Perm Medical JournalPerm Medical Journal0136-14492687-1408Eco-Vector336310.17816/pmj32413-18Research ArticleDIAGNOSIS AND TREATMENT OF PRIMARY AND SECONDARY HYPERPARATHYROIDISMZarivchatskyM F-BlinovS A-DenisovS Aendo2008@mail.ruKolevatovaA P-DilmanA B-TeplykhN S-15082015324131812072016Copyright © 2015, Zarivchatsky M.F., Blinov S.A., Denisov S.A., Kolevatova A.P., Dilman A.B., Teplykh N.S.2015Aim. To improve the results of treatment in patients with primary and secondary hyperthyroidism. Materials and methods. During the period of 2001-2014 we operated 24 patients with primary hyperthyroidism and 38 patients with secondary hyperthyroidism. Results. No complications were observed in the early and follw-up postoperative periods. In the postoperative period patient's health status was monitored. Hypocalcemia was detected in 39 out of 62 patients; it was compensated by intake of calcium preparations during 2-3 weeks. Conclusions. To improve the results of treatment in patients with hyperparathyroidism, screening investigations of risk groups and patients undergoing program hemodialysis are required. Substruction scintigraphy is an obligatory method for preoperative examination of patients with hypothyroidism. Adequate preoperative preparation permits to prevent the intraoperative complications connected with hormonal disorders.Hyperparathyroidismparathyroidectomysubstraction scintigraphyГиперпаратиреозпаратиреоидэктомиясубстракционная сцинтиграфия[Голохвастов Н. Н. Гиперкальциемия. Первичный гиперпаратиреоз. СПб.: Гиппократ, 2003; 136.][Калинин А. П. Хирургическая эндокринология. СПб.: Питер 2004; 960.][Котова И. В., Емельянова Л. Н., Богатырев О. П. Визуализирующие методы исследования околощитовидных желез при первичном гиперпаратиреозе. Современные аспекты хирургической эндокринологии. Материалы XVI Российского симпозиума по хирургической эндокринологии. Саранск 2007; 33-38.][Романчишен А. Ф. Хирургия щитовидной и околощитовидных желез. СПб.: Вести 2009; 648.][Pham T. H., Sterioff S., Mullan B. P. Sensitivity and utility of parathyroid scintigraphy in patients with primary versus secondary and tertiary hyperparathyroidism. World J. Surg. 2006; 30 (3): 327-332.][Randolph G. W. Surgery of the thyroid and parathyroid glands. Philadelphia: Saunders 2003; 620.]