目的:观察宫腹腔镜下输卵管插管联合人工授精治疗输卵管梗阻性不孕的临床疗效。方法:将40例输卵管梗阻性不孕且经宫腹腔镜下输卵管插管治疗后1年仍未孕的患者随机分为非人工授精组(n=20),给予监测排卵下自然周期或控制性促排卵指导性生活自然受孕的期待方法治疗;人工授精组(n=20),给予监测排卵下自然周期或控制性促排卵行夫精人工授精(IUI)治疗,观察其妊娠结局。结果:人工授精组临床妊娠率为25.00%,周期妊娠率为11.90%,与非人工授精组的15.00%、4.35%比较,差异均有统计学意义(P<0 05)。结论:宫、腹腔镜下输卵管插管联合人工授精治疗输卵管梗阻性不孕疗效满意,值得临床关注。 Objective: To observe the clinical efficacy of laparoscopic tubal intubation combined with artificial insemination in the treatment of tubal obstruction infertility. Methods: Forty cases of tubal obstruction infertility and one year after ovariectomized tubal intubation were randomly divided into non-artificial insemination group (n = 20), control of spontaneous cycle or control of ovulation Ovulation guidance life expectancy natural pregnancy expectant treatment; artificial insemination group (n = 20), given to monitor the natural cycle under ovulation or controlled ovulation exercise husbandry artificial insemination (IUI) treatment to observe the pregnancy outcome. Results: The pregnancy rate of artificial insemination group was 25.00%, the pregnancy rate of pregnancy was 11.90%, which was significantly different from that of non-artificial insemination group (15.00%, 4.35%) (P <0.05). Conclusions: Palace and laparoscopic tubal intubation combined with artificial insemination treatment of tubal obstruction infertility satisfactory results, it is worth clinical attention.