青少年肥胖症代谢手术后3年效应观察与分析

目的探究青少年肥胖症病人接受减重代谢手术后中期效益及影响。 方法回顾性分析2014年11月至2015年10月于长春嘉和外科医院接受减重代谢手术的16例青少年肥胖症患者（13~21岁）的临床资料，对他们术前及术后3年间的体重、体质量指数（BMI）、甘油三酯（TC）、高密度脂蛋白（HDL）及低密度脂蛋白（LDL）进行统计分析。 结果16名入组患者的平均体重、BMI、空腹TC、LDL在术后3年均有不同幅度下降，平均空腹HDL有所升高，数据分析均有统计学意义（P<0.05）。 结论减重代谢手术可以明确并且持续性地减轻青少年肥胖症病人的体重，同时改善血脂异常问题。青少年一旦达到肥胖II级应当尽早手术。

Analysis of 3 years follow-up outcomes of bariatric surgery in adolescents with obesity

ObjectiveThis retrospective study aimed to assess the midterm clinical outcomes of adolescents with obesity undergoing bariatric surgery. MethodsBetween Nov. 2014 to Oct. 2015, 16 adolescents (aged 13-21 years) undergoing the surgery in Changchun Jiahe Surgical Hospital were recruited to the study. Changes in body weight, BMI, triglyceride, high-density lipoprotein and low-density lipoprotein were assessed through 3 years after surgery. ResultsFrom baseline to 3 years follow-up, the mean body weight, BMI, TG and LDL levels decreased by different degrees, while the mean HDL level increased. These change were statistically significant (P<0.05). ConclusionsBariatric surgery can bring about sustained and significant weight reduction, and improve dyslipidemia issue in adolescents. This operation should be considered when they reached Grade II obesity.