作者报道了在超声导向下对一组严格选择的原发甲旁亢患者施行化学性切除的结果。12例(女10例、男2例)中4例有严重的高血钙,4例因手术高危或高龄,另4例拒绝手术,年龄45-85岁。治疗用90%乙醇,剂量依靠腺体的大小,但不能超过甲状旁腺腺瘤体积的一半。原则最多行三次治疗,离隔不超过一周,根据生化结果及临床情况酌定治疗次数。血常规包括活检前、治疗前、治疗期间及随访中的钙离子测定。 The authors report the results of a surgical resection of a group of strictly selected primary hyperparathyroidism patients under ultrasound guidance. Of the 12 patients (10 females and 2 males), 4 had severe hypercalcemia, 4 were at high risk or advanced age for surgery, and the other 4 patients refused surgery, aged 45-85 years. Treatment uses 90% ethanol, and the dose depends on the size of the gland, but it cannot exceed half the size of the parathyroid adenoma. The principle is to treat the treatment up to three times, separated from each other by no more than one week, according to the results of biochemical and clinical conditions, the number of treatment. Blood routines include calcium measurements before, during, during, and after follow-up.