| 查了一些资料，有关mirizzi综合征的Csendes分型大部分是这么说的：胆囊结石压迫胆管形成狭窄，无胆囊胆管瘘为|型；胆囊胆管形成瘘，瘘口小于胆管周径的1/3为||型；瘘口超过胆管周径的2/3为|||型；胆管全周被破坏者为|V型。那瘘口介于胆管1/3---2/3的归到哪一型呢？看看Csendes的原文，你就知道Mirizzi's syndrome 的Csendes分型到底是怎么回事了。Type I lesions are those with external compression of the common bile duct. In type II lesions a cholecystobiliary fistula is present with erosion of less than one-third of the circumference of the bile duct. In type III lesions the fistula involves up to two-thirds of the duct circumference and in type IV lesions there is complete destruction of the bile duct. Csendes A, Diaz JC, Burdiles P, et al. Mirizzi syndrome and cholecystobiliary fistula: a unifying classification. Br J Surg. 1989 Nov;76(11):1139-43. 注意关于type III 人家用的是up to two-thirds，up to是至多的意思，不是超过。 非常感谢Nevin的指教。我英文不好，看的都是中文书刊。看来不少人对这个问题都有误解阿。有没有Mirizzi综合征分型的图片
|