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目的探讨胃大部切除术对胃肠道疾病合并2型糖尿病患者糖代谢的影响。方法分析我院行BillrothⅡ式胃大部切除术治疗的胃肠道疾病合并2型糖尿病患者46例,对手术前后体重指数(BMI)、空腹血糖以及HbAlc的变化进行比较并记录下相应的变化。结果患者术后体重指数以及糖化血红蛋白的含量下降明显,且患者空腹血糖也得到了明显的改善。所有的患者行手术后6个月进行回访,32例患者糖尿病已经痊愈,治疗有效患者数为13例,治疗痊愈率为69.6%,总的治疗有效率为97.8%。结论 BillrothⅡ式胃大部切除术对于2型糖尿病患者治疗效果显著,值得临床推广使用
Objective To investigate the effect of subtotal gastrectomy on glycometabolism in patients with type 2 diabetes mellitus and gastrointestinal diseases. Methods 46 patients with type 2 diabetes mellitus who were treated by Billroth Ⅱ gastrectomy in our hospital were analyzed. The changes of body mass index (BMI), fasting blood glucose and HbAlc before and after operation were compared and the corresponding changes were recorded. Results The postoperative body mass index and glycosylated hemoglobin decreased significantly, and the fasting blood glucose was also significantly improved. All patients were interviewed 6 months after surgery. Diabetes was cured in 32 patients. The number of effective patients was 13, the cure rate was 69.6% and the total effective rate was 97.8%. Conclusion Billroth Ⅱ type of subtotal gastrectomy for patients with type 2 diabetes treatment effect is remarkable, it is worth promoting the use of the clinic