目的探讨应用腹腔镜手术诊断治疗不孕症的临床价值。方法对126例女性不孕症患者行腹腔镜诊断和治疗,观察术后妊娠率。结果 126例中发现盆腔病变117例,占92.86%;慢性盆腔炎是不孕症的第1位病因;其次为子宫内膜异位症、多囊卵巢综合征。腹腔镜手术术后妊娠率为47.50%,1例发生异位妊娠。结论腹腔镜手术对女性不孕症盆腔病变的诊治具有重要的价值。 Objective To investigate the clinical value of laparoscopic diagnosis and treatment of infertility. Methods 126 cases of female infertility were diagnosed and treated by laparoscopy. The pregnancy rate was observed. Results In 126 cases, 117 pelvic lesions were found, accounting for 92.86%. Chronic pelvic inflammatory disease was the first cause of infertility, followed by endometriosis and polycystic ovary syndrome. Laparoscopic surgery postoperative pregnancy rate was 47.50%, 1 case of ectopic pregnancy. Conclusion Laparoscopic surgery has important value in the diagnosis and treatment of pelvic lesions in female infertility.