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子宫内膜切除术是通过去除子宫内膜，达到减少经血量目的的腔内手术，主要适应症为功血，可同时切除突向宫腔的肌瘤。腺肌病因有进一步手术的指征，故非适应症。在１９９０年５月至１９９３年４月所施２０８例子宫内膜切除术中，经术中镜下所见，Ｂ超监视示灌流液进入肌层及病理证实，发现子宫腺肌病２８例。经术后３～３４个月随访，２例子宫切除，２６例疗效满意，成功率９２．８６％，月经均有改善，贫血治愈，１８例术前痛经者７７．８％术后痛经消失，２２．２％减轻。文中就子宫内膜切除术能治疗子宫腺肌病的机制进行了探讨，提出子宫腺肌病多发生于育龄妇女，子宫切除的治疗原则常使患者望而却步，若术前能对此病正确诊断，选择轻症患者行子宫内膜切除术，有可能成为代替子宫切除治疗子宫腺肌病的全新方法。
Endometrial ablation is through the removal of the endometrium, to achieve the purpose of reducing the amount of menstrual blood cavity surgery, the main indications for dysfunctional uterine bleeding, can be removed simultaneously to the uterine fibroids. Adenomyosis due to further indications for surgery, it is non-indications. In the May 1990 to April 1993 208 cases of endometrial resection performed by surgery under the microscope, B ultrasound showed perfusion fluid into the muscular and pathological findings and found that 28 cases of adenomyosis. After 3 to 34 months of follow-up, 2 cases of hysterectomy, 26 cases were satisfactory, the success rate was 92.86%, menstruation were improved, anemia cured, 18 cases of preoperative dysmenorrhea 77.8% disappeared after surgery, 22.2% reduction. In this paper, the mechanism of endometrial ablation can be treated adenomyosis was discussed, suggesting that adenomyosis occurred in women of childbearing age, the principle of treatment of hysterectomy often prohibit the patient, if the correct diagnosis of the disease before surgery, Choosing a mild patient for endometrial resection may be a new alternative to hysterectomy for adenomyosis.