CAJ | 학술논문

经过半个多世纪的发展,肥胖症与代谢病外科在西方国家已经形成了一个体系完整的外科专业,而我国引入并开展该学科仅10余年时间.外科治疗肥胖症与相关代谢性疾病,尤其是肥胖型2型糖尿病已得到我国同行和患者的极大兴趣与认可.作为一个新的发展方向,目前我国肥胖症与代谢病外科总的发展趋势良好,但也存在一些问题,如手术名称不够规范、随意放宽手术适应证、对手术方式进行随意更改、疗效评价标准混乱以及术后随访资料不齐等.这些都需要广大同行根据我国实际情况,科学而客观地进行规范,从而促进我国肥胖症与代谢病外科的健康发展.
경과반개다세기적발전,비반증여대사병외과재서방국가이경형성료일개체계완정적외과전업,이아국인입병개전해학과부10여년시간.외과치료비반증여상관대사성질병,우기시비반형2형당뇨병이득도아국동행화환자적겁대흥취여인가.작위일개신적발전방향,목전아국비반증여대사병외과총적발전추세량호,단야존재일사문제,여수술명칭불구규범、수의방관수술괄응증、대수술방식진행수의경개、료효평개표준혼란이급술후수방자료불제등.저사도수요엄대동행근거아국실제정황,과학이객관지진행규범,종이촉진아국비반증여대사병외과적건강발전.
After more than half a century of development,obesity and metabolic surgery in western countries has become a complete surgical specialties,but the introduction of obesity and metabolic surgery was only 10 years old in China.The surgical treatment of obesity and related metabolic diseases,especially obesity of type 2 diabetes has been recognized and acknowledged by the majority of surgical colleagues and patients as a new direction of development.The current trend of obesity and metabolic surgery is favorable,but there are many problems in the development of obesity and metabolic surgery in China,for example,the surgery nomenclature is not standardized,surgical indications are loosened,the surgical procedure is modified arbitrarily,the evaluation criteria is confusing,the postoperative follow-up protocol is not unified,etc.These problems require the majority of surgical colleagues to work together to make the standards scientifically and objectively in accordance with the actual situation of our country,so as to promote the healthy development of obesity and metabolic surgery in China.