本文报告33例原发性甲旁亢的误诊经验总结。其中肾结石型17例,骨病型12例,混合型2例,无症状型2例均被误诊。为提高对本病的认识,应注意从临床表现中筛选,并借助必要的生化检查(血钙、血磷、尿钙、AKP、TRP)及仪器检查(X线片、超声波)是早期发现本病并作出正确诊断的途径。 This article reports 33 cases of primary hyperparathyroidism misdiagnosis experience summary. Among them, 17 were kidney stone type, 12 were bone disease type, 2 were mixed type and 2 were asymptomatic type. To improve understanding of the disease, attention should be paid to screening from clinical manifestations, and with the help of the necessary biochemical tests (serum calcium, phosphorus, urinary calcium, AKP, TRP) and instrumental examination (radiographs, ultrasound) Disease and make a correct diagnosis of the way.