使用修改后的BAROS系统对腹患者中长期生活质量的分析
Karina Maiocchi-Segredo1, Homero Beltrán-Herrera1, Antoni Llueca-Abella1
1Unidad de Endocrinología y Cirugía Bariátrica y Enfermedades Metabólicas; Servicio de Cirugía General y del Aparato Digestivo. Hospital General Universitario de Castellón, Castellón, España.
Cirugia y cirujanos
|February 26, 2026
概括
腹腔外科手术,包括袖子胃切除术 (SG) 和Roux-en-Y胃绕道 (RYGB),导致患者长期显著减肥,并发症解决和改善生活质量 (QoL). 这两种程序都显示出良好的结果,而RYGB显示出更高的多余体重减轻 (EWL).
科学领域:
- 腹腔外科手术的结果
- 代谢和减肥手术的代谢和减肥手术.
- 手术胃肠病学手术
背景情况:
- 肥胖是一种复杂的慢性疾病,需要有效的长期管理策略.
- 减肥手术为显著的减肥和与肥胖相关的并发症的管理提供了一个强大的工具.
研究的目的:
- 评估袖子胃切除术 (SG) 和Roux-en-Y胃绕道术 (RYGB) 在生活质量 (QoL),超重减肥 (EWL) 和并发症解决方面的长期疗效.
- 为了比较SG和RYGB的结果,使用修改后的减肥分析和报告结果系统 (BAROS) 问卷.
主要方法:
- 一个单一中心的两样性研究涉及115名患者,他们接受了腹腔镜SG (n=48) 或RYGB (n=67).
- 在修改后的BAROS框架内使用摩尔赫德-阿德特II (M-A II) 问卷来评估QOL.
- 数据分析包括评估体重减轻,EWL,并发症解决,BAROS分数和术后并发症,平均随访7年.
主要成果:
- SG和RYGB都导致了显著的体重减轻和BMI降低 (平均33kg/m2).
- 与SG (22.25%) 相比,RYGB获得了更高的EWL (30.94%).
- 在49%的患者中观察到并发症的解决,SG显示出比RYGB (40%) 更好的结果 (60%). 平均BAROS分数为SG的4.7和RYGB的6.4,70%的患者报告了优秀或非常好的结果.
结论:
- 腹腔镜SG和RYGB为体重管理,并发病症解决和QOL改善提供了有利的中长期结果.
- 虽然RYGB导致更大的EWL,但SG在这个队列中显示出更高的并发症解决率.
- 患者报告的QOL显著改善,特别是在工作活动中,尽管性关系仍然是一个需要改进的领域.
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