目的　探讨子宫肉瘤的早期诊断措施及改进治疗的可能性。方法　对在我院手术的6 0例子宫肉瘤病例的临床资料进行分析。结果　患者的主要症状有腹痛、异常阴道出血、阴道排液及腹部包块。术前诊断率为 30 %。附件转移仅 4例。盆腔淋巴结转移及大网膜转移并不罕见。Ⅰ期患者的 5年存活率为 4 5 9% ,Ⅱ、Ⅲ、Ⅳ期尚无一例存活 5年以上。结论　手术中有必要行盆腔淋巴结及大网膜切除。对部分患者可保留卵巢。 Objective To explore the early diagnosis of uterine sarcoma and improve the possibility of treatment. Methods The clinical data of 60 cases of uterine sarcoma in our hospital were analyzed. Results The main symptoms of patients with abdominal pain, abnormal vaginal bleeding, vaginal discharge and abdominal mass. Preoperative diagnosis rate was 30%. Annex transfer only 4 cases. Pelvic lymph node metastasis and omental metastasis is not uncommon. The 5-year survival rate of stage Ⅰ patients is 45 59%. No one has survived more than 5 years in stages Ⅱ, Ⅲ and Ⅳ. Conclusion It is necessary to perform pelvic lymph node and omental resection in operation. Some patients can retain ovaries.