肌少症对肥胖患者袖状胃切除术后效果的影响研究  

Influence of sarcopenia on the effect of sleeve gastrectomy in patients with obesity

作　　者：王超珺[1] 董志勇[2] 赵宛鄂 胡嵩浩 刘昭晖[1] Wang Chaojun;Dong Zhiyong;Zhao Wan'e;Hu Songhao;Liu Zhaohui(Department of Bariatric and Metabolic Surgery,The First Affiliated Hospital of Xiamen University,Xiamen 361003,China;Department of Metabolic and Bariatric Surgery,the First Affiliated Hospital,Jinan University,Guangzhou 510630,China)

机构地区：[1]厦门大学附属第一医院减重代谢外科,厦门361003 [2]暨南大学附属第一医院减重中心(肥胖代谢外科),广州510630

出　　处：《中华肥胖与代谢病电子杂志》2024年第4期283-287,共5页Chinese Journal Of Obesity and Metabolic Diseases:Electronic Edition

基　　金：广州市泛血管病基础及转化研究重点实验室(202201020042)

摘　　要：目的探讨肌少症对肥胖患者袖状胃切除术(SG)后效果的影响。方法回顾性分析2021年1月至2022年12月在厦门大学附属第一医院减重代谢外科接受腹腔镜SG并定期随访满1年的68例患者资料,其中男性28人,女性40人,根据是否患有肌少症将患者分为了肌少症组(16名)和非肌少症组(52名),使用t检验对其术后的减重效果及合并症改善情况进行比较。结果肌少症组在SG术后总体的减重效果(%TWL)低于非肌少症组(男性:21.73±5.54 vs.33.50±9.05,P=0.006;女性:25.23±5.71 vs.36.41±9.69,P<0.001)。术后两组的肥胖相关合并症均较前改善,但改善率两组差异没有统计学意义(P>0.05)。结论肌少型肥胖患者SG术后效果差于非肌少型肥胖患者,术前对肥胖患者肌少症的评估对预测SG术后减重的效果有一定的参考价值。Objective To investigate the effect of sarcopenia on sleeve gastrectomy in patients with obesity.Methods A retrospective analysis was performed on the data of 68 patients who received laparoscopic sleeve gastrectomy at the Department of Bariatric and Metabolic Surgery of the First Affiliated Hospital of Xiamen University from 2021 to 2022 and were regularly followed up for 1 year,including 28 males and 40 females.The patients were divided into the sarcopenia group(16 patients)and the nonsarcopenia group(52 patients)according to whether they had sarcopenia.The effect of postoperative weight loss(TWL%)was compared using T-test.Results The overall weight loss effect(%TWL)and ameliorative effect of complications in the sarcopenia group was lower than that in the non-sarcopenia group(male:21.73±5.54 vs.33.50±9.05,P=0.006;female:25.23±5.71 vs.36.41±9.69,P<0.001).The obesity-related comorbidities of the two groups were improved after surgery,but the improvement rate was not statistically significant(P>0.05).Conclusions Based on the results of this study,the postoperative effect of bariatric surgery in patients with sarcopenia is worse than that in patients with non-sarcopenia.Preoperative assessment of sarcopenia in patients with obesity has a certain reference value for predicting the effect of weight loss after sleeve gastrectomy.

关 键 词：肥胖 肌少症 肌少型肥胖 袖状胃切除术 

分 类 号：R656.6[医药卫生—外科学]