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代谢性减重手术对生殖健康的影响。

Implications of Metabolic Bariatric Surgery on Reproductive Health.

作者信息

Rottenstreich Amihai, Graham Yitka

机构信息

Department of Obstetrics and Gynecology, E. Wolfson Medical Center, Holon 5822012, Israel.

Gray Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel.

出版信息

J Clin Med. 2025 Aug 2;14(15):5446. doi: 10.3390/jcm14155446.

DOI:10.3390/jcm14155446
PMID:40807068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12347868/
Abstract

In the last two decades, metabolic and bariatric surgery (MBS) has become the mainstay of treatment for severe and complex obesity. The majority of patients undergoing MBS are women of childbearing age. Coupled with the dramatic increase in the utilization of MBS, caregivers are likely to encounter patients who have undergone MBS in routine practice. From this perspective, we highlight the different reproductive health challenges and issues encountered throughout the pre-operative, peri-operative, and postoperative phases.

摘要

在过去二十年中,代谢与减重手术(MBS)已成为重度和复杂性肥胖症治疗的主要手段。接受MBS手术的患者大多数是育龄期女性。随着MBS手术使用率的急剧上升,医护人员在日常工作中很可能会遇到接受过MBS手术的患者。从这个角度出发,我们着重介绍在术前、围手术期和术后各阶段遇到的不同生殖健康挑战和问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b49e/12347868/a26dff3e0ac6/jcm-14-05446-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b49e/12347868/a26dff3e0ac6/jcm-14-05446-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b49e/12347868/a26dff3e0ac6/jcm-14-05446-g001.jpg

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本文引用的文献

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The Efficacy of Various Weight Loss Strategies in Alleviating Polycystic Ovary Syndrome.各种减肥策略对缓解多囊卵巢综合征的疗效。
Curr Obes Rep. 2025 Jun 28;14(1):57. doi: 10.1007/s13679-025-00649-5.
2
Altered postprandial glucose metabolism and enteropancreatic hormone responses during pregnancy following Roux-en-Y gastric bypass: a prospective cohort study.Roux-en-Y胃旁路术后妊娠期间餐后葡萄糖代谢及肠促胰素反应的改变:一项前瞻性队列研究
BMJ Open Diabetes Res Care. 2025 Mar 20;13(2):e004672. doi: 10.1136/bmjdrc-2024-004672.
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The approach to a pregnancy after bariatric surgery.
减肥手术后的妊娠处理方法。
Clin Med (Lond). 2025 Jan;25(1):100275. doi: 10.1016/j.clinme.2024.100275. Epub 2024 Dec 17.
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The Effectiveness of Bariatric Surgery on Treating Infertility in Women-A Systematic Review and Meta-Analysis.减肥手术治疗女性不孕症的有效性——一项系统评价和荟萃分析
J Clin Med. 2024 Sep 19;13(18):5569. doi: 10.3390/jcm13185569.
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Bariatric surgery for spontaneous ovulation in women living with polycystic ovary syndrome: the BAMBINI multicentre, open-label, randomised controlled trial.多囊卵巢综合征患者接受减重手术以自发排卵:BAMBINI 多中心、开放标签、随机对照试验。
Lancet. 2024 Jun 8;403(10443):2489-2503. doi: 10.1016/S0140-6736(24)00538-5. Epub 2024 May 20.
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7
A 2022 update on the epidemiology of obesity and a call to action: as its twin COVID-19 pandemic appears to be receding, the obesity and dysmetabolism pandemic continues to rage on.2022 年肥胖症流行病学更新及行动呼吁:随着其孪生 COVID-19 大流行似乎正在消退,肥胖和代谢功能紊乱大流行仍在肆虐。
Metabolism. 2022 Aug;133:155217. doi: 10.1016/j.metabol.2022.155217. Epub 2022 May 15.
8
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JCI Insight. 2022 Apr 8;7(7):e156424. doi: 10.1172/jci.insight.156424.
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