目的　探讨盆腔淋巴结清扫术的方法及在宫内膜癌手术治疗中的作用。方法　对 83例子宫内膜癌患者的临床病理资料进行回顾性分析。结果　 83例中 2 4例 (2 8.9% )盆腔淋巴结转移。子宫深肌层浸润、腺鳞癌、乳头状浆液性癌、透明细胞癌与低分化肿瘤的淋巴转移的发生率分别为 79.2 %、10 0 %、6 0 %、71.4%与 6 0 % ,说明盆腔淋巴结转移与其密切相关。 6 2例临床 期中 ,13例 (2 1% ) ,盆腔淋巴结转移 ,手术病理分期为 c期。结论　系统地整块切除盆腔淋巴结 ,对于宫内膜癌正确分期、选择恰当的治疗方法具有重要意义 Objective To investigate the method of pelvic lymph node dissection and its role in the surgical treatment of endometrial cancer. Methods The clinical and pathological data of 83 patients with endometrial carcinoma were retrospectively analyzed. Results In 83 cases, 24 cases (2 8.9%) had pelvic lymph node metastases. The incidence of lymphatic metastasis in deep uterine myometrium, adenosquamous carcinoma, papillary serous carcinoma, clear cell carcinoma and poorly differentiated tumor was 79.2%, 100%, 60%, 71.4% and 60% respectively Pelvic lymph node metastasis is closely related to it. Sixty-two clinical cases, 13 cases (21%), pelvic lymph node metastasis, surgical pathology stage c. Conclusion The systematic resection of pelvic lymph nodes, for the correct stage of endometrial cancer, select the appropriate treatment is of great significance