继发性甲状旁腺功能亢进病人甲状旁腺全切+胸腺舌叶切除+前臂皮下种植法应用效果及经济效益分析  

Application effect and economic benefit analysis of total parathyroidectomy+thymectomy+forearm subcutaneous implantation in patients with secondary hyperparathyroidism

作　　者：吴振宇 田延锋[1] 戴鹏 叶耀磊 贾恒哲 尚方剑 WU Zhenyu;TIAN Yanfeng;DAI Peng;YE Yaolei;JIA Hengzhe;SHANG Fangjian(Department of Glandular Surgery,The First Hospital of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北医科大学第一医院腺体外科,石家庄050000

出　　处：《临床外科杂志》2024年第9期918-922,共5页Journal of Clinical Surgery

摘　　要：目的分析继发性甲状旁腺功能亢进(SHPT)病人甲状旁腺全切(TPTX)+前臂皮下种植(AT)+胸腺舌叶切除的应用效果及经济效益。方法分析2018年3月~2021年1月于本院接受治疗的SHPT病人110例,按不同治疗方案分为药物组(50例,接受西那卡塞联合小剂量骨化三醇),手术组(60例,采取TPTX+AT+胸腺舌叶切除)。对比两组治疗前、治疗24个月后的生化指标、心脏结构与功能、临床症状与生活质量,并统计两组并发症、成本效益、24个月复发率。结果手术组治疗后24个月血清iPTH[(206.45±152.59)pg/ml]、钙[(2.05±0.26)mmol/L]、磷[(1.48±0.21)mmol/L]、钙磷乘积(3.02±0.69)、ALP水平[(102.03±30.25)U/L]均低于药物组[(721.32±325.36)pg/ml、(2.22±0.18)mmol/L、(1.91±0.22)mmol/L、(4.22±0.74)、(140.62±27.15)U/L](P<0.05);手术组治疗后24个月LVEF[(60.85±4.02)%]高于药物组[(55.58±3.84)%],LVED[(48.03±2.58)mm]、LVST[(9.85±0.76)mm]低于药物组[(51.02±3.65)mm、(11.12±0.86)mm](P<0.05);手术组治疗后24个月骨痛、皮肤瘙痒、不宁腿综合征评分比药物组低,KDTA评分比药物组高(P<0.05);手术组治疗总费用[(4.06±1.42)万元]相比药物组[(3.46±1.85)万元],差异无统计学意义(P>0.05);手术组iPTH下降有效率为90.00%(54/60),高于药物组的48.00%(24/50)(P<0.05);成本效果分析发现,药物组、手术组CER分别为7.21、4.51,手术治疗更具成本效果优势;增量成本效果分析显示,相比药物组,手术组用于治疗SHPT每多有效治疗1例病人相对需增加1.48万元成本;手术组、药物组并发症发生率(13.33%VS 12.00%)、治疗后24个月复发率(8.33%VS 4.00%)对比,差异无统计学意义(P>0.05)。结论TPTX+AT+胸腺舌叶切除术可减轻SHPT病人骨痛,降低iPTH水平,纠正钙磷代谢紊乱,改善心脏功能与结构,提高生活质量,且成本效益高于药物治疗。Objective To analyze the application effect and economic benefit of total parathyroidectomy(TPTX)+subcutaneous implantation of forearm(AT)+thymectomy in patients with secondary hyperparathyroidism(SHPT).Methods The clinical data of 110 patients with SHPT who were treated in our hospital from March 2018 to January 2021 were retrospectively analyzed.They were divided into medication group(50 cases,receiving cinacalcet combined with low-dose calcitriol)and operation group(60 cases,receiving TPTX+AT+thymectomy)according to different treatment regimens.The biochemical indexes,cardiac structure and function,clinical symptoms and quality of life of the two groups were compared before and after treatment for 24 months,and the complications,cost-effectiveness and recurrence rate of the two groups after operation were counted.Results After treatment,the levels of serum iPTH[(206.45±152.59)pg/ml],calcium[(2.05±0.26)mmol/L],phosphorus[(1.48±0.21)mmol/L],calcium-phosphorus product(3.02±0.69)and ALP[(102.03±30.25)U/L]in operation group were all lower Drug group[(721.32±325.36)pg/ml,(2.22±0.18)mmol/L,(1.91±0.22)mmol/L,(4.22±0.74),(140.62±27.15)U/L](P<0.05);LVEF[(60.85±4.02)%]in operation group was higher than that in drug group[(55.58±3.84)%].LVED[(48.03±2.58)mm]and LVST[(9.85±0.76)mm]were lower than those in drug group[(51.02±3.65)mm,(11.12±0.86)mm](P<0.05).The scores of bone pain,skin pruritus and restless legs syndrome in the operation group were lower than those of the medication group,and the KDTA score was higher than that of the medication group(P<0.05).The total cost of treatment in the operation group[(4.06±1.42)million yuan]was not significantly different from that in the drug group[(3.46±1.85)million yuan](P>0.05).The effective rate of iPTH reduction in operation group was 90.00%(54/60),which was higher than that in drug group(48.00%,24/50)(P<0.05).The cost-effectiveness analysis showed that the CER of the drug group and the operation group were 7.21 and 4.51 respectively,and the operation treatment

关 键 词：继发性甲状旁腺功能亢进 甲状旁腺全切 前臂皮下种植 胸腺舌叶切除 经济效益 

分 类 号：R653[医药卫生—外科学]