宫腔镜是宫内疾病的金标准诊疗方法。随着宫腔镜器械的推陈出新与无能量宫腔镜诊疗技术的不断提高,近年来宫腔镜无能量器械手术在阴道、宫颈、子宫腔病变诊疗中的应用越来越广泛。为适应临床诊疗的需求,专家组结合文献及临床经验,同时根据中国目前无能量宫腔镜诊疗的发展现状,针对宫腔镜无能量器械诊疗的准入标准、适应证、禁忌证、操作前准备、操作要点、术中监护、术后处理、并发症处理、无能量宫腔镜器械的分类及其在生殖道病变诊疗中的应用等方面提出建议,以期为当前无能量宫腔镜诊疗在临床实践中的应用提供参考。

Hysteroscopy is considered the gold standard for the diagnosis and therapy of various genital tract lesions, especially intrauterine diseases. With the innovation of no energy hysteroscopic techniques and products, no energy hysteroscopic surgery has been widely applied in vaginal, cervical and uterine cavity lesions in recent years. To address the evolving needs of clinical diagnosis, treatment, and development, the expert group has formulated recommendations based on extension literature review and clinical experience, as well as considering the current status of no energy hysteroscopic technology in China.These recommendations include the entry criteria for hysteroscopic no energy hysteroscopic surgery,indications and contraindications, preoperative preparation, key points of operation, intraoperative monitoring, postoperative management, and complications management. It also provides the classification of no energy hysteroscopic surgery and their applications in genital tract lesions. It is anticipated that these recommendations will assist the application of no energy hysteroscopic technology in clinical practice.