目的　探讨Ⅰ期子宫内膜癌手术切除的适当范围。方法　对 31例Ⅰ期子宫内膜癌手术标本的病理检查结果进行回顾性分析。结果　在 31例病检结果中 ,有盆腔淋巴结转移者 4例 (12 .9% ) ,其中ⅠA期 2例 ,ⅠB期 2例。结论　子宫内膜癌的手术方式除ⅠA期可行单纯子宫切除外 ,其他Ⅰ期宜行广泛或次广泛性子宫切除和盆腔淋巴结清除术 ,必要时可行腹主动脉旁淋巴结清除或淋巴结取样 Objective To investigate the appropriate range of surgical resection of stage Ⅰ endometrial carcinoma. Methods The pathologic findings of 31 cases of stage Ⅰ endometrial carcinoma were retrospectively analyzed. Results Among 31 cases of pathological examination, 4 cases (12.9%) had pelvic lymph node metastasis, including 2 cases in stage IA and 2 cases in stage IB. Conclusion The surgical approach of endometrial cancer except Ⅰ A feasible simple hysterectomy, other Ⅰ should be broad or extensive radical hysterectomy and pelvic lymph node dissection, if necessary, feasible paraaortic lymph node dissection or lymph node sampling