目的　总结影响甲状腺乳头状腺癌术后 3年、5年、10年生存的各种因素。方法　对 132例甲状腺乳头腺癌外科治疗后进行统计分析。结果　 3年、5年、10年生存率分别为 5 5 4 % ,4 0 1% ,31 85 % ,年龄小于 4 0岁比大于 4 0岁愈后好 ,原发灶小于 5cm比大于 5cm者好 ,单纯性乳头状腺癌比合并癌好 ,根治性手术加放疗者效果最好。结论　对甲状腺乳头状腺癌强调以手术为主的综合性治疗 ,手术方式以原发灶的大小手术范围 ,其中早期诊断 ,早期治疗以及手术的彻底性、术后的综合治疗是提高生存时限、改善生存质量的关键 Objective To summarize the various factors affecting the survival of thyroid papillary adenocarcinomas 3 years, 5 years and 10 years after operation. Methods 132 cases of thyroid papillary adenocarcinoma were analyzed statistically after surgery. Results The 3-year, 5-year and 10-year survival rates were 55.4%, 41.0% and 31.85% respectively. The younger the age group than the 40-year-old group was, the better than the 40-year-old group. Well, simple papillary adenocarcinoma is better than combined cancer, radical surgery and radiotherapy are the best. Conclusions The thyroid papillary adenocarcinoma emphasizes the operation-based comprehensive treatment. The surgical method is based on the size of the primary tumor, including the early diagnosis, early treatment and the thorough operation. The comprehensive treatment after surgery is to improve the survival time, The key to improving the quality of life