轻、中度单纯性肥胖患者行袖状胃切除术的临床分析  

Clinical analysis of treatment on mild or moderate obesity human by laparoscopic sleeve gastrectomy

作　　者：余浩[1,2] 戴晓江[3] 张红兵[2] 冉冬芝 杨园[3] 曾松华[2] 宋志高[1] 吴良平[2] 

机构地区：[1]南方医科大学,广州510515 [2]南方医科大学附属广州军区广州总医院甲状腺糖尿病外科中心,广州510000 [3]广州中医药大学金沙洲医院亚太减重暨糖尿病外科中心,510000

出　　处：《中华腔镜外科杂志（电子版）》2016年第6期327-330,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：广州市科技计划项目(201508020002)

摘　　要：目的探讨轻、中度单纯性肥胖(27.5 kg/m^2≤体质量指数<32.5 kg/m^2)患者行腹腔镜袖状胃切除(laparoscopic sleeve gastrectomy,LSG)术后的疗效及生存质量。方法将2014年2月至2015年8月广州中医药大学金沙洲医院亚太减重暨糖尿病外科中心收治的术后随访满1年的33例行LSG术的轻、中度单纯性肥胖患者进行回顾性分析。观察其物理指标及生存质量。结果术后1年,患者体质量下降明显,多余体质量减少百分比(percentage of excess weight loss,EWL%)为75.0%,术前术后的体质量、腰围、臀围及体质量指数比较,均差异有统计学意义(P<0.05)。术前术后患者OSF-36总评分比较,均差异有统计学意义(P<0.05)。结论轻、中度单纯性肥胖患者行LSG术的近期减重效果确切,术后生存质量明显改善,远期减重效果及生存质量还需大样本、长期的随访。Objective To evaluate therapeutic effect and quality of life of postoperative of laparoscopic sleeve gastrectomy（ LSG） on mild or moderate obesity human with body mass index between 27.5 kg/m2 to 32. 5 kg/m2 （27. 5 kg/m2 ≤ BMI 〈 32. 5 kg/m2 ） . Methods The clinical data of 33 patients of mild or moderate obesity human with body mass index between 27. 5 kg/m2 to 32. 5 kg/m2 （27.5 kg/m2 ≤BMI 〈32.5 kg/m2） between Feb. 2014 to Aug. 2015 in Thyroid and Diabetes Surgery Center, Guangzhou University of Chinese Medicine were analyzed retrospectively in physical outcomes and quality of life. Results At one year of postoperative, there were significant declined（P 〈 0 .05 ） in weight, BMI, waist circumference and buttock circumference. The outcomes of Obesity 36-Item Short-Form health survey were improved markedly （P 〈0. 05 ） . Couclusions The recently therapeutic effect of postoperative of LSG is certain and quality of life is improved markedly, long-term clinical results require more and longer comprehensive analysis.

关 键 词：轻、中度单纯性肥胖 减重代谢外科 腹腔镜下袖状胃切除术 

分 类 号：R589.2[医药卫生—内分泌] R656.6[医药卫生—内科学]