目的　评价不同手术方法对侵犯气管或食管的甲状腺癌的疗效。方法　回顾分析本院 10余年来经手术治疗的 2 12例甲状腺癌患者的临床资料 ,其中 2 3例为癌肿侵及气管或食管者。按手术方式不同分为 3组 :A组 10例 ,为癌肿不全切除者 ;B组 8例 ,为姑息性从气管或食管“削”除癌肿者 ;C组 5例 ,为癌肿和受侵及气管或食管部分切除和重建者。3组患者术后均辅以放疗。结果　随访发现A组存活率低 ,B组复发率高 ,C组临床效果较好。结论　侵犯气管或食管的甲状腺癌并不意味预后不好 ,肿块根治性切除能明显提高其疗效 Objective To evaluate the effect of different surgical methods on thyroid cancer invading the trachea or esophagus. Methods The clinical data of 22 cases of thyroid cancer treated by surgery in our hospital for more than 10 years were retrospectively analyzed. Twenty-three of them were cancer invading the trachea or esophagus. According to the different surgical methods, they were divided into 3 groups: 10 cases in group A were incomplete resection of cancer; 8 cases in group B were palliatively removed from the trachea or esophagus except cancer; 5 cases in group C were cancerous and Affected by tracheal or esophageal resection and reconstruction. All three groups were treated with radiotherapy. Results After follow-up, the survival rate of group A was lower, and the recurrence rate of group B was higher. The clinical effect of group C was better. Conclusion The thyroid cancer invading the trachea or esophagus does not mean that the prognosis is not good, radical resection of the tumor can significantly improve its efficacy