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在当代社会,肥胖症及其相关的T2DM和MS已成为严重的社会和医学问题。除了口服药物及注射胰岛素等传统治疗方法外,近年来代谢手术治疗糖尿病的疗效也逐渐得到了认可。但是,代谢手术本身存在术后风险和并发症等多种局限性,同时由于我国T2DM患者存在BMI偏低等特殊性,使得目前国内尚缺少充足的手术数据和循证证据。本文就代谢手术治疗糖尿病的现状与局限性做一评述。
In contemporary society, obesity and its associated T2DM and MS have become serious social and medical problems. In addition to the traditional methods of oral medication and insulin injections, the efficacy of metabolic surgery in the treatment of diabetes has gradually been recognized. However, metabolic surgery itself has many limitations such as postoperative risk and complications. At the same time, due to the low BMI and other special features in T2DM patients in our country, there is still a lack of sufficient surgical data and evidence-based evidence in our country. This article reviews the status and limitations of metabolic surgery in the treatment of diabetes.