对OAGB和SADJB-SG的安全性和有效性的比较研究:一项回顾性研究
Mingyue Shang1, Zhehong Li1, Dexiao Du1
1Surgery Centre of Diabetes Mellitus, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing, 100038, People's Republic of China.
Diabetes, metabolic syndrome and obesity : targets and therapy
|September 25, 2024
概括
一次解剖腹腔绕道 (OAGB) 和单次解剖腹腔双双关节绕道与袖子胃切除术 (SADJB-SG) 提供可比的减肥和糖尿病缓解. OAGB更具成本效益,而SADJB-SG具有更广泛的适用性.
科学领域:
- 腹部外科 腹部外科
- 代谢手术 代谢手术
- 肥胖管理 肥胖管理
背景情况:
- 肥胖及其并发症需要有效的手术干预.
- 一次解剖腹腔绕道 (OAGB) 和单次解剖腹腔双关节绕道与袖子胃切除术 (SADJB-SG) 是确立的减肥手术程序.
- 对OAGB与SADJB-SG的安全性和有效性的比较数据有限.
研究的目的:
- 为了比较OAGB和SADJB-SG在治疗肥胖和相关并发症方面的安全性和有效性.
- 为了评估体重减轻,2型糖尿病缓解,以及这两种手术的并发症率.
- 评估OAGB与SADJB-SG相比的成本效益.
主要方法:
- 在2019年6月至2021年6月接受OAGB或SADJB-SG治疗的63名患者的回顾性分析.
- 收集和比较2年的术后数据,包括体重变化,糖尿病缓解和并发症.
- 统计分析过量减肥百分比 (EWL%),总减肥百分比 (TWL%),糖尿病缓解率和手术费用.
主要成果:
- 在24个月后,OAGB的EWL%为73.97%,SADJB-SG为75.65% (P=0.310).
- 在OAGB中,TWL%为24.01%,在SADJB-SG中为23.17% (P=0.665).
- 糖尿病缓解率为OAGB的71.43%和SADJB-SG的69.05% (P=0.846). 糖尿病缓解率为OAGB的71.43%和SADJB-SG的69.05% (P=0.846). 糖尿病缓解率为71.43%和SADJB-SG的69.05% (P=0.846). 糖尿病缓解率为71.43%和SADJB-SG的69.05% (P=0.846). OAGB 的成本明显较低 (P<0.001).
结论:
- 无论是OAGB还是SADJB-SG都是安全有效的减肥手术.
- 在SADJB-SG方面,OAGB表现出了巨大的成本优势.
- SADJB-SG可能提供更广泛的适用性,而OAGB是一个更经济的选择.
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