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目的：探讨B超监护下宫腔镜子宫粘连机械性分离术的安全性和有效性。方法回顾分析2011年1月～2012年12月行B超监护下宫腔镜子宫粘连机械性分离术98例患者的临床资料。结果98例患者共有84例患者术后宫腔形态完全恢复，双侧输卵管开口可见，手术有效率达85.7%。所有患者无水中毒、子宫穿孔、术后感染等并发症发生。98例患者术后随访12～24个月，闭经患者的治愈率为72.5%，总有效率为92.5%；月经过少的治愈率为85.7%，总有效率为95.9%；合并不孕患者的术后妊娠率为34.6%；周期性下腹痛患者的腹痛缓解率为94.4%。结论B超监护下宫腔镜子宫粘连机械性分离术是一种安全、有效的方法。“,”Objective To discuss the safety and efficacy of hysteroscopic separation of intrauterine adhesions mechanically under B-ultrasound monitoring. Methods Clinical data of 98 patients who had received hysteroscopic separation of intrauterine adhesions mechanically under B-ultrasound monitoring from January 2011 to December 2012 in our hospital were reviewed. Results 84 cases intrauterine morphology fully restored postoperative, the total effective rate of surgery was 85.7%. No complications such as water intoxication, postoperative infection or uterine perforation took place. Follow-up in 98 cases showed a total effective rate of amenorrhea was 92.5%. The effective rate in patients with hypomenorrhea was 95.9%, and in patients with abdominal was 94.4%. In patients with infertility the pregnancy rate postoperative was 34.6%. Conclusion Hysteroscopic separation of intrauterine adhesions mechanically under B-ultrasound monitoring is a safe and efficient method.