手术治疗2型糖尿病合并肥胖症26例  

Surgical treatment for type 2 diabetes mellitus and obesity:a report of 26 cases

作　　者：赵伟[1] 唐思锋[1] 王德友[1] 张启文[1] 纪志鹏[2] 张建良[2] 

机构地区：[1]山东省莱芜市人民医院普外科,山东莱芜271100 [2]山东大学第二医院普外科,山东济南250012

出　　处：《中国现代普通外科进展》2011年第6期458-461,共4页Chinese Journal of Current Advances in General Surgery

摘　　要：目的：探讨胃肠外科手术在治疗2型糖尿病（T2DM）合并肥胖症中的意义。方法：对26例T2DM合并肥胖症的患者行胃减容和胃肠短路手术,观察术后血糖、体质指数（BMI）等指标的变化。结果：术后1年空腹血糖4.9-8.8 mmol/L,平均6.3 mmol/L。治疗T2DM有效率100%,治愈率42.3%。体质量降低5-42 kg,平均降低17.5 kg。BMI降至20.8-32.0,平均25.5。结论：胃减容和胃肠短路手术是治疗T2DM合并肥胖症可行、有效的方法。Objective：To evaluate the significance of Gastrointestinal surgery in the treatment of type 2 diabetes mellitus（T2DM） and obesity.Methods：26 patients of T2DM and obesity patients underwent surgery reducing the capacity of the stomach and gastric bypass to observe the changes of blood glucose,body mass index（BMI） and other indicators.Results：The patients＇ fasting blood glucose of one year after surgery was between 4.9 to 8.8 mmol/L,the average mean was 6.3 mmol/L.The effective rate of treatment to T2DM was 100% and the cure rate was 42.3%.The decreased weight of these patients was from 5 kg to 42 kg,and the average mean was 17.5 kg.The BMI decreased to 20.8-32.0,average 25.5.The effect of the treatment for obesity was Significant.Conclusions：Reducing the capacity of the stomach and gastric bypass are feasible and effective to the treatment of T2DM and obesity.

关 键 词：胃肠外科手术 2型糖尿病 肥胖症 

分 类 号：R656.6[医药卫生—外科学]