外科理论与实践Issue(5)：395-398,4.DOI:10.16139/j.1007-9610.2015.05.008
腹腔镜袖状胃切除术对降低心血管代谢危险因素的近期疗效分析
Early effect of laparoscopic sleeve gastrectomy in the treatment of cardiometabolic risk factor
摘要
Abstract
Objective To investigate the short-term effects of laparoscopic sleeve gastrectomy (LSG) on the car-diometabolic risk factor. Methods Forty obese patients with LSG and follow-up for 6 months from August 2012 to August 2014 in our hospital were analyzed retrospectively. The detail records consisted of postoperative BMI, the recovery of re-lated diseases, and the evaluation of cardiovascular risk factors and metabolic risk factors. Results Preoperative BMI and BMI at 3 and 6 months after surgery were (39.8±6.9) (32.5±6.7) and (29.4±6.0) respectively. Preoperative waistline and the waistline at 3 and 6 months after surgery were (124.9±17.3) cm;(103.8±15.4) cm and (98.7±16.6) cm respectively. Three-and six-month postoperative results showed the complete remission rate was 76.4%(13 cases) and 82.3%(14 cases) among 17 cases with type 2 diabetes, 71.4% (15 cases) and 76.1% (16 cases) among 21 cases with hypertension, 80.5% (29 ca-ses) and 90.2%(33 cases) among 36 cases with dyslipidemia, 82.6%(19 cases) and 82.6%(19 cases) among 23 cases with hypersensitive C-reactive protein. The preoperative Framingham Risk Score, Reynolds Risk Score and Finnish Diabetes Risk Score were (5.4±4.9)%, (5.2±4.3)%and (14.9±2.1), respectively. After the surgery, the scores decreased to (2.3± 1.6)%,(3.1±2.2)%and (12.6±1.8) at 3 months, (1.9±1.7)%, (1.6±1.1)% and (12.1±1.7) at 6 months. Conclusions LSG has the effects of weight loss and reduction of the cardiometabolic risk factors,which could be better choice of bariatric surgery.关键词
腹腔镜袖状胃切除术/肥胖/心血管代谢危险因素Key words
Laparoscopic sleeve gastrectomy/Obesity/Cardiovascular and metabolic risk factors分类
医药卫生引用本文复制引用
颜朝阳,张志,尉建安,孙少华,刘宇萌,张忠涛,孟化..腹腔镜袖状胃切除术对降低心血管代谢危险因素的近期疗效分析[J].外科理论与实践,2015,(5):395-398,4.基金项目
北京市科委2015年“首都临床特色”专项立项课题(Z151100004015065) （Z151100004015065）
