Parks J, Coe F, Favus M
Arch Intern Med. 1980 Nov;140(11):1479-81.
We found primary hyperparathyroidism in 56 of 1,132 consecutive patients with nephrolithiasis. We describe 48 of these patients who have undergone curative parathyroidectomy. Thirty of the 48 patients had extremely mild hypercalcemia (serum calcium level, 10.15 to 10.95 mg/dL), often accompanied by very substantial hypercalciuria. Stone disease was of equal severity in these 30 patients and in the 18 with more pronounced hypercalcemia (serum calcium level above 11 mg/dL). In all 48 patients, recurrent stone formation was virtually abolished by parathyroidectomy.
在1132例连续性肾结石患者中，我们发现56例患有原发性甲状旁腺功能亢进症。我们描述了其中48例接受了甲状旁腺切除根治术的患者。48例患者中有30例血钙升高程度极轻（血清钙水平为10.15至10.95mg/dL），常伴有非常显著的高钙尿症。这30例患者与18例血钙升高更明显（血清钙水平高于11mg/dL）患者的结石病严重程度相当。在所有48例患者中，甲状旁腺切除术后几乎杜绝了结石复发。
