腹腔镜下胃转流术治疗86例肥胖型2型糖尿病临床分析  

Clinical analysis of 86 cases of obese type 2 diabetes treated by laparoscopic gastric bypass

作　　者：胡扬喜[1] 罗方[2] 

机构地区：[1]郑州市中心医院胃肠疝外科,郑州450000 [2]郑州市中心医院内分泌科,郑州450000

出　　处：《上海医药》2018年第3期48-50,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探讨腹腔镜下胃转流术治疗肥胖型2型糖尿病的近期及远期疗效。方法 :选取我院采用腹腔镜下胃转流术治疗肥胖型2型糖尿病86例,根据术后随访时间分为A组(随访时间<1年)39例和B组(随访时间≥1年)47例。术后对患者进行电话和(或)门诊随访,记录其体重、血糖、HbA1c、胰岛素抵抗变化情况并评估糖尿病控制情况。结果 :两组患者术后FPG、2hPG、HbA1c、HOMA-IR、BMI均低于术前(P<0.05);A组患者糖尿病有效缓解率为89.74%,B组为80.85%。高血压及血脂紊乱患者经治疗后均得到显著控制,所有患者均未出现严重并发症。结论:腹腔镜下胃转流术治疗肥胖型2型糖尿病可有效减轻体重、降低血糖,近期及远期疗效均较好。Objective： To explore the efects of laparoscopic gastric bypass in the treatment of obese type 2 diabetes. Methods： Eighty-six cases of obese type 2 diabetes with laparoscopic gastric bypass were selected and divided into group A （follow up time 〈1 year, n=39） and group B （follow up time ≥1 year, n=47）. The patients were followed up by telephone and/or outpatient service to record their weight, blood sugar, HbA1c, insulin resistance and to assess their diabetes control. Results： The FPG, 2hPG, HbA1c, HOMA-IR and BMI in the two groups were all lower after operation than before （P〈0.05）. The efective alleviation rate of diabetes was 89.74% in group A and 80.85% in group B. Hypertension and dyslipidemia were significantly controlled after treatment and none of the serious complications occurred in all the patients. Conclusion： The treatment of obese type 2 diabetes by laparoscopic gastric bypass can efectively reduce weight and blood sugar with better short and long-term efcacy.

关 键 词：腹腔镜 胃转流术 肥胖型2型糖尿病 

分 类 号：R656.61[医药卫生—外科学] R587.1[医药卫生—临床医学]