目的:探讨腹腔镜治疗输卵管阻塞伴盆腔粘连性不孕症的作用。方法:收集输卵管阻塞伴盆腔粘连性不孕症患者75例,对患者实施腹腔镜治疗,术后随访妊娠结局。结果:75例患者经治疗39例成功妊娠,2例诊断为异位妊娠,妊娠率为52.00%;轻度与中度盆腔粘连患者妊娠率高于重度粘连者(P<0.05);术后<3个月妊娠率为30.77%,3~6个月妊娠率为35.90%,6~9个月妊娠率为17.95%,9~12个月妊娠率为15.38%,<3个月和3~6个月两个时间段内妊娠率高于其他时间段(P<0.05)。结论:腹腔镜治疗输卵管阻塞伴盆腔粘连性不孕症疗效确切,其术后妊娠率受盆腔粘连程度的影响,术后6个月之内是受孕的黄金时期。 Objective: To investigate the effect of laparoscopic treatment of tubal obstruction with pelvic adhesions infertility. Methods: Seventy-five patients with tubal obstruction and pelvic adhesions infertility were treated with laparoscopy. The outcome of pregnancy was followed up. Results: Of the 75 patients, 39 cases were successfully treated with pregnancy, 2 cases were diagnosed as ectopic pregnancy and the pregnancy rate was 52.00%. The pregnancy rate in mild and moderate pelvic adhesions was higher than that in patients with severe adhesion (P <0.05) 3 months pregnancy rate was 30.77%, 3-6 months pregnancy rate was 35.90%, 6 ~ 9 months pregnancy rate was 17.95%, 9 ~ 12 months pregnancy rate was 15.38%, <3 months and 3 ~ 6 The pregnancy rate in two months was higher than that in other time periods (P <0.05). Conclusion: Laparoscopic treatment of tubal obstruction with pelvic adhesions infertility is effective, and the postoperative pregnancy rate is affected by the degree of pelvic adhesions. Within 6 months after operation, it is the golden age of conception.