腹腔镜Roux-en-Y胃旁路术治疗肥胖糖尿病20例疗效分析  

Laparoscopic Roux-en-Y gastric bypass in the treatment of obese diabetes:an analysis of 20 cases

作　　者：艾克拜尔·艾力[1,2,3] 崔剑昱 皮尔地瓦斯·麦麦提玉素甫 麦麦提艾力·麦麦提明[1,2,3] 伊比提哈尔·买买提艾力 李慧灵 邓秀丽 玉素江·图荪托合提[3,4] 黎鑫 克力木·阿不都热依木[1,2,3] Aikebaier·Aili;CUI Jianyu;Pierdiwasi·Maimaitiyusupu;Maimaitiaili·Maimaitiming;Yibitihaer·Maimaitiaili;LI Huiling;DENG Xiuli;Yusujiang·Tusuntuoheti;LI Xin;Kelimu·Abudureyimu(不详;Department of Minimally Invasive Surgery,Hernias and Abdominal Wall Surgery,People’s Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China)

机构地区：[1]新疆维吾尔自治区人民医院微创、疝和腹壁外科,乌鲁木齐830001 [2]新疆胃食管反流病与减重代谢外科临床医学研究中心 [3]新疆维吾尔自治区普外微创研究所 [4]新疆医科大学研究生学院

出　　处：《临床外科杂志》2024年第7期733-735,共3页Journal of Clinical Surgery

摘　　要：目的探讨腹腔镜Roux-en-Y胃旁路手术(LRYGB)治疗肥胖糖尿病的临床疗效。方法回顾性分析2012年~2018年新疆维吾尔自治区人民医院微创、疝腹壁外科中心实施LRYGB的20例肥胖糖尿病人的临床资料。结果20例手术均顺利完成,中转开腹病例1例。手术时间60~420分钟,平均(150±105.64)分钟,术中失血量20~100ml,平均(37.5±20.99)ml,术后住院时间5~15天,平均(8.25±2.51)天。术后5年内7例(35.00%)发生并发症,均为Clavien-Dindo分级Ⅱ级。术后1、3、5年的体重、体质指数(BMI)、糖化血红蛋白、空腹血糖、总体重减少百分比(TWL%)与术前比较均有改善,差异有统计学意义(P<0.05)。术后5年LRYGB治疗2型糖尿病完全缓解15例(75.00%)。结论LRYGB对肥胖2型糖尿病病人是一种有效的减重及降糖的术式。Objective To investigate the effect of laparoscopic Roux-en-Y gastric bypass surgery(LRYGB)in the treatment of obese diabetes.Methods The clinical data of 20 obese diabetic patients who received LRYGB from 2012 to 2018 in the Minimally Invasive and Herniac Abdominal Surgery Center of Xinjiang People’s Hospital were retrospectively analyzed.Result The all 20 surgeries were successfully completed,and 1 case was converted to open surgery.The surgical time ranged from 60 to 420 minutes,with an average of(150±105.64)minutes,the intraoperative blood loss ranged from 20 to 100,with an average of(37.5±20.99)ml,and the postoperative hospital stay ranged from 5 to 15,with an average of(8.25±2.51)days.Complications occurred in 7 cases(35.00%)within 5 years after surgery,all of which were Clavien Dindo gradeⅡ.The body weight,BMI,glycosylated blood glucose,fasting blood glucose,and the percentage of total weight loss(TWL%)at 1,3,and 5 postoperatively improved compared with those before surgery(P<0.05).15 cases(75.00%)of type 2 diabetes were completely relieved by LRYGB 5 years after operation.Conclusion Laparoscopic gastric bypass surgery is an effective way to reduce weight and blood sugar in obese patients with type 2 diabetes.

关 键 词：腹腔镜胃旁路手术 肥胖 2型糖尿病 减重手术 腹腔镜胃袖状切除术 

分 类 号：R587.1[医药卫生—内分泌] R656.61[医药卫生—内科学]