1973～1986年我院收治子宫肉瘤7例,平滑肌肉瘤2例、内膜间质肉瘤3例、癌肉瘤2例。患者平均年龄为48.9岁,临床表现主要为月经过多或不规则阴道出血以及绝经后阴道出血。木组有4例得到术前诊断。对平滑肌肉瘤变者需与奇怪型肌瘤作鉴别。本文对子宫肉瘤的诊断、手术范围、化疗药物的选择进行了讨论。 From 1973 to 1986, 7 cases of uterine sarcoma, 2 cases of leiomyosarcoma, 3 cases of endometrial stromal sarcoma and 2 cases of carcinosarcoma were treated in our hospital. The average age of patients was 48.9 years old, the main clinical manifestations of menorrhagia or irregular vaginal bleeding and vaginal bleeding after menopause. Wood group had 4 cases preoperative diagnosis. The patients with leiomyosarcoma need to be differentiated from the strange type myoma. This article discusses the diagnosis of uterine sarcoma, the scope of surgery, and the choice of chemotherapy drugs.