| 胡志航,于刚,贾犇黎,等.减重手术治疗肥胖症近期疗效的分析[J].安徽医药,2017,21(7):1254-1257. |
| 减重手术治疗肥胖症近期疗效的分析 |
| Short-term efficacy of metabolic surgery for obesity |
| 投稿时间：2016-10-22 |
| DOI： |
| 中文关键词: 腹腔镜 袖状胃切除术 胃转流术 肥胖症 2型糖尿病 |
| 英文关键词: Laparoscope Sleeve gastrectomy Gastric bypass Obesity Type 2 diabetes mellitus |
| 基金项目: |
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| 摘要点击次数: 1970 |
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| 中文摘要: |
| 目的 探讨减重手术治疗肥胖症的临床疗效及其安全性。方法 回顾分析14例行腹腔镜袖状胃切除术(LSG)及腹腔镜胃转流术(LGBP)治疗肥胖症病人的临床资料,随访时间6个月。 结果 14例手术均在腹腔镜下顺利完成,无中转开腹和术中并发症发生。经过术后6个月随访,14例病人术后1、3、6个月腹围、体质量及体质量指数较术前均不断下降,均差异有统计学意义(P<0.01)。术后1、3及6个月额外体质量减轻百分率分别为(43.90±13.16)%,(67.62±18.21)%,(86.66±22.05)%。高脂血症、高血压及2 型糖尿病等肥胖相关并发症发生率显著降低(P＜0.05) 。结论 LSG和LGBP治疗肥胖症及其合并症短期内安全有效,远期疗效有待进一步随访及观察。 |
| 英文摘要: |
| Objective To evaluate the effect and safety of metabolic surgery on obesity. Methods Retrospective analysis was made of the clinical data of 14 patients undergoing LGBP and LSG surgery.All the patients were followed up for 6 months.Results All Fourteen cases were successfully operated under laparoscope and there were no conversion to laparotomy or severe post-procedure complications.During 6 months of follow-up,the abdomen circumference,body weight and body mass index (BMI) of 14 patients decreased significantly after operation in 1,3 and 6 months after operation (P<0.01).The percentages of excess weight loss (EWL%) at 1 month,3 months and 6 months after procedure were(43.90±13.16)%,(67.62±18.21)%,(86.66±22.05)%,respectively.Moreover,the occurrence rate of the obesity-related comorbidities including hyperlipidemia,hypertension and type 2 diabetes mellitus was significantly decreased (P＜0.05).Conclusions LSG and LGBP in treating obesity and its complications are safe and effective on a short-term basis,but long-term effects are worthy of further follow-up and observation. |
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