宫腔镜下肌瘤切除是黏膜下肌瘤首选的手术治疗方式。手术成功与否及其疗效取决于黏膜下肌瘤的类型和施术者的操作技能。对于手术适应证，黏膜下肌瘤的大小以及肌瘤距浆膜面的距离仍是有争议的问题。最新观点认为：肌瘤边缘距浆膜面的距离不再是手术的限制条件，它是一个动态的指标而非静态指标。

Hysteroscopic myomectomy is the first choice in treating submucous myoma. The successful operation and the treatment effect depend on the type of submucous myoma and the operation skills. The indications for surgery， fibroids in diameter and the myometrial free margin are still controversial issues. The latest view: the myometrial free margin is no longer a limiting factor for hysteroscopic resection of submucous myoma，it is not a static parameter but a dynamic index.