1　病案摘要 :例 1患者　男 ,6 1岁 ,因乏力、腰腿痛 5年 ,曾在多家医院就诊效果不佳 ,近 3年胸背痛不能直立 ,四肢痛不能行走 ,生活不能自理。以“甲状旁腺腺瘤”诊治入院。查体 :左甲状腺饱满 ,下极可触及 3cm× 3cm大小肿块 ,质软 ,活动性尚可 ,彩超检查示 :左甲状腺下极 3 1 case summary: Case 1 male patient, 6 1 years old, due to fatigue, low back pain for 5 years, had poor results in many hospitals, chest and back pain in the past 3 years can not be erect, limb pain can not walk, life can not take care of themselves. To “parathyroid adenoma” diagnosis and treatment of admission. Physical examination: the left thyroid full, the next can reach 3cm × 3cm size mass, soft, activity is acceptable, color Doppler ultrasound examination showed: the left lower thyroid 3