[1]王恺京,徐安安翻译,朱江帆审校.减重手术在多囊卵巢综合征治疗中的作用[J].中国微创外科杂志,2013,13(1):78-86.
　Shaveta M. MalikMichael L. Traub.Defining the Role of Bariatric Surgery in Polycystic Ovarian Syndrome Patients[J].Chinese Journal of Minimally Invasive Surgery,2013,13(1):78-86.
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减重手术在多囊卵巢综合征治疗中的作用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
13
期数:
2013年1期
页码:
78-86
栏目:
国外医学动态
出版日期:
2013-01-20

文章信息/Info

Title:
Defining the Role of Bariatric Surgery in Polycystic Ovarian Syndrome Patients
作者:
王恺京; 徐安安翻译; 朱江帆审校
同济大学附属东方医院普外科，上海200120
Author(s):
Shaveta M. MalikMichael L. Traub
Department of Obstetrics and Gynecology, Staten Island University Hospital, Staten Island, NY 10305, United States
Keywords:
Polycystic ovarian syndrome;  Metabolic syndrome;  Bariatric surgery;  Obesity;  Pregnancy;  Infertility
分类号:
R713.6
文献标志码:
A
Abstract:
Polycystic ovarian syndrome (PCOS) is the most common endocrine disorder in women. To meet PCOS criteria, women must have a combination of hyperandrogenism, anovulation and ultrasound findings. Almost 10% of all reproductive age women worldwide show signs of PCOS. Although women often seek care for gynecological or body image concerns, many PCOS women are at risk for metabolic syndrome (MS). Many of the metabolic consequences are overlooked and undertreated by physicians because these patients tend to be young, reproductive age women. MS and obesity coexist commonly with PCOS. These young women are predisposed to glucose abnormalities and ultimately diabetes mellitus, dyslipidemia and eventually cardiovascular disease. Bariatric surgery can be an effective means of weight loss in PCOS women. Surgical techniques have become safer and less invasive over time and have been found to be effective in achieving significant weight loss. Surgical options have also increased, giving patients more choices. Bariatric surgery may prevent or reverse metabolic syndrome. Bariatric surgery may also have reproductive benefits in PCOS patients. Although bariatric surgery has historically been performed in older, reproductive aged women, it has recently gained favor in adolescents as well. This is of particular importance due to the prevalence of both PCOS and MS in adolescents. Treatment of PCOS and MS certainly requires a combination of medical therapy, psychological support and lifestyle modifications. These treatments are difficult and often frustrating for patients and physicians. Bariatric surgery can be effective in achieving significant weight loss, restoration of the hypothalamic pituitary axis, reduction of cardiovascular risk and even in improving pregnancy outcomes. Ultimately, bariatric surgery should be considered part of the treatment in PCOS women, especially in those with MS.
更新日期/Last Update: 2014-01-08