Diagnosis and Treatment of Primary Hyperparathyroidism with Repeated Bilateral Renal Stones (13 Cases Report)

Abstract

<i>Background</i> to discuss the clinical characteristics of primary hyperparathyroidism (PHPT) with renal stones. <i>Methods</i> Clinical data of 13 Patients diagnosed With Primary hyperparathyroidism with repeated renal stones during May. 2006 to Oct. 2019 were analyzed retros Pectively. <i>Results</i> 13 patients, 4 males, 9 females, 7 kidney stones, 3 ureteral stones, 3 kidney and ureteral stones, 7 unilateral stones, 6 bilateral stones, 7 cases of rapid postoperative recurrence of kidney and ureteral stones were diagnosed with PHPT, 6 cases of preoperative diagnosis with pHPT; in all cases, blood calcium and parathyroid glandular hormone were significantly increased, 6 cases of blood phosphorus were decreased; 12 cases were diagnosed with thyroid ultrasound and neck CT, and the operation was performed One case was diagnosed as hyperparathyroidism by 99mTc-MIBI. <i>Conclusions</i> Parathyroidectomy is effective to treat the disease which can reduce recurrence of kidney stones remarkably. Early diagnosis and treatment of Primary hyperparathyroidism is helpful to reduce stone recurrence and Preserve renal function.