中国实用外科杂志

中国实用外科杂志

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大华北减重与代谢手术临床资料数据库年度报告（2018）

刘    洋1，李梦伊1，张松海2，胡三元3，白日星4，张能维5，王    军6，韩建立7，梁晓宇8，宋京海9，赵宏志10，康建省11，吴文铭12，王桂琦13，孙培春14，王    举15，谭志军16，姚宏伟1，张忠涛1   

  1. 1首都医科大学附属北京友谊医院普通外科中心  国家消化系统疾病临床医学研究中心，北京 100050；2新乡市第二人民医院减重代谢外科，河南新乡453002；3山东大学齐鲁医院普通外科，山东济南250012；4首都医科大学附属北京天坛医院普通外科，北京100070；5首都医科大学附属北京世纪坛医院普通外科，北京100038；6唐山市工人医院胃肠外二科,河北唐山063000；7山西大医院普通外科，山西太原030032；8天津医科大学总医院普通外科，天津300052；9北京医院普通外科，北京100730；10天津市南开医院微创外科，天津300100；11河北医科大学第二医院普通外科,河北石家庄050000；12北京协和医院基本外科，北京100730；13河北医科大学第一医院普通外科，河北石家庄050030；14河南省人民医院胃肠外科，河南郑州450003；15内蒙古自治区人民医院普通外科，内蒙古呼和浩特010017；16天津市第一中心医院，天津300192
  • 出版日期:2019-02-01 发布日期:2019-01-31

  • Online:2019-02-01 Published:2019-01-31

摘要：

目的    统计分析大华北地区2018年减重与代谢手术开展情况。方法    基于大华北减重与代谢手术临床资料数据库数据登记数据，统计分析大华北地区2018年开展减重与代谢手术情况，并对病人人口学信息、肥胖相关疾病、手术信息等进行统计学描述和分析。结果    2018年来自大华北7个省市及自治区、17家中心提交数据，登记数据728例。有效数据来自16家中心。病人术前BMI为38.4（24.7，95.2）。女性病人542例（74.7%），平均年龄为（32.5±8.29）岁；男性病人183例（25.3%），平均年龄为（32.7±9.90）岁。腹腔镜袖状胃切除术（LSG）占93.9%，腹腔镜胃转流术（LRYGB）占4.4%，其他术式占1.7%。29.2%的病人在术前合并2型糖尿病，69.4%的病人术前合并阻塞性睡眠呼吸暂停综合征，22.6%的病人术前合并多囊卵巢综合征。结论    大华北减重与代谢手术临床资料数据库的搭建为大华北地区减重与代谢手术的大数据登记工作奠定了坚实基础。基于目前数据，LSG是本年度大华北地区减重与代谢手术的主流术式。

关键词: 华北地区, 减重与代谢手术, 数据报告

Abstract:

North China bariatric & metabolic surgery clinical database registry report (2018)        LIU Yang*, LI Meng-yi, ZHANG Song-hai, et al.*Department of General Surgery, Beijing Friendship Hospital, Capital Medical University & National Clinical Research Center for Digestive Diseases, Beijing 100050, China.
Corresponding author: ZHANG Zhong-tao,E-mail: zhangzht@ccmu.edu.cn
Note: The order of participating centers and authors were ranked according to the number of valid cases (in the same number, according to the participant's phonetic alphabet). LIU Yang, LI Meng-yi, ZHANG Song-hai, HU San-yuan, BAI Ri-xing, ZHANG Neng-wei are the first authors who contributed equally to the article.
Abstract    Objective    To report an overview of bariatric & metabolic surgery performed in 2018 in North China. Methods    Based on prospective and observational North China Bariatric & Metabolic Surgery Clinical Database (NC-BMD), the study of evaluating the number and the type of bariatric & metabolic surgery procedures was performed in North China. Demographic characteristic, obesity-related diseases and operational information were also analyzed. Results    In 2018, 17 centers from 7 regions in North China contributed a total of 728 registration data. Valid data were analyzed from 16 centers. The patients’ median (minimum, maximum) BMI pre-surgery was 38.4(24.7，95.2）. The overall proportion of female patients was 74.7%, and mean±SD age was (32.5±8.29) years, while male patients was 25.3%, and mean±SD age was (32.7±9.90) years. According the data 93.9% laparoscopic sleeve gastrectomy (LSG), 4.4% laparoscopic Roux-en-Y gastric bypass (LRYGB) and 1.7% other operation types. 29.2% of patients had a history of type 2 diabetes, 69.4% had sleep apnea, and 22.6% had polycystic ovary syndrome before operation. Conclusion    The establishment of NC-BMD has laid a solid foundation for data registration in North China. Based on current data, LSG is the mainstream of bariatric and metabolic surgery in North China this year.

Key words: North China, bariatric &, metabolic surgery, registry report