目的:总结探讨宫腔镜子宫內膜切除术治疗功血的临床疗效。方法:我院近年收治39例接受宫腔镜子宫內膜切除术治疗的功血患者,收集她们的临床资料并进行回顾性分析。结果:所有患者手术顺利完成,手术时间平均45分钟±10分钟,未出现大出血、子宫穿通、感染及低钠综合征等并发症。术后平均随访1年,闭经率41.0%,经量减少率38.5%,月经正常率20.5%,患者满意度97.4%。术后6个月FSH与术前相比不具有显著性差异(P>0.1)结论:宫腔镜子宫内膜切除术治疗功血安全有效,且不影响卵巢內分泌功能 Objective: To summarize the clinical efficacy of hysteroscopic endometrial ablation in the treatment of dysfunctional uterine bleeding. Methods: In our hospital, 39 cases of patients with dysfunctional uterine bleeding who underwent hysteroscopic endometrial resection in recent years were collected and their clinical data were collected and analyzed retrospectively. Results: All patients underwent surgery successfully. The average operation time was 45 minutes ± 10 minutes. No complications such as hemorrhage, uterine penetration, infection and hyponatremia syndrome were found. After a mean follow-up of 1 year, the rate of amenorrhea was 41.0%, the rate of decrease of the amount of menstrual flow was 38.5%, the normal rate of menstruation was 20.5%, and the satisfaction of patients was 97.4%. There was no significant difference in FSH at 6 months after operation (P> 0.1). Conclusions: Hysteroscopic endometrial resection for the treatment of dysfunctional uterine bleeding is safe and effective, and does not affect the ovarian endocrine function