分析原发性子宫内膜癌 15 4例 ,其中 6 1例行腹式全子宫 +双附件切除的同时行盆腔淋巴结切除术 ,发现 8例(13 .11% )淋巴结阳性 ,其中深肌层浸润、G3 分级、透明细胞癌、腺鳞癌的淋巴转移率分别为 2 9.41%、10 0 %、42 .86 %、33 33%。说明盆腔淋巴结转移与其密切相关。并探讨其在术前、术中、术后的高危因素与盆腔淋巴结转移的关系。 15 4 cases of primary endometrial carcinoma were analyzed. Among them, 61 cases underwent pelvic lymphadenectomy with resection of abdominal full uterus and double attachments, and 8 cases (13.11%) were positive for lymph node dissection , Lymph node metastasis rate of G3 grade, clear cell carcinoma and adenosquamous carcinoma were 2 9.41%, 10 0%, 42.86% and 33 33% respectively. Description of pelvic lymph node metastasis and its closely related. And to explore its preoperative, intraoperative and postoperative risk factors and pelvic lymph node metastasis.