[Diagnosis and treatment of primary hyperparathyroidism].
OBJECTIVE
To study the diagnosis and treatment of hyperparathyroidism.


METHODS
37 patients with primary hyperparathyroidism (PHPT) were confirmed pathologically. The course of the disease varied, the longest one being 14 years and the shortest one 3 months.


RESULTS
35 patients had parathyroid adenoma, 1 hyperplasia of parathyroid, and 1 carcinoma of parathyroid. The main clinical manifestation was symmetrical pain of the supporting bones and joints, hypercalcemia, hypercalcinuria, hypophosphatemia, hyper-alkaline phosphatasemia, and increase of iPTH in peripheral blood. X-ray examination showed osteoporosis and decalcification, accompanied with multiple fracture occasionally, we injected (99m)Tc and MiBi into inferior thyroid artery as a demonstration for the diagnosis of tumor of parathyroid.


CONCLUSIONS
The key procedure of the operation was to search for tumor of parathyroid. We used thymus-thyroid ligament as guide and injected methylene blue into the artery during operation to search thyroid.
Li
Y
Y
Department of Surgery, First Clinical Institute, China Medical University, Shenyang 110001.
He
S
S
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D049950:Hyperparathyroidism, Primary / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016105:Parathyroidectomy / Q000379:methods; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult