实用临床医药杂志2024,Vol.28Issue(7) :49-52.DOI:10.7619/jcmp.20234176

腹腔镜下袖状胃切除术对肥胖型多囊卵巢综合征的疗效分析

Efficacy analysis of laparoscopic sleeve gastrectomy in treating patients with obese polycystic ovary syndrome

胡扬喜 刘岩 李梦竹 董星 李冉 王文娟 叶建平 刘寒松
实用临床医药杂志2024,Vol.28Issue(7) :49-52.DOI:10.7619/jcmp.20234176

腹腔镜下袖状胃切除术对肥胖型多囊卵巢综合征的疗效分析

Efficacy analysis of laparoscopic sleeve gastrectomy in treating patients with obese polycystic ovary syndrome

胡扬喜 1刘岩 1李梦竹 2董星 1李冉 1王文娟 1叶建平 3刘寒松1
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作者信息

  • 1. 郑州大学附属郑州中心医院胃肠代谢外科,河南郑州,450000
  • 2. 郑州大学附属郑州中心医院妇产科,河南郑州,450000
  • 3. 郑州大学附属郑州中心医院代谢性疾病研究中心,河南郑州,450000
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摘要

目的 观察腹腔镜下袖状胃切除术(LSG)对合并肥胖的多囊卵巢综合征(PCOS)患者的治疗效果.方法 回顾性分析接受LSG手术合并肥胖的PCOS患者60例的临床资料,观察术后患者PCOS缓解情况.结果 60例患者术前体质量指数(BMI)(39.4±5.4)kg/m2,年龄(26.3±6.1)岁,均成功完成LSG.术后随访12~18个月,50例(83.3%)月经周期恢复正常,平均恢复时间为术后(4.5±2.2)个月,其中7例术后自然妊娠.35例术前超声提示卵巢多囊样变(PCOM),术后29例(82.9%)恢复正常,平均恢复时间(6.3±2.8)个月.31例合并高雄激素血症,术后18个月29例(93.5%)睾酮降至正常范围;术后18个月BMI(26.47±4.70)kg/m2,平均体质量下降(32.4±7.4)%.结论 LSG是治疗肥胖型PCOS的一种安全有效的方法.

Abstract

Objective To observe the therapeutic effect of laparoscopic sleeve gastrectomy(LSG)in treating patients with obesity and polycystic ovary syndrome(PC OS).Methods In this ret-rospective analysis,clinical materials of 60 patients with obesity and PCOS by LSG were analyzed,and postoperative improvements of PCOS symptoms were observed.Results A total of 60 patients had a pre-operative mean body mass index(BMI)of(39.4±5.4)kg/m2 and an average age of(26.3±6.1)years old,and all of them successfully completed LSG.After follow-up of 12 to 18 months,50 cases(83.3%)had normalized menstrual cycles,with an average recovery time of(4.5±2.2)months af-ter surgery,and 7 cases had natural pregnancy after surgery.Before surgery,ultrasound results in 35 patients indicated polycystic ovarian morphology(PCOM),and 29 cases(82.9%)regained normal o-varian status with an average recovery duration of(6.3±2.8)months.Complicated hyperandrogene-mia was observed in 31 patients,and 29 cases(93.5%)exhibited normalization of testosterone levels within 18 months after surgery.At 18 months after surgery,the BMI was(26.47±4.70)kg/m2,the average weight loss was(32.4±7.4)%.Conclusion LSG is a safe and effective treatment for obese PCOS.

关键词

袖状胃切除术/肥胖症/多囊卵巢综合征/高雄激素血症

Key words

sleeve gastrectomy/obesity/polycystic ovary syndrome/hyperandrogenism

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基金项目

国家自然科学基金面上项目(32271220)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量25
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