Conclusion We concluded that total parathyroidectomy with forearm autotransplantation is a safe and effective treatment for sHPT not supperssible by pharmacologic means.

• 结论 甲状旁腺全切除加前臂部分腺体自体种植的手术方式治疗药物难治性的sHPT，是安全、有效、可行的；