表现特点和胆管造影可以区别开来。结论对不同类型的Ｍｉｒｉｚｚｉ综合征作不同的处理和治疗。
Objective To explore a new, reasonable and standardized classification method of Mirizzi syndrome in clinic. Methods Twenty-four cases of this syndrome were analyzed from the perspective of diagnosis and treatment. Based on the previous classification of Mirizzi syndrome, a new classification method was concluded and three different types were obtained: type Ⅰ, Or gallbladder neck incarcerated stones oppression of the hepatic duct or hepatic duct obstruction caused by hepatic duct stenosis is characterized by; type Ⅱ, as the cystic duct or gallbladder neck compression of the common hepatic duct, gallbladder, hepatic duct fistula; Ⅲ, repeated Cholecystitis, cholangitis, and other benign diseases cause narrowing of the hepatic duct and dilatation of the upper bile duct. Results There were 16 cases of type Ⅰ, 2 cases of type Ⅱ and 6 cases of type Ⅲ. The three types were distinguished according to the clinical manifestations and cholangiography. Conclusion Different treatment and treatment of different types of Mirizzi syndrome.