目的探讨宫腔镜联合腹腔镜治疗输卵管堵塞的临床疗效。方法输卵管堵塞患者170例,将其随机分为观察组和对照组,每组85例,对照组采用宫腔镜下输卵管口插管并加压通液术治疗,观察组采用宫腔镜和腹腔镜联合治疗。比较两组患者治疗后输卵管再通率,治疗后随访1年,比较两组患者正常受孕率。结果观察组治疗后输卵管再通率为92.9%,对照组为71.8%,两组比较差异有统计学意义(P<0.01);观察组正常受孕率为57.6%,对照组为36.5%,两组比较差异有统计学意义(P<0.01)。结论腔镜联合腹腔镜治疗输卵管堵塞效果明显,操作安全简便,可明显提高输卵管再通率,提高受孕率。 Objective To investigate the clinical effect of hysteroscopy combined with laparoscopy in the treatment of tubal blockage. Methods One hundred and seventy patients with tubal blockage were randomly divided into observation group (n = 85) and control group (n = 85). The control group was treated by hysteroscopic tubal intubation and pressured with liquid. The observation group was treated by hysteroscopy and abdominal cavity Mirror combined treatment. The rate of tubal recanalization after treatment was compared between the two groups, followed up for 1 year after treatment, and the normal pregnancy rate was compared between the two groups. Results The tubal recanalization rate was 92.9% in the observation group and 71.8% in the control group, with a significant difference between the two groups (P <0.01). The normal pregnancy rate in the observation group was 57.6% and that in the control group was 36.5% The difference was statistically significant (P <0.01). Conclusions Endoscopic and laparoscopic treatment of tubal blockage effect is obvious, safe and easy operation, can significantly improve the tubal recanalization rate and improve the pregnancy rate.