摘要
目的探讨腹腔镜下可调节胃束带术（1aparoscopic adjustable gastric banding，LAGB）与胃袖状切除术（1aparoscopic sleeve gastrectomy，LSG）治疗病态肥胖症及其相关并发症的近期临床疗效及安全性。方法回顾性分析我院在2008年1月～2012年12月收住并行减重手术治疗的83例患者的临床资料，其中行LAGB48例，行LSG35例，观察患者手术前后肥胖相关指标及并发症的变化情况。结果83例患者均经腹腔镜顺利完成手术，术后随访3—24个月，LAGB术后近期（1个月内）发生进食后呕吐4例，远期（1个月以上）胃束带滑动移位5例，切口脂肪液化1例；LSG术后切口脂肪液化2例。两组患者术后均未出现营养不良、电解质紊乱等严重并发症。术后体质指数、体质量、腰围等指标均呈下降趋势，多余体质量减少百分比（EWL％）呈上升趋势。两组之间上述指标变化趋势及并发症改善比较，LSG优于LAGB，差异有统计学意义（P〈0．05）。结论两种减重手术方式对治疗病态性肥胖症及其相关并发症都是安全有效的，LSG具有更好的临床疗效。
Objective To discuss the recent clinical efficacy and safety of laparoscopic adjusta- ble gastric banding（LAGB） and laparoscopic sleeve gastrectomy （LSG）in the treatment of morbid obesity and related complications. Methods The clinical data of 83 patients in our hospital from January 2008 to December 2012 were retrospectively analyzed, including 48 cases of IAGB and 35 cases of LSG. The changes of obesity related indicators and complications were observed before and after surgery. Result All 83 patients were successfully completed surgery and were followed up for 3 - 24 months. In the short term （one month） ,there were 4 cases of postoperative vomiting after eating in the LAGB group. In the long-term （more than one month） , there were 5 cases of forward sliding displacement of gastric band and 1 case of fat liquefaction of incision ;in the LSG group, there were 2 cases of postoperative fat liquefaction of incision. No patients appeared serious complication such as malnutrition and electrolyte disorder postop- eratively. BMI, weight, waist circumference and other related indicators were on the decline while EWL % was on the rise. The comparison of change trend of above index indicators and improvement of complica- tions between two groups showed that LSG was better than LAGB （ P 〈 0.05 ）. Conclusion LSG and LAGB are both safe and effective in the treatment of morbid obesity and its related complications. LSG has better clinical curative effect, which is worth of being spread.
出处
《临床外科杂志》
2016年第1期42-45,共4页
Journal of Clinical Surgery
