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目的：探讨宫腔镜与腹腔镜联合诊治输卵管性不孕症的意义。方法：82例输卵管性不孕症患者均分为两组，对照组在宫腔镜引导下行输卵管插管疏通术，研究组采用宫腔镜与腹腔镜联合手术，效果比较。结果：研究组患者治疗后输卵管通畅率（82.92%）明显高于对照组（60.98%），差异比较有统计学意义（P＜0.05）；两组患者术后并发症发生率差异比较无统计学意义（P＞0.05）；研究组患者术后妊娠率78.05%明显高于对照组41.46%，差异比较有统计学意义（P＜0.01）。结论：宫腔镜与腹腔镜联合诊治输卵管性不孕症微创、并发症少。“,”Objective To explore the significance of hysteroscopy combined with laparoscopy in diagnosis and treatment of tubal infertility Methods 82 cases of tubal infertility patients were divided into two groups, the control group was treated with hysteroscopy in the fallopian tube intubation.Results The patency rate of fallopian tube after treatment in the study group was significantly higher than that in the control group (60.98%), the difference was statistically significant (P 0.05);the pregnancy rate of the study group was 41.46%, 78.05%, and the difference was statistically significant (P< 0.01).Conclusion Hysteroscopy combined with laparoscopy in the diagnosis and treatment of tubal infertility with less invasive and less complications.