Ｍｉｒｉｚｚｉ综合征 (Ｍｉｒｉｚｚｉｓｙｎｄｒｏｍｅ ,ＭＤ)系指胆囊管或胆囊颈结石嵌顿引起胆总管狭窄 ,临床上出现胆管炎、梗性黄疸和肝功能损害为特征的综合征[1] 。ＭＤ术前诊断较为困难 ,术者若对此病缺乏认识 ,术中可致医源性胆道损伤 ,因此术前诊断至关重要。现结合 Mirizzi syndrome (Mirizzi syndrome, MD) refers to the cystic duct or gallbladder neck incarceration caused by common bile duct stenosis, clinical manifestations of cholangitis, tuberculous mellitus and liver dysfunction syndrome [1]. MD preoperative diagnosis is more difficult, if the surgeon who lack of understanding of the disease, intraoperative can cause iatrogenic biliary injury, preoperative diagnosis is therefore crucial. Now combined