腹腔镜下袖状胃切除术治疗肥胖症的临床研究  

Clinical Study of Laparoscopic Sleeve Gastrectomy for Obesity

作　　者：何家赓[1] 袁明[1] 木拉提[1] 秦乐[1] 李永康[1] 钟晨[1] 牛建华[2] HE Jia-geng;YUAN Ming;Mulati;QIN Le;LI Yong-kang;ZHONG Chen;NIU Jian-hu(Department of Gastroenterology and Thyroid Surgery,the First Affiliated Hospital of Shihezi University School of Medicine,Shihezi,Xinjiang Province, Province, 83200 China;Department of Gastroenterology, the First Affiliated Hospital of Shihezi University School of Medicine, Shihezi Xinjiang Province, 832000 China)

机构地区：[1]石河子大学医学院第一附属医院胃肠甲状腺外科,新疆石河子832000 [2]石河子大学医学院第一附属医院石消化内科,新疆石河子832000

出　　处：《系统医学》2019年第14期49-51,共3页Systems Medicine

摘　　要：目的探讨肥胖症采用腹腔镜下袖状胃切除术治疗的临床效果。方法选择2015年1月-2018年11月该院肥胖症患者60例,所有患者均行腹腔镜下袖状胃切除术进行治疗,记录治疗效果,并对比治疗前后BMI、血糖水平、血压水平、血脂水平。结果全部患者均顺利完成手术,且在手术中未发生并发症。手术治疗后患者的BMI指数为(41±7)kg/m^2、(37±5)kg/m^2、(33±4)kg/m^2、(30±3)kg/m^2低于手术前,差异有统计学意义(P<0.05);术后1、3、6、9个月收缩压、舒张压、糖化血红蛋白、空腹血糖为、谷丙转氨酶、低密度脂蛋白、血尿酸、血清总胆固醇为、甘油三酯指标水平均低于手术治疗前;但术前高密度脂蛋白指标水平(0.97±0.21)mmol/L高于手术后(1.12±0.28)mmol/L、(1.21±0.26)mmol/L、(1.24±0.27)mmol/L、(1.27±0.25)mmol/L,差异有统计学意义(P<0.05)。结论腹腔镜下袖状胃切除术应用于肥胖症患者的治疗中有可靠的近期效果,安全性高,远期效果需要进一步观察,值得推广。Objective To investigate the clinical effect of laparoscopic sleeve gastrectomy for obesity.Methods Sixty patients with obesity in our hospital were selected from January 2015 to November 2018.All patients underwent laparoscopic sleeve gastrectomy for treatment.The therapeutic effects were recorded and the BMI,blood glucose level,blood pressure and blood lipid levels were compared before and after treatment.Results All patients successfully completed the operation and no complications occurred during the operation.The BMI index of patients after surgery was(41±7)kg/m^2,(37±5)kg/m^2,(33±4)kg/m^2,(30±3)kg/m^2 lower than before operation,the different was statistically significant(P<0.05);postoperative 1,3,6 and 9 months systolic blood pressure,diastolic blood pressure,glycosylated hemoglobin,fasting blood glucose,alanine aminotransferase,low density lipoprotein,blood uric acid,serum total cholesterol,triglyceride index level were lower than before surgery However,the preoperative high-density lipoprotein index level(0.97±0.21)mmol/L was higher than that after surgery(1.12±0.28)mmol/L,(1.21±0.26)mmol/L,(1.24±0.27)mmol/L,(1.27±0.25)mmol/L,the difference was statistically significant(P<0.05).Conclusion Laparoscopic sleeve gastrectomy has a reliable short-term effect in the treatment of obesity patients,and it has high safety.The long-term effect needs further observation and is worthy of promotion.

关 键 词：腹腔镜下袖状胃切除术 肥胖症 近期疗效 

分 类 号：R723.14[医药卫生—儿科]