在１９９４年９月～１９９７年１２月来我院就诊的不孕患者中，１８１例施行了电视宫腹腔镜检查和治疗。其中以输卵管因素为主的资料完整的患者１３６例。临床诊断原发不孕５４例，继发不孕８２例。１３６例共２６４条输卵管，术前诊断不通率为９３．５６％（２４７／２６４）；术中诊断不通率为８８．２６％（２３３／２６４）。术前和术中对比，诊断符合率为９２．３０％。经电视宫腹腔镜联合手术后，梗阻的疏通率为７８．５４％（１７３／２３３）。术后受孕率为１２．９０％。结果认为：（１）输卵管因素不孕发生率与国内外专家报道基本一致。（２）诊断输卵管不孕ＨＳＧ与ＬＳＣ两种方法互补，对不孕诊断更全面。（３）电视宫腹腔镜手术基本上起到了剖腹探查的目的，但无剖腹探查的痛苦，不失为不孕患者的良好的诊治方法 Among the infertile patients who came to our hospital from September 1994 to December 1997, 181 patients underwent TV-house laparoscopy and treatment. One of 136 patients with complete data of tubal factors. Clinical diagnosis of 54 cases of primary infertility, 82 cases of secondary infertility. There were 264 cases of tubal in 136 cases. The failure rate of preoperative diagnosis was 93.56% (247/264). The diagnostic failure rate was 88.26% (233/264). Preoperative and intraoperative contrast, the diagnostic coincidence rate was 92.30%. After the tv palace laparoscopic surgery, obstruction of the clear rate was 78.54% (173/233). Postoperative pregnancy rate was 12.90%. The results showed that: (1) the incidence of tubal infertility and the experts at home and abroad reported basically the same. (2) diagnosis of tubal infertility HSG and LSC two methods complement each other, more comprehensive diagnosis of infertility. (3) TV Palace laparoscopic surgery basically played the purpose of laparotomy, but without the pain of laparotomy, after all, a good diagnosis and treatment of infertility patients