中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (03): 217-220.

• 论著 • 上一篇    下一篇

垂直捆绑胃成形术与胃旁路手术治疗肥胖的Meta分析

田宏亮a，b，田金徽a，袁    浩a，c，葛    赛a，c，唐    震a，b，杨克虎a   

  1. 兰州大学 a.循证医学中心 b.第二临床医学院 c.第一临床医学院，甘肃兰州 730000
  • 出版日期:2010-03-01 发布日期:2010-03-12

  • Online:2010-03-01 Published:2010-03-12

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摘要：

目的    系统评价垂直捆绑胃成形术与胃旁路手术治疗肥胖症的临床疗效及其临床应用价值。方法    计算机检索全面收集垂直捆绑胃成形术与胃旁路手术治疗肥胖症的随机对照试验，检索时间截止至2009年4月。采用Cochrane系统评价手册文献质量评价标准评价纳入研究质量，用RevMan 5.0软件进行Meta分析。结果    共纳入4个随机对照试验，各试验间基线均可比。Meta分析结果显示：在1年后体重指数减小量及体重减轻比率上，胃旁路手术优于垂直捆绑胃成形术，而在手术时间和术后并发症方面，垂直捆绑胃成形术则优于胃旁路手术。结论    在治疗肥胖的外科术式选择中，胃旁路手术在减重效果上优于垂直捆绑胃成形术，但其术后并发症也不容忽视。

关键词: 垂直捆绑胃成形术, 胃旁路手术, Meta分析

Abstract:

Vertical-banded gastroplasty versus gastric bypass for obesity: a Meta-analysis of randomized controlled trials        TIAN Hong-Liang*, TIAN Jin-Hui, YUAN Hao, et al. * Evidence Based Medicine Center of Lanzhou University, the Second Clinical Medicine College of Lanzhou University, Lanzhou 730000, China
Corresponding author: YANG Ke-Hu E-mail: kehuyangebm2006@126.com
Abstract    Objective    To compare the surgical outcome and investigate the clinical value between vertical-banded gastroplasty and gastric bypass for obesity. Methods    It searched related databases and identified randomized controlled trials of vertical-banded gastroplasty versus gastric bypass for obesity. The quality of the included studies was evaluated by Handbook recommend standard. Data were analyzed by RevMan 5.0 from the Cochrane Collaboration. Results    Four randomized controlled trials were included, and the baseline data of each trial were comparable. Meta-analysis showed that gastric bypass had better effectiveness than vertical-banded gastroplasty in body mass index (BMI) decrease and excess body weight loss one year later. However, vertical-banded gastroplasty had less operation time and complication than gastric bypass. Conclusion    Gastric bypass treatment for obesity is better than vertical-banded gastroplasty in weight loss. But we should notice the complications after the gastric bypass.

Key words: vertical-banded gastroplasty, gastric bypass, Meta analysis