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目的探讨子宫内膜癌患者盆腔淋巴结转移的有关临床病理特点。方法对８３例行子宫切除加双侧附件切除术及盆腔淋巴结清扫术的子宫内膜癌的盆腔淋巴结转移有关临床病理特征进行单因素及多因素分析。结果脉管受侵、深肌层浸润、肿瘤分化差、病灶弥漫型患者盆腔淋巴结转移率高。其中脉管受侵为盆腔淋巴转移独立相关因素。结论脉管受侵、深肌层浸润、肿瘤分化差、病灶弥漫型是盆腔淋巴结转移高危因素，其中脉管受侵意义最大。有高危因素者建议行盆腔淋巴清扫术。
Objective To investigate the clinicopathological features of pelvic lymph node metastasis in patients with endometrial cancer. Methods 83 cases of hysterectomy and bilateral attachment resection and pelvic lymph node dissection of endometrial cancer pelvic lymph node metastasis-related clinicopathological features of single factor and multivariate analysis. Results vascular invasion, deep myometrial invasion, poor tumor differentiation, diffuse lesions of patients with pelvic lymph node metastasis rate. Among them, vascular invasion was independently related to pelvic lymphatic metastasis. Conclusion Vascular invasion, deep myometrial invasion, poorly differentiated tumor and diffuse lesions are the risk factors for pelvic lymph node metastasis, of which vascular invasion has the greatest significance. Recommended risk factors for pelvic lymph node dissection.