目的总结宫腹腔镜联合诊治不孕症的方法及优点。方法回顾分析120例患者的临床资料。结果 120例患者中输卵管阻塞65例;慢性盆腔炎35例;子宫内膜异位症5例;多囊卵巢2例;子宫肌瘤2例;卵巢肿瘤4例;宫腔粘连2例;正常盆腔5例。120例患者中85例得到随访6～42个月,其中42例已妊娠,8例已生育,其余术后妊娠率的最终统计和分类仍在进一步随访中。结论宫腹腔镜联合手术具有手术时间短、损伤小、恢复快,并且在一次麻醉下,可以对不孕的原因全面评价和明确诊断,在诊断同时进行治疗,经济效益高,手术安全可靠,患者更易接受,值得应用。 Objective To summarize the methods and advantages of laparoscopy in the treatment of infertility. Methods The clinical data of 120 patients were retrospectively analyzed. Results 120 cases of tubal occlusion in 65 cases; 35 cases of chronic pelvic inflammatory disease; 5 cases of endometriosis; 2 cases of polycystic ovary; 2 cases of uterine fibroids; 4 cases of ovarian tumors; 2 cases of intrauterine adhesions; 5 cases. Of the 120 patients, 85 were followed up for 6 to 42 months, of whom 42 were pregnant and 8 were fertile. The remaining postoperative pregnancy rates were still under follow-up. Conclusion Laparoscopic surgery combined with laparoscopic surgery has the advantages of short operation time, small injury and rapid recovery. Under the condition of one anesthesia, the causes of infertility can be evaluated and diagnosed comprehensively. At the same time, the diagnosis and treatment are carried out with high economic benefits and safe operation. More acceptable, it is worth to apply.