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减重代谢手术临床决策受诸多因素影响,患者及医疗提供者在手术开展以及手术方式选择方面均存在决策冲突.部分临床决策研究为减重代谢手术患者选择、手术方式选择提供了高级别证据支持.国外开发了减重代谢外科共享决策辅助系统以帮助医师科学决策,但我国尚缺乏高级别的减重代谢外科共享决策辅助支持系统.笔者回顾既往研究进展,基于患者的选择和手术方式选择的减重代谢外科临床决策进行深入讨论.

The clinical decision in bariatric and metabolic surgery is influenced by several factors.Both patients and medical providers face conflicts when deciding whether to proceed with the surgery and which procedure to choose.Some clinical decision-making studies have provided high-level evidence to assist in selecting patients and surgical methods.Additionally,there are clinical decision support systems tailored to the needs of this specialty.However,there is currently a lack of a high-level clinical decision system for bariatric and metabolic surgery in China.The authors refer to previous research progress and conduct in-depth discussions on the clinical decision-making of bariatric and metabolic surgery based on patient selection and surgical method selection.