目的 :研究宫腔镜行电力子宫内膜切除术、子宫粘膜下肌瘤切术和子宫内膜息肉切除术的临床疗效。方法 :利用宫腔电切镜对功能性子宫出血 36例、子宫内膜息肉 18例、子宫肌瘤 2 6例分别采取经宫颈子宫内膜切除术、子宫内膜息肉切除术和子宫肌瘤切除术。结果 :80例均顺利完成。术后随访 3～ 12个月 ,2 6例子宫肌瘤切除后月经正常 ,8例同时切除内膜 ,术后无月经 ;36例子宫内膜切除术后 ,2 3例无月经 ,7例呈点滴状出血 ,5例经血明显减少 ,为术前血量的 1/ 3,1例为轻度异常子宫出血 ,经药物治疗后好转 ;18例子宫内膜息肉切除术 ,月经均恢复正常 ,其中 1例已妊娠。术前 39例合并贫血 ,术后均治愈 ;2 2例术前痛经 ,术后 14例痛经消失 ,6例减轻 ,2例无变化。结论 :此项技术 ,具有不开腹、创伤小 ,出血少、恢复快 ,可保留子宫 ,不影响卵巢功能等特点。 Objective: To study the clinical efficacy of hysteroscopic power endometrial ablation, uterine fibroids resection and endometrial polyp resection. Methods: 36 cases of functional uterine bleeding, 18 cases of endometrial polyps, 26 cases of uterine fibroids were treated with endometrial resection, endometrial polyps resection and myomectomy Surgery. Results: 80 cases were successfully completed. All patients were followed up for 3 to 12 months. Twenty-six patients with normal uterine fibroids had normal menstruation after resection, while 8 patients underwent resection of the endometrium at the same time. There were no menses after operation. Among the 36 patients who underwent endometrial resection, 23 had no menstruation and 7 had no menstruation 5 cases of menstrual blood were significantly reduced, 1/3 of preoperative blood volume, 1 case of mild abnormal uterine bleeding, improved after drug treatment; 18 cases of endometrial polyps resection, menstruation returned to normal, in which 1 case of pregnancy. Preoperative 39 patients with anemia, were cured after surgery; 22 cases of preoperative dysmenorrhea, 14 cases of dysmenorrhea disappeared, 6 cases reduced, 2 cases no change. Conclusion: This technique is not laparotomy, trauma, less bleeding, fast recovery, can retain the uterus, does not affect ovarian function and so on.