目的:探讨宫腔镜对复杂宫内胚物残留的诊治价值。方法:对162例确诊复杂宫内胚物残留病例进行回顾性分析,所有患者都接受阴式B超检查,随机抽取其中的88例进行宫腔镜检查,比较两种检查方法对复杂宫内胚物残留的准确率;所有患者随机接受宫腔镜下清宫术(宫腔镜组,87例)或超声监护下清宫术(对照组,75例),比较两组患者术中出血量、手术时间及手术成功率。结果:宫腔镜检查准确率(98.86%)高于阴式B超组(85.86%),宫腔镜手术组术中平均出血量为99.51 ml,对照组为120.40 ml,宫腔镜组平均手术时间24.40 min,对照组30.81 min,宫腔镜组手术成功率91.95%,对照组60.00%,两组各指标比较差别均有统计学意义(P<0.05)。结论:宫腔镜检查复杂宫内胚物残留准确率高,处理妊娠病灶效果好,安全性高,值得临床推广。 Objective: To investigate the value of hysteroscopy in the diagnosis and treatment of complex intrauterine organ residue. Methods: Retrospective analysis was performed on 162 cases of complicated endometrial metaplasia. All patients underwent vaginal B-mode ultrasound examination and 88 cases were randomly selected for hysteroscopy. Comparisons of the two methods for the diagnosis of complex intrauterine embryo All patients were randomly divided into two groups: hysteroscopic curettage (hysteroscopy group, 87 cases) or ultrasonographic curettage group (control group, 75 cases). The bleeding volume, operation time And the success rate of surgery. Results: The accuracy of hysteroscopy (98.86%) was higher than that of negative B-mode ultrasound (85.86%). The mean intraoperative blood loss was 99.51 ml in hysteroscopic surgery group and 120.40 ml in control group. The mean hysteroscopic surgery Time was 24.40 min in control group, 30.81 min in control group, 91.95% in hysteroscopy group and 60.00% in control group. The differences between the two groups were statistically significant (P <0.05). Conclusion: The accuracy of hysteroscopy in detecting complicated intrauterine germmas is high, the effect of treating pregnancy lesions is good, and the safety is high. It is worthy of clinical promotion.