自然杂志 ›› 2026, Vol. 48 ›› Issue (3): 205-216.doi: 10.3969/j.issn.0253-9608.2026.03.005

• 专题综述 • 上一篇    下一篇

减重代谢手术治疗代谢综合征的现状

顾希涵,焦宇文,周刚,张书凡,汤黎明   

  1. 南京医科大学第三附属医院/常州市第二人民医院 胃肠外科,江苏 常州 213000
  • 收稿日期:2026-01-04 出版日期:2026-06-25 发布日期:2026-06-20

Current status of weight-loss metabolic surgery in the treatment of metabolic syndrome

GU Xihan, JIAO Yuwen, ZHOU Gang, ZHANG Shufan, TANG Liming   

  1. Department of Gastrointestinal Surgery, the Third Affiliated Hospital of Nanjing Medical University/Changzhou Second People’s Hospital, Changzhou 213000, Jiangsu Province, China
  • Received:2026-01-04 Online:2026-06-25 Published:2026-06-20

摘要: 代谢综合征(MetS)已成为全球重大公共卫生问题,给社会带来沉重的健康和经济负担。减重代谢手术(MBS)作为治疗MetS的重要手段,不仅可实现快速且持久的体重减轻,也能显著改善其核心代谢紊乱。本文总结了MBS在MetS治疗中的应用现状,系统阐述常用术式的临床效果、优势与局限性,以期为MetS的个性化临床治疗提供参考。

关键词: 代谢综合征, 减重代谢手术, 2型糖尿病

Abstract: Metabolic syndrome (MetS) has emerged as a major global public health issue, imposing a substantial health and economic burden on society. Metabolic and bariatric surgery (MBS), as a key intervention for MetS, not only achieves rapid and sustained weight loss but also significantly improves its core metabolic dysregulations. This article summarizes the current application of MBS in the management of MetS, systematically elaborates on the clinical outcomes, advantages, and limitations of commonly performed procedures, with the aim of providing insights for personalized clinical treatment of MetS.