目的

探讨腹腔镜袖状胃切除术治疗单纯性肥胖症的临床疗效。

方法

回顾性分析2013年1月至2014年6月在曲靖市第二人民医院行腹腔镜袖状胃切除术的单纯性肥胖症患者19例，对比手术前后的临床资料差异。

结果

19例患者全部在腹腔镜下完成袖状胃切除术，术后均无严重并发症发生。随访过程中，患者体重、腰围、人体质量指数均呈下降趋势；肥胖相关合并症得到不同程度的缓解。与术前相比，术后1个月差异即有统计学意义（P＜0.01）；术后1、3、6个月患者多余体重减少百分比分别为（32±11）%、（51±15）%和（65±22）%；术后甘油三酯、低密度脂蛋白及肥胖相关合并症如高血压、退行性骨关节炎、阻塞性睡眠呼吸暂停综合征等亦有不同程度的改善。

结论

腹腔镜袖状胃切除术是一种安全、有效的减肥术式，对治疗单纯性肥胖症及相关疾病效果显著。

Objective

To evaluate the short-term effect of laparoscopic sleeve gastrectomy on obesity patients.

Methods

19 obese patients undergoing laparoscopic sleeve gastrectomy in Qujing Second People’s Hospital during January 2013 to June 2014 were included, and their clinical data before and after surgery were analyzed retrospectively.

Results

All the operations were completed under laparoscopic and no severe post-procedure complications occurred. During 6 months of follow-up，all the patients’weight, waist circumference and body mass index (BMI) decreased, compared with those before operation (P＜0.01). The excess weight loss% at 1 month, 3 months and 6 months after procedures was (32±11）%, （51±15）% and(65±22）% respectively. 6 months after procedures, the triglyceride, low density lipoprotein and obesityrelated complications, such as hypertension, fatty liver, obstructive sleep apnea syndrome symptomatically improved in some degree respectively.

Conclusions

LSG may result in satisfactory weight loss with few complications. A longer follow-up period is needed.