目的探讨宫腔镜检查对子宫异常出血的临床应用价值。方法对2008年2月—2010年5月利用宫腔镜检查诊断异常子宫出血240例患者资料进行回顾性分析。结果宫腔镜检查与病理组织学检查的诊断符合率高于90%,与文献报道一致。结论宫腔镜检查操作方便、安全、有效、在异常子宫出血中显示出了巨大的优越性,目前已成为诊断异常子宫出血的有效方法。 Objective To investigate the clinical value of hysteroscopy in detecting abnormal uterine bleeding. Methods The data of 240 patients diagnosed as abnormal uterine bleeding by hysteroscopy were retrospectively analyzed from February 2008 to May 2010. Results The coincidence rate of hysteroscopy and pathological examination was higher than 90%, which was consistent with that reported in the literature. Conclusion Hysteroscopy is convenient, safe and effective. It shows great superiority in abnormal uterine bleeding and has become an effective method to diagnose abnormal uterine bleeding.