摘要
目的探讨袖状胃切除术(SG)与Roux-en-Y胃旁路术(RYGB)对肥胖症的疗效以及手术并发症发生率和围手术期死亡率。方法以"obesity surgery""bariatric surgery""sleeve gastrectomy""Roux-en-Y gastric bypass""obesity""减重手术""代谢手术""Roux-en-Y胃旁路术""袖状胃切除术""肥胖"等为检索词分别检索Pubmed、EMBASE、Cochrane Library、CNKI、万方等中英文数据库。最终共纳入9篇病例对照研究进行Meta分析。结果共纳入病例539例,袖状胃切除术244例,Roux-en-Y胃旁路术295例,袖状胃切除术在体重变化方面差于Roux-en-Y胃旁路术,而在体质量指数、多余体重降低百分比、并发症发生率、糖化血红蛋白变化值、2型糖尿病缓解率方面两种手术术式效果相当,无围手术期死亡报道。结论袖状胃切除术与Roux-en-Y胃旁路术治疗肥胖症的效果相当、手术并发症及围手术期死亡率无明显差异,均可作为治疗肥胖症的优选术式。
Objective To analyze the effect,the complication rate and the preoperative mobility of sleeve gastrectomy(SG)and Roux-en-Y gastric bypass(RYGB)for the treatment of obesity.Methods Electronic literature search was performed on Pubmed,EMBASE,Cochrane Library,CNKI,Wangfang database using"obesity surgery""bariatric surgery""sleeve gastrectomy""Roux-en-Y gastric bypass"for Chinese and English studies.Finally9studies were included.Results Among the9studies,a total of539cases were reported,including244patients in the SG group,295patients in the RYGB group.Meta analysis showed RYGB had a significant advantage in the aspect of body weight.But no significant difference was found in the BMI,%EWL,HbA1c,the incidence of complications,the improvement of T2DM,and there is no mobility in perioperative time.Conclusions Sleeve gastrectomy and Roux-en-Y gastric bypass could be considered as great choices for treating obesity.
作者
张若蹊
刘殿刚
张超
高翔
李非
Zhang Ruoxi;Liu Diangang;Zhang Chao;Gao Xiang;Li Fei(Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China)
出处
《中华肥胖与代谢病电子杂志》
2017年第3期143-149,共7页
Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition
基金
北京市215高层次卫生技术人才学术骨干项目(008-0088)
