甲状腺癌术后肺部改变分析

目的:探讨甲状腺癌患者术后肺部改变的原因及诊治方法。方法:回顾分析北京大学深圳医院甲乳外科2019年10月1日至2020年1月31日收治的甲状腺癌手术患者378例，依据年龄、性别、抽烟史、身体质量指数、手术方式、手术入路进行分组，采用SPSS 23.0软件统计分析不同因素对术后肺部改变的影响，两组计数资料的比较采用 ...

Experience in diagnosis and treatment of pulmonary changes after radical surgery for thyroid cancer

Objective To investigate the causes,diagnosis and treatment of postoperative pulmonary changes in patients with thyroid cancer.Methods Data of 378 patients with thyroid cancer surgery admitted from Oct.1,2019 to Jan.31,2020 were retrospectively analyzed.SPSS 23.0 statistical software was adopted to analyze the effect of gender,age,smoking history,BMI.operation way and the surgical approach on postoperative changes in the lungs.The two groups of counting data were compared using X² method.Results Age,gender,smoking history and surgical approach had no significant influence on postoperative pulmonary change(P>0.05).Lung changes in patients receiving thyroid cancer plus lateral neck dissection were greater than those receiving radical thyroid cancer alone(P=0.001),and lung changes in patients receiving bilateral neck dissection were greater than those receiving unilateral neck dissection(P=0.027).The pulmonary changes in patients with underweight and obesity were greater than those in patients with normal weight and hyperreorganization(P=0.019).Conclusions Lateral neck dissection and patients*body mass index are important factors affecting the postoperative lung changes in thyroid cancer patients.Thyroid cancer patients undergoing lateral neck dissection should actively check their lung changes through chest radiographs after surgery,especially for lean and obese patients,and patients undergoing bilateral neck dissection.