GYNECOLOGIC OBSTETRIC CHANGES AFTER LOSS OF MASSIVE EXCESS WEIGHT FOLLOWING BARIATRIC SURGERY
GYNECOLOGIC OBSTETRIC CHANGES AFTER LOSS OF MASSIVE EXCESS WEIGHT FOLLOWING BARIATRIC SURGERY
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DOI：
10.1080/07315724.1988.10720232
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发表时间：
1988-04-01
影响因子：
3.5
通讯作者：
SUTHERLAND, DJA
中科院分区：
文献类型：
--
作者：
DEITEL, M;STONE, E;SUTHERLAND, DJA
进行临床研究，以评估妇产科的变化，病态肥胖的妇女谁失去了。通过减肥手术减掉50%的多余体重138名女性（109名育龄妇女），年龄35岁。9 SD岁，体重124 ±。术前23 kg，术后79 . ±. 13公斤后，体重下降稳定。术前40.4%的绝经前患者存在月经不规则;体重大幅下降后，4.6%的患者出现月经周期异常（p < 0.001）。29.3%的患者术前存在不孕问题。其中，9人在减肥后尝试受孕，并取得了成功。在过去的怀孕期间，医疗并发症是频繁的（高血压26.7%，先兆子痫12.8%，糖尿病7.0%，深静脉血栓形成7.0%）减肥稳定后，这些产科并发症没有发生。压力性尿失禁的发生率从61.2%下降到11.6%（P < 0.001）。妇产科的变化趋于正常后，大量体重减轻。
A clinical study was undertaken to assess gynecologic-obstetric changes in morbidly obese women who lost .gtoreq. 50% of their excess weight with bariatric surgery. The 138 females (109 of reproductive age), age 35 .+-. 9 SD yr, weighed 124 .+-. 23 kg before surgery and 79 .+-. 13 kg after weight loss had stabilized. Menstrual irregularities were present in 40.4% of premenopausal patients preoperatively; after massive weight loss, cycles were abnormal in 4.6% (p < 0.001). Infertility problems were present preoperatively in 29.3%. Of these, nine tried to conceive after weight loss and were successful. During past pregnancies, medical complications were frequent (hypertension 26.7%, pre-eclampsia 12.8%, diabetes 7.0%, and deep vein thrombosis 7.0%) After weight-loss stabilization, these obstetric complications did not occur. Incidence of urinary stress incontinence decreased from 61.2% to 11.6% (p < 0.001). Gynecologic-obstetric changes tended to normalize after loss of massive body weight.