〔Abstract〕 The clinical data of 82 patients with trachea lesion in thyroid diseases were retrospectively analyzed, including 32 cases with unilateral or bilateral giant nodular goiter, 5 cases with hyperthyroidism accompanied with nodular goiter, 4 cases with subacute thyroiditis, 10 cases with thyroid lymphoma, 4 cases with anaplastic thyroid carcinoma, 24 cases with papillary thyroid carcinoma and 3 cases with recurrent papillary thyroid carcinoma. The effective treatment of trachea lesion in thyroid diseases should be performed differently according to the nature of lesions, the extent and scope of lesions involving trachea and the complications of the patients themselves, so as to maxizime the safety of operation.