原発性副甲状腺機能亢進症と尿路結石

Abstract

結石症原発性副甲状腺機能亢進症16自験例を検討した.1)再発性あるいは多発性尿路結石患者中12.6%に原発性副甲状腺機能亢進症をみいだした.2)診断への手がかりとしては血中カルシウム値, とくにイオン化カルシウム値が有効で, 急速カルシウム負荷試験は境界例の診断の決め手となりえた.3)頸部手術施行により, 結石の再発あるいは増大の面からも著明に改善した

During the 5-year period from October, 1978 to September, 1983, primary hyperparathyroidism has been found at our clinic in 16 out of 395 cases of urinary stones (4.1%) and in 12.6% of the recurrent or multiple stone-forming patients. Plasma-ionized calcium level and rapid rapid calcium load test were most valuable in the diagnosis of primary hyperparathyroidism. It has been proved that neck surgery for primary hyperparathyroidism prevents recurrence of urinary tract stones.