腹腔镜外科杂志2017，Vol.22Issue(1)：12-15,4.DOI:10.13499/j.cnki.fqjwkzz.2017.01.012
腹腔镜胃旁路术治疗肥胖合并2型糖尿病的临床效果
Clinical effect of laparoscopic Roux-en-Y gastric bypass surgery for the treatment of obesity with type 2 diabetes mellitus
鲍峰 1向荣超 1鲜于剑波 1王东 1李国强 1邓志刚 1向春华 1智星 1刘文1
作者信息
- 1. 绵阳市中心医院，四川 绵阳，621000
- 折叠
摘要
Abstract
Objective:To investigate the clinical effect of laparoscopic Roux-en-Y gastric bypass ( LRYGB) for the treatment of obesity with type 2 diabetes mellitus ( T2DM) patients. Methods:The clinical data of 7 patients of obesity with T2DM performed LRYGB surgery between Mar. 2009 and May 2013 in the department of general surgery of Mianyang Central Hospital were analyzed ret-rospectively. The changes of glucose and lipid metabolism indicators of 7 patients were analyzed after 3 years of follow-up. Results:All 7 cases of obesity with T2DM were successfully operated,and no case was converted to laparotomy,all the patients’ preoperative body mass index (BMI) were ≥27. 5 kg/m2. Compared with the preoperative data,postoperative patients’ BMI decreased significantly [(26. 47±1. 24) vs. (29. 87±2. 17),P<0. 05],and the fasting plasma glucose [(5. 90±0. 76) vs. (8. 24±2. 19),P<0. 05],the he-moglobin HbA1c [(6. 28±0. 42) vs. (8. 06±1. 73),P<0. 05],the total cholesterol [(4. 27±0. 22) vs. (5. 10±0. 49),P<0. 05],the triacylglycerol [(1. 59±0. 10) vs. (1. 97±0. 14),P<0. 05],the low density lipoprotein [(2. 67±0. 32) vs. (3. 22±0. 12),P<0. 05],the high density lipoprotein [(1. 14±0. 06) vs. (1. 04±0. 05),P<0. 05] were significantly improved. There were no severe com-plications after operation. Conclusions:LRYGB for treatment of obesity with T2DM significantly reduces the patient’ s BMI,improves the patient’ s blood glucose and blood lipid levels,it is a safe and effective treatment method,worthy of clinical application.关键词
肥胖症/糖尿病,2型/腹腔镜检查/胃旁路术Key words
Obesity/Diabetes mellitus,type 2/Laparoscopy/Gastric bypass分类
医药卫生引用本文复制引用
鲍峰,向荣超,鲜于剑波,王东,李国强,邓志刚,向春华,智星,刘文..腹腔镜胃旁路术治疗肥胖合并2型糖尿病的临床效果[J].腹腔镜外科杂志,2017,22(1):12-15,4.
