摘要
目的探讨腹腔镜Roux-en-Y胃旁路手术(LRYGB)治疗2型糖尿病的方法、可行性及效果。方法 12例2型糖尿病患者根据BMI分为糖尿病合并肥胖症组及单纯糖尿病组,施行LRYGB,观察患者术前、术后体质量、空腹血糖、餐后2 h血糖、C肽及糖化血红蛋白情况。结果 12例皆成功完成手术,无中转开放。糖尿病合并肥胖症组术后3月糖尿病治愈率85.7%,单纯糖尿病组术后3月糖尿病治愈率80.0%,未治愈的2例患者术后降糖药物或胰岛素使用量较术前减少,血糖较术前降低。所有患者无明显手术并发症发生。结论 LRYGB治疗2型糖尿病手术操作可行,近期效果明显,长期效果仍待观察。
Objective To investigate the surgical approach,feasibility and effectiveness of laparoscopic Roux-en-Y gastric bypass（LRYGB） surgery for treating type 2 diabetes mellitus.Method Seven obese patients with type 2 diabetes and 5 type 2 diabetic patients without obesity received LRYGB surgery.The changes of the body mass,fasting blood glucose（FBG）,2-hour postprandial blood glucose（2 h PBG）,C peptide（C-P） and HbA1c% were observed postoperatively.Result LRYGB procedures were successfully performed in all the 12 patients with no conversion to open surgery.The resolution rate was 85.7% in the obese group and 80% in the non-obese diabetic group.Conclusion LRYGB surgery is feasible for treatment of type 2 diabetes with good short-term result,but the long-term outcome awaits further observation.
出处
《南方医科大学学报》
CAS
CSCD
北大核心
2010年第6期1373-1375,共3页
Journal of Southern Medical University
关键词
2型糖尿病
胃旁路术
腹腔镜
type 2 diabetes mellitus
gastric bypass surgery
laparoscopy
