论文部分内容阅读
目的:探讨胃转流手术治疗非肥胖代谢性综合征II型糖尿病患者的手术适应症、围术期处理措施及临床疗效。方法:收集整理黔南州中医院2011年2月至2015年3月该病患者16例临床资料,并结合随访资料进行分析。结果:术后并发轻度胃瘫1例,近期并发腹泻2例,经积极治疗均临床愈合。16例随访最长随访24个月,最短随访6个月。治愈率81.25%(13/16),其中分别合并高血压、脂肪肝(高血脂)、眼底病变、糖尿病足(发生皮肤溃疡)者均获不同程度缓解。结论:胃转流手术对非肥胖伴代谢综合征II型糖尿病患者疗效显著。严格手术指证及个体化手术方案是实施外科手术的前提,围术期血糖的控制是获得治疗成功的关键。
Objective: To investigate the surgical indications, perioperative management and clinical efficacy of gastric bypass in the treatment of non-obese metabolic syndrome patients with type 2 diabetes mellitus. Methods: The clinical data of 16 cases of the disease in Qiannanzhou Hospital from February 2011 to March 2015 were collected and analyzed with follow-up data. Results: Postoperative complications were mild gastroparesis and 2 cases of recent diarrhea. After active treatment, all cases were clinically cured. 16 cases were followed up up to 24 months, the shortest follow-up of 6 months. The cure rate was 81.25% (13/16), respectively, which were combined with hypertension, fatty liver (hyperlipidemia), fundus lesions, diabetic foot (skin ulcer) were relieved to varying degrees. Conclusions: Gastric bypass surgery has a significant effect on type 2 diabetes mellitus in non-obese patients with metabolic syndrome. Strict surgical evidence and individualized surgical program is the premise of the implementation of surgery, perioperative blood glucose control is the key to the success of treatment.