腹腔镜外科杂志2012,Vol.17Issue(7):485-488,4.
影响胃转流术治疗2型糖尿病效果的因素研究
Research on effect factors of gastric bypass surgery in treatment of type 2 diabetes mellitus
闫军 1董光龙 2季刚 1杨雁灵1
作者信息
- 1. 第四军医大学西京消化病医院,陕西西安,710032
- 2. 中国人民解放军总医院
- 折叠
摘要
Abstract
Objective:To summarize the effect factors of gastric bypass surgery in treatment of type 2 diabetes mellitus.and explore the surgical indications. Methods:Clinical data of type 2 diabetes patients (n =32) who underwent gastric bypass were retrospectively analyzed and the preoperative and postoperative related index changes were compared. Results;Nine cases were completely remitted and 23 cases were not remitted by the end of 12 months after gastric bypass and postoperative complications were not severe. Preop-eratire age, medical history, fasting plasma glucose (FPG) ,2h plasma glucose (PC), hemoglobin Ale (HbAlc) of complete remission group were lower than those of non-remission group,and differences were statistically significant (P <0.05). There were no statistically significant differences between the complete remission group and the non-remission group in gender and preoperative BMI(P>0.05). There were no statistically significant differences between the open group and the laparoscopic group in preoperative age,gender,medical history,FPG,2h PG,HbAlc and postoperative result after 12 months (A>>0.05). Conclusions:Postoperative result is significantly effected by preoperative age,medical history,controlled levels of blood glucose and intraoperative volume of residual gastric pouch in patients with type 2 diabetes mellitus.关键词
糖尿病,2型/胃转流术/血糖Key words
Diabetes mellitus,type 2/Gastric bypass/Blood glucose分类
医药卫生引用本文复制引用
闫军,董光龙,季刚,杨雁灵..影响胃转流术治疗2型糖尿病效果的因素研究[J].腹腔镜外科杂志,2012,17(7):485-488,4.