目的 :探讨 期子宫内膜癌术后放疗的价值。方法 :分析经病理证实随访期超过 5年的 40例 期子宫内膜癌。 2 7例行子宫次广泛切除术 ,13例另加盆腔淋巴结清扫术。 6例为单纯手术 ,有 3例为子宫次广泛切除术 ,3例另加盆腔淋巴结清扫。34例行术后放疗 ,12例阴道残端补充腔内治疗。结果 :全组病例 5年生存率 6 5 % (2 6 / 40 ) ,复发率 17.5 % (7/ 40 ) ,盆腔外转移率 2 5 % (10 / 40 )。其中术后放疗组 5年无瘤生存率 70 .5 % (2 / 34 ) ,复发率 5 .9%(2 / 34 ) ,盆腔外转移率为 2 9% (10 / 34 )。单纯手术者有 5例 2年内阴道残端复发。术后放疗远期反应发生率为 44 %(15 .34 ) ,主要为间断性腹泻、便血、血尿、肠梗阻。结论 : 期子宫内膜癌术后放疗能明显提高局控率 ,但远期放疗反应有所增加 Objective: To investigate the value of postoperative radiotherapy for endometrial cancer. Methods: Forty cases of endometrial cancer were confirmed by pathology confirmed that the follow-up period was more than 5 years. 27 cases of routine radical hysterectomy, 13 cases plus additional pelvic lymph node dissection. 6 cases were simple surgery, 3 cases were extensive subtotal hysterectomy, 3 cases plus pelvic lymph node dissection. 34 cases of postoperative radiotherapy, 12 cases of vaginal stump complement endovascular treatment. Results: The overall 5-year survival rate was 65% (26/40), the recurrence rate was 17.5% (7/40) and the extra-pelvic metastasis rate was 25% (10/40). The 5-year disease-free survival rate was 70.5% (2/34) in the postoperative radiotherapy group, the recurrence rate was 5.9% (2/34), and the extra-pelvic metastasis rate was 2.9% (10/34). 5 cases of simple surgery vaginal stump recurrence within 2 years. Postoperative radiotherapy long-term response rate was 44% (15.34), mainly intermittent diarrhea, hematochezia, hematuria, intestinal obstruction. Conclusion: Postoperative radiotherapy of endometrial cancer can significantly improve the rate of local control, but the long-term radiotherapy response increased