本文报告了我院1972～1990年收治的10例原发性甲状旁腺机能亢进。其中单发腺瘤9例,包括3例异位,以及增生1例。术前血钙升高水平较低,平均为2.78mmol/L。部分病例术前行血清甲状旁腺素、骨钙素放免测定和骨密度测量,显示临床实用价值很高。本组经验支持在缺乏术前有效定位手段时应采取全面探查的手术原则。 This article reports 10 cases of primary hyperparathyroidism admitted to our hospital from 1972 to 1990. Among them, there were 9 cases of single adenoma, including 3 cases of ectopic and 1 cases of hyperplasia. Preoperative serum calcium levels were lower, with an average of 2.78 mmol/L. In some cases, preoperative serum parathyroid hormone, osteocalcin radioimmunoassay and bone mineral density measurements showed high clinical value. This group of experience supports the principle of full exploration in the absence of effective preoperative positioning techniques.