减肥手术对骨密度的影响

发布时间：2018-05-22 13:27

本文选题：减肥手术 + 胃旁路术　；参考：《中国骨质疏松杂志》2016年02期

【摘要】：目的通过双能X线吸收测定法(DXA)测量超重或肥胖患者的骨密度,对比分析减肥手术前后骨密度的改变情况。方法根据入选标准及排除标准纳入需要进行减肥手术治疗的超重或肥胖患者,手术前检测基线观察指标,其中包括简易人体测量参数、骨密度。然后,对纳入的患者行腹腔镜下胃旁路术或腹腔镜下袖状胃切除术,术后4~6月复查基线观察指标,重点对比分析减肥手术前后骨密度的改变情况。结果 1减肥手术后,体重、BMI、腰围均明显减少,差异有统计学意义(P0.05)。2减肥术后全身骨密度及髋部骨密度均有降低(P0.05)。结论腹腔镜下胃旁路术及腹腔镜下袖状胃切除术都是有效的减肥术式,骨密度有不同程度的降低,术后应注意骨密度的维护。
[Abstract]:Objective to measure the bone mineral density (BMD) of overweight or obese patients by dual energy X-ray absorptiometry (DXA), and to compare the changes of BMD before and after weight loss surgery. Methods according to the inclusion criteria and exclusion criteria, the overweight or obese patients in need of weight loss surgery were included. The baseline observation indexes, including simple anthropometric parameters and bone mineral density, were detected before operation. Then the patients were treated with laparoscopic gastric bypass surgery or laparoscopic cuff gastrectomy. The baseline observation indexes were re-examined from 4 to 6 months after operation. The changes of bone mineral density before and after weight loss surgery were compared and analyzed. Results (1) after weight loss operation, the body weight and waist circumference were significantly decreased, the difference was statistically significant (P 0.05.2). The whole body bone mineral density and hip bone mineral density were all decreased after weight loss surgery (P 0.05). Conclusion Laparoscopic gastric bypass surgery and laparoscopic sleeve gastrectomy are effective methods for weight loss and bone mineral density (BMD) is decreased in varying degrees. The maintenance of BMD should be paid attention to after operation.
【作者单位】：暨南大学附属第一医院内分泌科;暨南大学附属第一医院微创外科;
【分类号】：R589.2

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