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目的：总结子宫内膜切除术治疗月经过多的手术指征、手术方法、预后及体会。方法：应用连续灌流宫腔电切镜，对４００例手术指征为保守治疗无效的月经过多、无生育要求、合并粘膜下肌瘤直径≤５ｃｍ的病人行子宫内膜切除术。４００例行子宫内膜切除术中，７２例同时切除子宫肌瘤，术中子宫穿孔３例。术后随访３个月至４年者３６６例，１３例因异常出血行第二次手术。结果：１６例因手术失败切除子宫，其余３５０例月经均有所改善，手术成功率９５．６％。术后１４６例（４１．７％）无月经，１１９例（３４．０％）月经为点滴状，８５例（２４．３％）经血明显减少，原有痛经者７８．３％痛经消失或减轻。术后远期合并症有异常出血２２例，宫腔积血５例，子宫腺肌病４例。结论：子宫内膜切除术可减少或停止月经，减轻痛经，同时切除肌瘤疗效较满意。
Objective: To summarize the indications, methods, prognosis and experience of endometrial ablation for the treatment of menorrhagia. Methods: Using continuous perfusion of uterine cavity resection, 400 cases of surgical indications for the conservative treatment of menorrhagia, no reproductive requirements, combined with submucosal fibroids diameter ≤ 5cm patients underwent endometrial resection. 400 cases of endometrial ablation, 72 cases of simultaneous removal of uterine fibroids, intraoperative uterine perforation in 3 cases. 366 cases were followed up for 3 months to 4 years and 13 cases were subjected to the second operation due to abnormal bleeding. Results: 16 cases of uterus due to surgical failure, the remaining 350 cases of menstruation have improved, the success rate of 95.6%. There were no menstruation in 146 cases (41.7%), 119 cases (34.0%) in menstrual flow, and 85 cases (24.3%) in menstrual blood were significantly reduced. 78.9% of the original dysmenorrhea disappeared or eased . Long-term postoperative complications were abnormal bleeding in 22 cases, uterine hemorrhage in 5 cases, 4 cases of adenomyosis. Conclusion: Endometrial resection can reduce or stop the menstruation, reduce dysmenorrhea, while the removal of fibroids more satisfactory.