BillrothⅡ术式对胃十二指肠溃疡并2型糖尿病患者血糖的影响

Effect of Billroth Ⅱ Operation on Blood Sugar in Gastroduodenal Ulcer Patients with Type 2Diabetes

【目的】探讨BillrothⅡ术式对胃十二指肠溃疡并2型糖尿病患者血糖的影响。【方法】对本院行远端胃大部分切除，BillrothⅡ式吻合治疗合并2型糖尿病的胃十二指肠溃疡42例患者的临床资料进行分析。【结果】患者术后血糖与术前相比有显著性差异（P＜0．05），糖尿病改善的总有效率为73．8％（31／42）；35．7％（15／42）治愈。【结论】对于合并2型糖尿病的胃十二指肠溃疡病人，BillrothⅡ式能有效改善病人的糖代谢，同时也为糖尿病手术治疗提供了可行性依据。

[Objective]To explore the effect of Billroth Ⅱ operation on blood sugar of gastroduodenal ulcer patients with type 2 diabetes. [Methods] The clinical data of 42 gastroduodenal ulcer patients with type 2 diabetes undergoing radical distal gastrectomy and Billroth Ⅱ anastomosis were analyzed. [Results] There was significant difference in blood sugar between before and after operation（ P〈0.05）. The total effective rate of the improvement of diabetes mellitus was 73.8% （31/42） and 35.7% （15/42）, respectively. Fifteen patients were cured. [Conclusion] Billroth II operation can improve the glycometabolism of gastroduodenal ulcer pa tients with type 2 diabetes, and provide the basis of the feasibility of surgical treatment of diabetes mellitus.