Abstract:Objective To investigate the diagnostic localization and surgical treatment of primary hyperparathyroidism(pHPT). 〖JP〗
Methods The clinical data of 52 patients who diagnosed as pHPT and underwent parathyroidectomy at Xijing Hospital between January, 1990 and June, 2005 were retrospectively reviewed.
Results Preoperative ultrasound and Xray examination were performed in all patients, 99m TCMIBI imaging were used in 36 patients and 52 patients using the intraoperative Vital blue technique for operative localization. Pathological bone fractures occurred in 18 cases. Skeletal manifestations were found in 22 cases and urinary stones in 6 cases. Six patients were asymptomatic. Hypercalcemia was detected in all patients with the average value of (3.0±0.5) mmol/L, ranging from 2.7 to 4.3 mmol/L. Thirtyeight patients 〖JP+1〗showed elevated parathyroid hormone (PHT) with the average value of（628.3±87.6）pg/mL, ranging