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［目的］评价Ｉ、Ⅱ期子宫内膜癌不同手术范围治疗的效果。［方法］对１９９１年～１９９５年间收住院治疗的２６例Ｉ期及Ⅱ期子宫内膜癌的临床资料进行回顾性分析。其中临床Ｉ期１８例、临床Ⅱ期８例。按治疗方法不同分为２组：①非清扫组：全子宫双附件切除或广泛性子宫切除者，１３例；②清扫组：广泛性子宫切除＋盆腔淋巴结清扫者，１３例。两组间病理类型、组织分化程度、中位年龄无统计学差异。［结果］两组患者的２年生存率相同，５年生存率相仿（Ｐ＞０．０５）。［结论］子宫内膜癌一旦后腹膜淋巴结转移，则提示预后不佳。扩大手术范围是为了了解子宫外转移情况，从而得到更为准确的手术病理分期，以便术后有目的的补充治疗，还能科学地判断预后。但对５年生存率无明显改变。
[Objective] To evaluate the effect of different surgical treatment of I and II endometrial carcinoma. [Methods] The clinical data of 26 cases of stage I and II endometrial cancer treated in the hospital from 1991 to 1995 were analyzed retrospectively. Of which 18 cases of clinical stage I, clinical stage Ⅱ 8 cases. According to the different treatment methods are divided into two groups: ① non-cleaning group: whole hysterectomy or extensive hysterectomy, 13 cases; ② cleaning group: extensive hysterectomy + pelvic lymph node dissection, 13 cases. There was no significant difference between the two groups in the pathological type, the degree of tissue differentiation and the median age. [Results] The two-year survival rates were the same in both groups, and the 5-year survival rates were similar (P> 0.05). [Conclusion] Once the retroperitoneal lymph node metastasis of endometrial cancer, the prognosis is poor. Expand the scope of surgery in order to understand the situation of extrauterine metastasis, so as to get a more accurate surgical staging, in order to postoperative purposeful supplementary treatment, but also scientifically determine the prognosis. But no significant change in 5-year survival rate.