重度肥胖症合并2型糖尿病的诊断与治疗  

Diagnosis and treatment of severe obesity complicated with type 2 diabetes mellitus

作　　者：易波[1] 李鹏洲[1] 朱利勇[1] 朱晒红[1] IbrahimIM 

机构地区：[1]中南大学湘雅三医院普通外科三科,长沙410013 [2]Department of Surgery,Englewood Hospital and Medical Center, Englewood, NJ 07631, USA

出　　处：《中华消化外科杂志》2015年第7期590-592,共3页Chinese Journal of Digestive Surgery

基　　金：湖南省自然科学基金面上项目（2015jj2155）;湖南省科技厅重点项目（2009sk4005）

摘　　要：世界范围内肥胖症发病率逐年增加,WHO已将其定位为一种重要的疾病,它已成为世界范围内重要的公共卫生问题.国内调查结果显示：2002年我国成年人超重和肥胖症发生率分别为22.8％和7.1％,超重和肥胖症已经影响到2亿7千万人口.目前,代谢外科手术已成为治疗重度病态肥胖症安全而有效的新治疗手段.2011年7月中南大学湘雅三医院收治1例体质量148 kg,BMI为51 kg/m2,合并2型糖尿病的重度肥胖症患者.经术前组织多学科团队（MDT）协作诊断与治疗,拟定治疗方案;患者行腹腔镜胃袖状切除术.术后随访至2012年9月,患者体质量减至75 kg,BMI降低至25 kg/m2,术后恢复良好,无严重手术并发症发生.The incidence of obesity increases worldwide every year,positioned as an important disease by WHO,and it has become an important public health problem.National survey shows that overweight and obesity rates were 22.8% and 7.1% respectively in Chinese adults in 2002,affecting 270 million people.At present,bariatric surgery is a safe and effective treatment for severe obese patients.In July 2011,a patient with Ⅲ degree obesity （weight 148 kg and BMI 51 kg/m2） complicated with type 2 diabetes mellitus was admitted to the Third Xiangya Hospital of Central South University.The treatment plan was made after diagnosis and treatment of muhidisciplinary team and the patient underwent laparoscopic sleeve gastrectomy.The patient was followed up to September 2012 and recovered well without severe surgical complications,and the weight and BMI were decreased to 75 kg and 25 kg/m2 respectively.

关 键 词：肥胖症 糖尿病 2型 胃袖状切除术 腹腔镜检查 

分 类 号：R587.1[医药卫生—内分泌] R589.2[医药卫生—内科学]