甲状旁腺肿瘤10例临床分析

目的 探讨甲状旁腺肿瘤的误诊原因，找出减少误诊的方法。方法 对1984－1998年我院收治的10例甲状旁腺肿瘤患者进行回顾性分析。结果 10例中8例患者临床表现为骨关节疾病和泌尿系结石，误诊率为80％。结论 临床医师应提高对该疾病的认识，对一些顽固的泌尿系结石和反复多次骨折的患者不仅要重视局部并发症的诊治，而且在考虑到诊断甲状旁腺肿瘤的可能性，并进行必要的血钙、血磷检测。

Clinical anslysis of 10 cases of parathyroid tumor

Objective To analyze the cause of misdiagnosis of parathyroid tumour. Method 10 cases of parathyroid turmour adimitted from 1984 to 1998 were analysised retrospectively. Results The clinical manifestations of 8/10 cases were osteoarticular diseases and recurrent urinary stone, the misdiagnostic rate was 80%. Conclusion Clinicanas should consider the possibility of parathyroid tumor where there is repeated recurrence of urinary stones or repeated fractures, the serum calcium and phosphorus should be determined. (Shanghai Med J, 2001,24:159)