减重代谢手术治疗肥胖症合并多囊卵巢综合征中国专家共识（2025年版）

Chinese expert consensus on bariatric metabolic surgery in the treatment of obesity complicated with polycystic ovary syndrome (2025 edition)

摘要:

多囊卵巢综合征（PCOS）是育龄期女性常见的内分泌疾病，与肥胖症关系密切。近年来，减重代谢手术在改善肥胖症合并PCOS方面的作用逐渐受到关注。本共识由中国医药教育协会代谢病专业委员会、中华医学会外科学分会甲状腺及代谢外科学组、中国医师协会外科医师分会肥胖和代谢病外科学专家工作组、生殖医学与子代健康全国重点实验室等机构联合制定，基于最新的国内外指南和临床研究证据，结合专家意见，提出了PCOS的诊断标准、术前评估、手术适应证、术式选择、围手术期管理及术后随访等方面的推荐意见，旨在为肥胖症合并PCOS患者的减重代谢手术治疗提供规范化指导。

Abstract:

Polycystic ovary syndrome (PCOS) is a common endocrine disorder in women of reproductive age and is closely associated with obesity. In recent years, the role of bariatric and metabolic surgery in improving obesity complicated with PCOS has gradually attracted attention. The Metabolic Disease Professional Committee of the Chinese Medical Education Association, Chinese Society of Thyroid and Metabolism Surgery, Chinese Society of Surgery, Chinese Medical Association, Chinese Society for Metabolic & Bariatric Surgery, Chinese College of Surgeons, Chinese Medical Doctor Association, and the National Key Laboratory of Reproductive Medicine and Offspring Health jointly developed this consensus based on the latest domestic and foreign guidelines, clinical research evidence, and expert opinions. In the consensus, the diagnostic criteria, preoperative evaluation, surgical indications, selection of surgical methods, perioperative management, and postoperative PCOS follow-up are recommended to provide standardized guidance for bariatric metabolic surgery for obese patients with PCOS.