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目的:比较早期子宫内膜腺癌老年患者术后近距离放疗与体外放疗的效果。方法:抽取2015年1月至2015年7月山西省肿瘤医院收治的早期子宫内膜腺癌女性老年患者104例，依据随机数字表分为两组，每组52例。近距组给予近距离放疗，体外组给予体外放疗，比较两组五年生存、复发转移及并发症情况。结果:近距组患者五年生存率、复发转移率与体外组比较，差异未见统计学意义(χn 2＝0.058、0.083，n P>0.05)。近距组泌尿系统损伤率(13.46%，7/52)低于体外组(36.54%，19/52)，n P0.05)。n 结论:相较于体外放疗，近距离放疗能够减轻患者泌尿系统损伤。“,”Objective:To compare the effects of postoperative brachytherapy and external radiotherapy in elderly patients with early endometrial adenocarcinoma.Methods:A total of 104 elderly female patients with early endometrial adenocarcinoma admitted to Shanxi Cancer Hospital from January 2015 to July 2015 were selected and divided into two groups according to a random number table, with 52 cases in each group. The brachytherapy group was given brachytherapy, and the extracorporeal group was given extracorporeal radiotherapy. The five-year survival, recurrence, metastasis and complications of the two groups were compared.Results:The five-year survival rate, recurrence and metastasis rate of patients in the brachytherapy group were compared with those in the extracorporeal group, χ n 2=0.058, 0.083, n P>0.05. The urinary system injury rate (13.46%, 7/52) of the brachytherapy group was lower than that of the extracorporeal group (36.54%, 19/52),n P0.05).n Conclusions:Compare with external radiotherapy, brachytherapy is beneficial to alleviate urinary system damage.