中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (06): 487-489.

• 论著 • 上一篇    下一篇

腹腔镜可调节胃束带术治疗肥胖病伴2型糖尿病21例疗效分析

张    辰1，秦鸣放2，赵宏志2，杨慧琪2   

  1. 1 天津医科大学，天津300070；2 天津市南开医院微创外科中心，天津300100
  • 出版日期:2010-06-01 发布日期:2010-05-25

  • Online:2010-06-01 Published:2010-05-25

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摘要：

目的    观察评价腹腔镜可调节胃束带术（LAGB）治疗肥胖病伴2型糖尿病的临床效果。方法    回顾分析2005-2007年天津市南开医院微创外科中心对21例肥胖病伴2型糖尿病病人施行LAGB的临床资料，观察分析手术前后病人体重、体重指数（BMI）及空腹血糖等指标变化。 结果    21例手术均获成功，未发生围手术期严重并发症。术后随访1年，体重从平均106.7（±13.8）kg降至93.8（±10.6）kg；体重指数从平均37.2（±3.6）降至32.4（±2.1）， 空腹血糖从平均8.60（±2.1）mmol/L降至7.80（±2.2）mmol/L，体重下降明显，但糖尿病缓解不明显。随访2年，平均体重降至85.2（±11.8）kg；平均体重指数降至 29.4（±2.8）， 平均空腹血糖降至5.86（±1.7）mmol/L，体重下降及糖尿病缓解均明显。结论  LAGB术后2年疗效可靠，平均体重下降20.1%， 糖尿病缓解率76%，是治疗肥胖病伴2型糖尿病的有效方法。

关键词: 肥胖病, 腹腔镜可调节胃束带术, 2型糖尿病, 血糖

Abstract:

Clinical research of laparoscopic adjustable gastric banding in obese patients with type 2 diabetes        ZHANG Chen*， QIN Ming-fang，ZHAO Hong-zhi, et al. *Tianjin Medical University，Tianjin 300070，China
Corresponding author: QIN Ming-fang，E-mail: qins88@sina.com
Abstract    Objective    To evaluate therapeutic results of laparoscopic adjustable gastric banding for the patients of obesity with type 2 diabetes. Methods    The clinical data of 21 patients of obesity with type 2 diabetes who underwent laparoscopic adjustable gastric banding between 2005 and 2007 at Minimally Invasive Surgery Center of Tianjin Nankai Hospital were analyzed retrospectively. Preoperative and postoperative weight，body mass index，fast blood glucose of the patients were compared and analyzed statistically. Results    The operations were successful without severe perioperative complications. After one-year follow-up，the average weight of the patients declined from 106.7 (±13.8) kg to 93.8（±10.6）kg，with body mass index declined from 37.2 (±3.6)  to 32.4 (±2.1)，with an average fast blood glucose declined from 8.60 (±2.1) mmol/L to 7.80(±2.2)mmol/L. The body weight of the patients declined obviously, but the diabetes didn’t relieve obviously. After two-year follow-up，the average weight was 85.2 (±11.8) kg，with body mass index declined to 29.4 (± 2.8). The diabetes were relieved effectively，with an average fast blood glucose declined to 5.86 (±1.7) mmol/L. Conclusion    Two-year follow-up demonstrates that laparoscopic adjustable gastric banding is an effective procedure with an average declining of weight 20.1%， diabetes relieved rate 76% and low complications for the patients of obesity with type 2 diabetes. 

Key words: obesity, laparoscopic adjustable gastric banding, type 2 diabetes, blood glucose