Aspirantskiy Vestnik PovolzhiyaAspirantskiy Vestnik Povolzhiya2072-23542410-3764Samara State Medical University2450910.17816/2072-2354.2015.0.5-6.173-175Research ArticlePRACTICE OF SURGICAL TREATMENTOF TERTIARY HYPERPARATHYROIDISMMAKAROVI Vmakarov-samgmu@yandex.ruGALKINR Arg576@mail.ruSIDOROVA Usidorov_024@mail.ruKOSAKINV Ainfo@dkb63.ruKLETTERV Ainfo@dkb63.ruKOPOSOVI Sinfo@dkb63.ru15092015155-617317511032020Copyright © 2015, MAKAROV I.V., GALKIN R.A., SIDOROV A.U., KOSAKIN V.A., KLETTER V.A., KOPOSOV I.S.2015Tertiary hyperparathyroidism (THPT) is a disease often followed by adenomatous transformation and autonomation of parathyroid glands; it is more common in patients older than 50, who are on hemodialysis. Ultrasonic examination and scintigraphy with Tc99m of parathyroid glands reveals only 70-75% cases of parathyroid adenoma. That is why the examination must include MRT (magnetic resonance tomography) of parathyroid glands. After surgery, patients with THPT need constant follow-up because of possible relapse.tertiary hyperparathyroidismdiagnosticstreatmentтретичный гиперпаратиреоздиагностикалечение[Макаров И. В. Гиперпаратиреоз. - Самара: Офорт, 2014. - 132 с.][Национальные рекомендации по минеральным и костным нарушениям при хронической болезни почек / Под редакцией А.Ю. Земченкова, А.М. Андрусева. // Нефрология и диализ. 2011, Т.13, №1.][Романчишен А.Ф. Хирургия щитовидной и околощитовидных желез. СПб.: ИПК «Вести», 2009. - 648 с.]