2023 年第 10 期 第 18 卷

腹腔镜下袖状胃切除术对男性肥胖患者激素水平的影响

Effect of laparoscopic sleeve gastrectomy on hormone levels of male obese patients

作者：艾合买提江·吐乎提1艾克拜尔·艾力2阿地拉·阿里木1克力木·阿不都热依木2

英文作者：Aihemaitijiang Tuhuti1 Aikebaier Aili2 Adila Alimu1 Kelimu Abudureyimu2

单位：1新疆维吾尔自治区人民医院内分泌与代谢病科新疆糖尿病临床医学研究中心，乌鲁木齐830001；2新疆维吾尔自治区人民医院微创、疝和腹壁外科，乌鲁木齐830001

英文单位：1Department of Endocrinology and Metabolic Diseases People′s Hospital of Xinjiang Uygur Autonomous Region Xinjiang Diabetes Mellitus Clinical Medical Research Center Urumqi 830001 China; 2Department of Minimally Invasive Hernia and Abdominal Wall Surgery People′s Hospital of Xinjiang Uygur Autonomous Region Urumqi 830001 China

关键词：肥胖；腹腔镜下袖状胃切除术；2型糖尿病；激素

英文关键词：Obesity;Laparoscopicsleevegastrectomy;Type2diabetesmellitus;Hormone

• 摘要：

• 目的  探讨男性肥胖患者接受腹腔镜下袖状胃切除术（LSG）的临床疗效及其对男性肥胖患者激素水平的影响。方法  收集2018年1月至2021年6月在新疆维吾尔自治区人民医院行LSG的男性肥胖患者31例，根据是否合并糖尿病将患者分为糖尿病组（7例）和非糖尿病组（24例）。比较2组患者术前及术后6个月的总睾酮、雌二醇、促黄体生成素和卵泡刺激素水平，观察全部患者的减重效果以及减重手术对血糖及激素水平的影响。结果  全部患者术后体质量、体重指数和腰围均低于术前［（92±11）kg比（129±21）kg、（31±4）kg/m2比（43±7）kg/m2、（105±9）cm比（134±16）cm］，差异均有统计学意义（均P＜0.001）。全部患者术后空腹血糖、空腹胰岛素、雌二醇和促黄体生成素水平均低于术前，总睾酮和卵泡刺激素水平均高于术前（均P＜0.05）。结论  LSG可以显著降低男性肥胖患者体质量和血糖，并且有利于调整体内性激素水平。

• Objective  To investigate the clinical efficacy of laparoscopic sleeve gastrectomy (LSG) in male obese patients and its effect on hormone levels. Methods  A total of 31 male obese patients who underwent LSG in People′s Hospital of Xinjiang Uygur Autonomous Region from January 2018 to June 2021 were collected. The patients were divided into diabetes mellitus group (7 cases) and non-diabetes mellitus group (24 cases) according to whether they had diabetes mellitus. The levels of total testosterone, estradiol, luteinizing hormone and follicle stimulating hormone were compared between the two groups before and 6 months after surgery. The weight loss effect of all patients and the effect of weight loss surgery on blood glucose and hormone levels were observed. Results  The postoperative body mass, body mass index and waist circumference of the patients were lower than those before surgery ［(92±11)kg vs (129±21)kg, (31±4)kg/m2 vs (43±7)kg/m2, (105±9)cm vs (134±16)cm］(all P<0.001). The levels of fasting blood glucose, fasting insulin, estradiol and luteinizing hormone in the patients after surgery were lower than those before surgery, and the levels of total testosterone and follicle stimulating hormone were higher than those before surgery (all P<0.05). ConclusionsLSG can significantly reduce body mass, blood glucose of male obese patients, and help to adjust the level of sex hormones.