甲状旁腺瘤是导致原发性甲状旁腺机能亢进的常见原因,约占所有病例的90%,临床上并非少见,但常误诊为其它疾病而延误治疗。现将临床诊治4例的体会报告如下。临床资料:本组女性3例,男性1例,年龄25～52岁,病程1年半～8年,均以全身骨关节酸痛、肌无力就诊。曾分别误诊为风湿病、代谢性骨病、骨巨细胞瘤、骨关节炎。起病时表现为四肢乏力、抬高困难、骨关节酸痛、下肢浮肿,反复发作进行性加重。给予维生素 D Parathyroid adenoma is a common cause of primary hyperparathyroidism, accounting for about 90% of all cases, clinically not uncommon, but often misdiagnosed as other diseases and delayed treatment. The clinical diagnosis and treatment of 4 cases now report as follows. Clinical data: The group of 3 females, 1 males, aged 25 to 52 years, duration of 1 year and a half to 8 years, all with systemic osteoarthritis, muscle weakness treatment. Have been misdiagnosed as rheumatism, metabolic bone disease, giant cell tumor of bone, osteoarthritis. The onset of manifested as weakness in the limbs, raising difficulties, joint pain, lower extremity edema, recurrent exacerbations. Give vitamin D.