目的：探讨腹腔镜胃袖状切除术（ laparoscopic sleeve gastrectomy ， LSG ）治疗原发性高血压（ essential hypertension，EH）的疗效。方法2012年7月～2014年10月对14例肥胖合并EH行LSG，腹腔镜下超声刀离断胃周韧带， Endo-GIA沿着胃大弯侧行胃袖状切除术。结果14例LSG均顺利完成。9例术后1周内血压恢复正常，2例术后2周恢复正常，术后1、6个月血压恢复正常分别为2、1例。3例术前服用降压药物者，术后1例停用，2例高血压复发并继续使用降压药物。术后随访1年，患者体重由术前（107．9±20．2）kg下降至（74．1±16．7）kg（t＝10．265，P＝0．000）；BMI从38．6±4．9降至26．6±3．9（t＝9．091，P＝0．000）；多余体重下降百分比（percentage of excess weight loss ，％EWL）效果显著9例，良好5例。结论 LSG在减轻体重同时对EH亦有明显治疗效果。%Objective To investigate the efficacy of laparoscopic sleeve gastrectomy ( LSG) for essential hypertension ( EH) . Methods Between July 2012 and October 2014, 14 obese patients with EH underwent LSG .We cut the perigastric ligaments with an ultrasonic scalpel under general anesthesia , and then performed sleeve gastrectomy with the Endo-GIA along the greater curvature of the stomach. Results The operations were successfully performed in all the 14 patients .The blood pressure recovered to normal level within 1 week postoperatively in 9 cases, within 2 weeks in 2 cases, within 1 month in 2 cases and within 6 months in 1.In 3 patients who needed antihypertensive medication before the operation , the medication was discontinued in 1 case and was required in the other 2 cases due to relapse of hypertension .Postoperative follow-up for 1 year showed the body weight decreased from (107.9 ±20.2) kg preoperatively to (74.1 ±16.7) kg postoperatively (t=10.265, P=0.000).The BMI decreased from 38.6 ±4.9 to 26.6 ±3.9 (t=9.091, P=0.000).The percentage of excess weight loss (%EWL) had significant results in 9 cases and good results in 5 cases. Conclusion LSG has significant curative effects for weight loss and EH .
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