袖状胃减容术对肥胖介导的男性生殖功能障碍的影响  

Effect of sleeve gastrectomy on obesity-mediated male reproductive dysfunction

作　　者：陈伟玲 相俊[1] 乐威[1] 王炎秋[2] CHEN Weiling;XIANG Jun;LE Wei;WANG Yanqiu(Department of Urology,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China;Department of Reproductive Medicine,Tongji Hospital Affiliated to Tongji University,Shanghai 200065,China)

机构地区：[1]同济大学附属同济医院泌尿外科,上海200065 [2]同济大学附属同济医院生殖医学科,上海200065

出　　处：《外科研究与新技术（中英文）》2024年第4期345-349,共5页Surgical Research and New Technique

基　　金：上海市同济医院临床研究培训项目(ITJ(20)2310)。

摘　　要：肥胖是导致高血压、高血脂、糖尿病的重要因素,同时也是导致男性生殖功能障碍,如男性肥胖继发性腺功能减退症、精子质量及性生活质量下降等的元凶之一。基于现实因素,减肥手术被越来越多的人所接受,且其效力对重度肥胖患者最为显著。袖状胃切除术作为如今主流的一种微创减肥手术方式,具有围手术期风险较小、术后减重效果良好等优点。本文综述了袖状胃切除术对肥胖介导的男性生殖功能障碍的影响,旨在为减肥手术的临床应用提供更多的参考依据。Obesity is a major factor leading to hypertension,hyperlipidaemia and diabetes,as well as one of the causes of male reproductive dysfunction,such as male obesity secondary hypogonadism(MOSH),reduced sperm quality,and reduced quality of sexual life.For practical reasons,bariatric surgery is becoming increasingly accepted,and it is most effective in severely obese patients.Sleeve gastrectomy,as the mainstay of minimally invasive bariatric surgery today,has the advantages of low perioperative risk and good postoperative weight loss effect.This paper reviewed the effect of sleeve gastrectomy on obesity-mediated male reproductive dysfunction,with the aim of providing more references for the clinical application of bariatric surgery.

关 键 词：肥胖 减肥 袖状胃减容术 男性生殖功能障碍 

分 类 号：R656.6.1[医药卫生—外科学] R698[医药卫生—临床医学] R-1