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单中心7年2 680例减重代谢手术总结OACSTPCD

Summary of 7-year experience with 2 680 cases of metabolic bariatric surgery in a single center

中文摘要英文摘要

目的:分析7 年来单中心减重代谢手术的临床数据,总结肥胖患者的基本情况.方法:回顾分析2017 年4 月至2023 年5 月行减重代谢手术患者的临床资料,收集人口学信息、肥胖相关疾病谱及手术信息等.结果:共收集2 680 例患者的临床资料,其中男24.8%,女75.2%,患者来源于32 个省级行政区(其中河南患者62%),平均(32.4±8.4)岁,主要集中在20~40 岁,BMI平均(39.6±7.7)kg/m2,北方地区患者肥胖程度相对较高.合并2 型糖尿病的患者占34.5%、高血压占17.8%、高尿酸血症占52.4%,且患病率呈逐年上升趋势.本中心共开展7 种手术,其中袖状胃切除术占96.8%,其他六种占3.2%,手术时间平均(122.8±37.8)min,中位出血量10(10,10)mL,平均住院(7.5±3.4)d.结论:过去7 年,患者年龄结构、肥胖并发症发生率均有变化,早期年轻人比例较高,肥胖相关疾病发生率较低;近年中青年患者占比增加,且肥胖相关疾病发生率上升.

Objective:This study aims to analyze the clinical data of patients who underwent metabolic bariatric surgery(MBS)over a period of 7 years and summarize the basic characteristics of obese patients.Methods:A retrospective analysis was conducted on the clinical data of patients who underwent MBS from Apr.2017 to May 2023.Demographic information,obesity-related comorbidities,and surgical details were collected.Results:A total of 2 680 patients'clinical data were collected,with 24.8%being male and75.2%being female.The patients came from 32 provincial-level administrative regions(62%from Henan province).The averageagewas(32.4±8.4)years,mainlyconcentratedintheagerangeof20-40 years.Theaveragebodymassindexofthe patients was(39.6±7.7)kg/m2,with higher obesity levels observed in the northern regions.Among all patients,34.5%had type 2 diabetes,17.8%had hypertension,and 52.4%had hyperuricemia,with the prevalence of these conditions showing an increasing trend over the years.The center performed a total of 7 surgical procedures,with sleeve gastrectomy accounting for 96.8%,while the remaining 6 proce-dures accounted for 3.2%.The average surgical time was(122.8±37.8)min,median blood loss was 10(10,10)mL,and average hos-pital stay was(7.5±3.4)d.Conclusions:Over the past 7 years,there have been changes in the age structure of patients and the occu-rrence rate of obesity-related comorbidities.The proportion of younger patients was higher in the earlier years with lower occurrence rates of comorbidities.However,in recent years,there has been an increase in the proportion of middle-aged patients and a rise in the occu-rrence rate of comorbidities.

胡扬喜;牛牧天;叶建平;刘寒松

郑州大学附属郑州中心医院代谢外科,河南 郑州,450007郑州大学附属郑州中心医院代谢性疾病研究中心

临床医学

肥胖症减重代谢手术腹腔镜检查

ObesityMetabolic bariatric surgeryLaparoscopy

《腹腔镜外科杂志》 2024 (004)

241-244,255 / 5

国家自然科学基金面上项目(32271220)

10.13499/j.cnki.fqjwkzz.2024.04.241

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