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目的：介绍宫腔镜与腹腔镜联合手术的步骤及初步经验。方法：拟行经宫颈子宫内膜、子宫肌瘤、子宫内股息肉、子宫中隔、子宫粘连及子宫异物切除术同时有做腹腔镜指征的患者85例，首先做腹腔镜检查，明确诊断，确定手术方案，再做宫腔镜手术，最后做腹腔镜手术。结果：除证实原有诊断，查清盆腔痛原因外，腹腔镜检查还发现卵巢囊肿、盆腔子宫内膜异位症、盆腔粘连共9例，腹腔镜监护发现子宫穿孔2例，腹腔镜下行卵巢囊肿利除／穿刺、盆腔粘连松解、内异症电灼、输卵管美蓝通液、部分输卵管切除共40例，术后经过顺利，疗效满意。结论：宫腹腔镜联合手术安全可行，一次麻醉、一期诊断施术，减轻了病人再次住院治疗另一种疾病的麻烦、痛苦和经济负担，及时发现子宫穿孔，克服了单纯B超监护的局限性，体现了妇科内镜手术的优越性。
Objective: To introduce the procedure and preliminary experience of hysteroscopy and laparoscopy combined surgery. Methods: Totally 85 patients with laparoscopic indications underwent cervical endometrium, uterine fibroids, intrauterine sternal polyps, uterine septum, uterine adhesions and uterine foreign body resection. Laparoscopy was performed first to confirm the diagnosis and confirm Surgery program, do hysteroscopic surgery, and finally done laparoscopic surgery. Results: In addition to confirming the original diagnosis, to identify the cause of pelvic pain, laparoscopy also found ovarian cysts, pelvic endometriosis, pelvic adhesions in 9 cases, laparoscopic monitoring found 2 cases of uterine perforation, laparoscopic ovary Cyst neutropenia / puncture, pelvic adhesions release, endometriosis electrocautery, tubal methylene blue liquid, part of the tubal resection were 40 cases, after a smooth, effective results. Conclusions: Laparoscopic laparoscopic surgery is safe and feasible. One-time anesthesia and one-stage diagnosis are performed to reduce the trouble, pain and financial burden of another hospitalized patient to treat another disease, to find the uterine perforation in time and to overcome the limitation of pure B-ultrasonography Sex, embodies the advantages of gynecological endoscopic surgery.