目的　探讨宫腔镜手术中诱发并发症的潜在因素、临床特点及防治措施。方法　对1995年 1月～ 2 0 0 1年 1月 ,在行各类宫腔镜手术中发生并发症的 17例患者进行临床分析。结果　发生子宫穿孔 3例和不全子宫穿孔 7例 ,分别发生在较大的子宫肌瘤切除术、宫腔粘连分离术、子宫纵隔切除术和胎骨嵌入切除术中 ,均在B超或腹腔镜下诊断并经腹腔镜缝合止血 ,避免了开腹手术 ;发生术中大出血 4例 ,分别在宽蒂、多发性黏膜下肌瘤切除和子宫腺肌病内膜切除术中 ,除 1例开腹行子宫切除外 ,3例经宫腔放置球囊导管压迫止血 ;发生经尿道前列腺切除 (TURP)综合征 3例 ,其中 2例为宽蒂黏膜下肌瘤和内突壁间肌瘤切除 ,1例为子宫腺肌病行内膜切除 ,经补钠、利尿和纠正左心功能衰竭 ,症状得到控制。结论　复杂的宫腔内操作是宫腔镜单极电切手术中并发症发生的潜在危险 ,进行术前预处理、术中监护等 ,是预防及检查手术并发症的基本措施 Objective To explore the potential factors, clinical features and prevention measures of hysteroscopic surgery induced complications. Methods From January 1995 to January 2001, 17 cases undergoing hysteroscopic surgery were analyzed retrospectively. Results 3 cases of uterine perforation and 7 cases of incomplete uterine perforation occurred in the larger myomectomy, intrauterine adhesions, uterine segment mediastinal resection and fetal bone resection, all in the B- or laparoscopic Under the diagnosis and laparoscopic suture to stop the open surgery to avoid the occurrence of intraoperative bleeding in 4 cases, respectively, wide pedicle, multiple submucosal myomectomy and adenomyosis endometriosis, except for 1 case of open laparotomy 3 cases underwent transurethral resection of the prostate (TURP) syndrome, of which 2 cases were treated with wide pedicle submucous myoma and endometriotic myomectomy, 1 Cases of adenomyosis line endometriosis, after sodium supplementation, diuresis and correct left heart failure, symptoms are controlled. Conclusions The complicated intrauterine operation is a potential risk of complications in hysteroscopic unipolar tangential surgery. Preoperative preoperative management and intraoperative monitoring are the basic measures to prevent and check surgical complications