随着技术的发展,宫腔镜的应用范围已得到很大扩展。现代宫腔手术镜以不同尺寸光学元件、流入、流出及工作通道为基础,可在清晰显示子宫腔的同时手术切除宫腔内病变,如息肉和肌瘤。本综述对比了不同宫腔镜治疗方案的相对优缺点,着眼于最新的宫腔镜技术——宫腔镜下粉碎术,以及这项新技术如何与妇科医生现有的医疗设备相兼容。 With the development of technology, the scope of hysteroscopy has been greatly expanded. Modern intrauterine surgical scopes are based on different sizes of optical elements, inflows, outflows and working channels that allow for the surgical removal of intrauterine lesions such as polyps and fibroids while clearly showing the uterine cavity. This review compares the relative strengths and weaknesses of different hysteroscopic treatments with a focus on the latest hysteroscopy - hysteroscopic shredding and how this new technique is compatible with gynecologists’ existing medical devices.