目的：应用宫腔镜检查及治疗１００例（异常子宫出血９０例，其它表现异常１００例），查明其病因，提高诊断准确率。方法：根据宫腔镜检查，结果病理检查及手术结果作出诊断并做相应治疗。结果。本组异常子宫检出率９３％。宫腔镜手术２４例。绝经后子宫出血中，子宫内膜萎缩占５０％，是绝经后子宫出血的首位原因，子宫内膜癌占７１４％，也是绝经后子宫出血的原因。非绝经期异常子宫出血中，子宫内膜增生，子宫肌瘤（粘膜下，内突壁间），子宫内膜息肉，宫颈管息肉依次为３１７２％，２４３９％，１４９３％和９７６％。结论∶宫腔镜是一种很好的检查宫腔的方法，它直视宫腔、定位取材、诊断准确率高。异常子宫出血是宫腔镜检查的首要适应证，明确地诊断子宫内膜功能性疾病，早期发现子宫内膜癌。宫腔镜手术不开腹、损伤小、恢复快，保留子宫及卵巢功能，是值得推广的新技术 Objective: To use hysteroscopy and treatment of 100 cases (abnormal uterine bleeding in 90 cases, other abnormal performance in 100 cases), to identify the cause of the disease and improve the diagnostic accuracy. Methods: According to hysteroscopy, results of pathological examination and surgical results to make a diagnosis and do the appropriate treatment. result. The abnormal uterus detection rate in this group was 93%. Hysteroscopic surgery in 24 cases. Postmenopausal uterine bleeding, endometrial atrophy accounted for 50%, is the first cause of postmenopausal uterine bleeding, endometrial cancer accounted for 7  14%, is also the cause of postmenopausal uterine bleeding. In non-menopausal abnormal uterine bleeding, endometrial hyperplasia, uterine fibroids (submucosa, interproximal wall), endometrial polyps, cervical polyps in order of 31  72%, 24  39%, 14  93% And 976%. Conclusion: Hysteroscopy is a good way to check the uterine cavity. It looks directly at the uterine cavity, locates the material, and has high diagnostic accuracy. Abnormal uterine bleeding is the primary indication for hysteroscopy. It clearly diagnoses endometrial functional disease and early detection of endometrial cancer. Hysteroscopic surgery is not laparotomy, less damage, faster recovery, preservation of uterus and ovarian function, is worth promoting the new technology