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总结１９５８～１９９３年间１３４例原发性甲状旁腺功能亢进症（简称甲旁亢）的诊断经验。临床表现有骨吸收（５６．０％）、骨病变合并尿路结石（３５．０％）、单纯尿路结石（６．０％）和高钙血症（３．０％）４种类型。骨病变有骨吸收、并骨软化和骨质疏松；尿路结石中７２．７％为多发结石或／和肾钙化。血游离钙测定与，总钙值的诊断符合率分别为９５．３％和７３．４％，血免疫活性甲状旁腺素（ｉＰＴＨ）值比正常组明显增高。定位诊断首选颈部Ｂ超，其次为核素扫描；高度考虑纵隔异位病变时可行ＣＴ扫描；首次手术失败，再次手术前可应用选择性颈内静脉插管取血测ｉＰＴＨ浓度的定位方法。
Summary of 1958 to 1993 134 cases of primary hyperparathyroidism (referred to as hyperparathyroidism) diagnosis experience. Clinical manifestations include bone resorption (56.0%), bone disease with urolithiasis (35.0%), simple urinary tract stones (6.0%) and hypercalcemia (3.0%). Bone lesions have bone resorption, and osteomalacia and osteoporosis; urinary tract stones in 72.7% of multiple stones or / and renal calcification. The coincidence rates of serum free calcium and total calcium were 95.3% and 73.4%, respectively. The value of iPTH was significantly higher than that of normal group. Positioning diagnostic priority neck B ultrasound, followed by radionuclide scanning; high degree of feasible CT scan of mediastinal ectopic lesions; the first failed surgery, before surgery can be applied selective intra-venous cannulation blood iPTH concentration of the positioning method.