Original Article on Thyroid and Parathyroid Disease
Experience in diagnosis and treatment of pulmonary changes after radical surgery for thyroid cancer
Liang Qingzhuang, Li Peng, Yi Xin, Xu Lu, Jia Hao, Zhu Lizhang, Wei Wei
Published 2021-02-25
Cite as Chin J Endocr Surg, 2021, 15(1): 52-55. DOI: 10.3760/cma.j.cn.115807-20200929-00302
Abstract
ObjectiveTo investigate the causes, diagnosis and treatment of postoperative pulmonary changes in patients with thyroid cancer.
MethodsData 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 χ2 method.
ResultsAge, 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) .
ConclusionsLateral 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.
Key words:
Thyroid cancer; Radical thyroid cancer surgery; Lateral neck dissection; Pulmonary changes
Contributor Information
Liang Qingzhuang
Department of Breast and Thyroid Surgery, Shenzhen Hospital, Peking University, Shenzhen 518036, China
Li Peng
Department of Breast and Thyroid Surgery, Shenzhen Hospital, Peking University, Shenzhen 518036, China
Yi Xin
Department of Breast and Thyroid Surgery, Shenzhen Hospital, Peking University, Shenzhen 518036, China
Xu Lu
Department of Radiology, Shenzhen Hospital, Peking University, Shenzhen 518036, China
Jia Hao
Department of Breast and Thyroid Surgery, Shenzhen Hospital, Peking University, Shenzhen 518036, China
Zhu Lizhang
Department of Breast and Thyroid Surgery, Shenzhen Hospital, Peking University, Shenzhen 518036, China
Wei Wei
Department of Breast and Thyroid Surgery, Shenzhen Hospital, Peking University, Shenzhen 518036, China
