中国保健营养（下旬刊）
中國保健營養（下旬刊）
중국보건영양（하순간）
CHINA HEALTH CARE & NUTRITION
2014年
5期
2444-2445
,共2页
腹腔镜%胃癌%胃转流术%2型糖尿病
腹腔鏡%胃癌%胃轉流術%2型糖尿病
복강경%위암%위전류술%2형당뇨병
Laparoscopic%Gastric cancer%Roux-en Y gastric bypass type%2 diabetes mellitus
目的：探讨腹腔镜下胃癌根治术联合胃转流术治疗胃癌合并2型糖尿病患者的临床疗效及安全性。方法回顾性分析接受腹腔镜胃癌根治术联合胃转流术治疗4例2型糖尿病患者的临床资料。结果4例患者均完成腹腔镜下胃癌根治联合胃转流术，手术顺利，无中转开放，术后未发生严重并发症。术前空腹血糖（FPG）6．6-9．0mmol／L，平均8．1mmol／L；糖化血红蛋白（HbAlC）6．8％-9．5％，平均7．8％。术后 l -12个月复查 FPG4．8-7．9mmoL／L，平均6．4mmoL／L；HbAlC5．5％-7．2％，平均6．3％。据美国糖尿病协会（ADA）糖尿病疗效判断标准，3例治愈，1例改善。结论腹腔镜下胃癌根治术联合胃转流术对胃癌合并2型糖尿病患者临床疗效显著，能有效治疗2型糖尿病，手术安全可行。
目的：探討腹腔鏡下胃癌根治術聯閤胃轉流術治療胃癌閤併2型糖尿病患者的臨床療效及安全性。方法迴顧性分析接受腹腔鏡胃癌根治術聯閤胃轉流術治療4例2型糖尿病患者的臨床資料。結果4例患者均完成腹腔鏡下胃癌根治聯閤胃轉流術，手術順利，無中轉開放，術後未髮生嚴重併髮癥。術前空腹血糖（FPG）6．6-9．0mmol／L，平均8．1mmol／L；糖化血紅蛋白（HbAlC）6．8％-9．5％，平均7．8％。術後 l -12箇月複查 FPG4．8-7．9mmoL／L，平均6．4mmoL／L；HbAlC5．5％-7．2％，平均6．3％。據美國糖尿病協會（ADA）糖尿病療效判斷標準，3例治愈，1例改善。結論腹腔鏡下胃癌根治術聯閤胃轉流術對胃癌閤併2型糖尿病患者臨床療效顯著，能有效治療2型糖尿病，手術安全可行。
목적：탐토복강경하위암근치술연합위전류술치료위암합병2형당뇨병환자적림상료효급안전성。방법회고성분석접수복강경위암근치술연합위전류술치료4례2형당뇨병환자적림상자료。결과4례환자균완성복강경하위암근치연합위전류술，수술순리，무중전개방，술후미발생엄중병발증。술전공복혈당（FPG）6．6-9．0mmol／L，평균8．1mmol／L；당화혈홍단백（HbAlC）6．8％-9．5％，평균7．8％。술후 l -12개월복사 FPG4．8-7．9mmoL／L，평균6．4mmoL／L；HbAlC5．5％-7．2％，평균6．3％。거미국당뇨병협회（ADA）당뇨병료효판단표준，3례치유，1례개선。결론복강경하위암근치술연합위전류술대위암합병2형당뇨병환자림상료효현저，능유효치료2형당뇨병，수술안전가행。
Objective To investigate the Clinical efficacy and safety of the Laparoscopic gastrectomy for gastric cancer and Roux -en Y gastric bypass on type 2 di-abetes mellitus.Method Retrospectively analyzed the clinical data of 4 patients under the laparoscopic gastrectomy for gastric cancer in combination with the Roux -en Y gastric bypass on type 2 diabetes mellitus.Result Four patients all completed accomplishes the Laparoscopic gastrectomy for gastric cancer and Roux -en Y gastric by-pass on type 2 diabetes mellitus.Operation smoothly,no opening,no postoperative serious complications occurred.Preoperative fasting plasma glucose(FPG)was 6.6-9. 0 mmoL/L,the average data was8.1mmol/L Glycosylated hemoglobin(HbAlC)was 6.8%-9.5%,the average data was 7.8%.after review 1-12 months,FPG was4. 8-7.9 mmoL/L,the average data was 6.4 mmoL/L,HbAlC 5.5%7.2%,the average data was 6.3%.According to the American diabetes association(ADA)curative effect judgment standard,3 cases were cured,1 case of improvement.Conclusion The Clinical efficacy and safety of the Laparoscopic gastrectomy for gastric cancer and Roux-en Y gastric bypass on type 2 diabetes mellitus was significantly.Can effectively treat type 2 diabetes,the operation safety is feasible.
