[1]岳子龙 沙汇 吴卿 李乐乐 夏亚斌 胡凯峰**.不同体重指数单纯性肥胖患者腹腔镜胃袖状切除术后体重下降程度[J].中国微创外科杂志,2023,01(2):108-112.
　Yue Zilong,Sha Hui,Wu Qing,et al.Degree of Weight Loss After Laparoscopic Sleeve Gastrectomy in Patients With Simple Obesity of Different Body Mass Index[J].Chinese Journal of Minimally Invasive Surgery,2023,01(2):108-112.
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不同体重指数单纯性肥胖患者腹腔镜胃袖状切除术后体重下降程度()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2023年2期
页码:
108-112
栏目:
临床研究
出版日期:
2023-02-25

文章信息/Info

Title:
Degree of Weight Loss After Laparoscopic Sleeve Gastrectomy in Patients With Simple Obesity of Different Body Mass Index
作者:
岳子龙 沙汇 吴卿 李乐乐 夏亚斌 胡凯峰**
(皖南医学院第一附属医院胃肠外科，芜湖241001)
Author(s):
Yue Zilong;  Sha Hui;  Wu Qing;  et al.
Department of Gastrointestinal Surgery, First Affiliated Hospital of Wannan Medical College, Wuhu 241001, China
关键词:
体重指数; 腹腔镜胃袖状切除术
Keywords:
Body mass index; Laparoscopic sleeve gastrectomy
文献标志码:
A
摘要:
目的探讨不同体重指数(body mass index,BMI)的单纯性肥胖患者腹腔镜胃袖状切除术(laparoscopic sleeve gastrectomy，LSG)后体重下降程度。方法回顾性分析2019年10月~2022年2月我科符合纳入标准的92例LSG资料，其中Ⅰ级肥胖(30≤BMI≤34.9)45例，Ⅱ级肥胖(35≤BMI≤39.9)30例，Ⅲ级肥胖(BMI≥40)17例。比较3组术后6个月多余体重减轻百分比(percentage of excess weight loss，%EWL)。采用Spearman相关分析计算术前BMI与术后1、3、6个月%EWL的相关性。结果术后1、3、6个月Ⅰ级肥胖%EWL均明显高于Ⅱ级、Ⅲ级肥胖(P<0.05)，Ⅱ级肥胖与Ⅲ级肥胖差异无统计学意义(P>0.05)。术前BMI与术后1、3、6个月%EWL存在负相关关系(r=-0.265，P=0.011；r=-0.347，P<0.001；r=-0.422，P<0.001)。结论术前BMI越小，LSG术后体重下降程度越大。
Abstract:
ObjectiveTo investigate the extent of weight loss after laparoscopic sleeve gastrectomy (LSG) in simple obese patients with different body mass index (BMI).MethodsClinical data of 92 LSG cases that met the inclusion criteria in our department between October 2019 and February 2022 were retrospectively analyzed, including 45 cases of class Ⅰ obesity (30≤BMI≤34.9), 30 cases of class Ⅱ obesity (35≤BMI≤39.9), and 17 cases of class Ⅲ obesity (BMI≥40). The percentage of excess weight loss (%EWL) at 6 months after surgery was compared among the three groups. The Spearman correlation analysis was used to calculate the correlation between preoperative BMI and %EWL at 1, 3 and 6 months after surgery. ResultsThe %EWL of class Ⅰ obesity was significantly higher than class Ⅱ and class Ⅲ obesity at 1, 3 and 6 months after surgery (P<0.05), and the difference between class Ⅱ and class Ⅲ obesity was not statistically significant (P>0.05). There was a negative correlation between preoperative BMI and %EWL at 1, 3, and 6 months postoperatively (r=-0.265, P=0.011; r=-0.347, P<0.001; r=-0.422, P<0.001).ConclusionThe smaller the preoperative BMI, the greater the degree of postoperative weight loss after LSG.

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备注/Memo

备注/Memo:
基金项目：安徽省教育厅重点教研项目(2021jyxm1623)；安徽省教育厅高校优秀青年骨干教师国外访问研修项目(gxgwfx2021040)；皖南医学院重点自然科学研究项目(WK2020ZF04)；皖南医学院重点教学研究项目(2020jyxm67)**通讯作者，Email：844572296@qq.com
更新日期/Last Update: 2023-05-17