输卵管远端闭锁是妇产科医师遇到的重要的问题。本文在1989年5月～1992年7月对113例连续病人确诊为输卵管性不孕,病史≥1年,术前6个月未接受过激素治疗和保守性手术治疗。术前所有病人接受不孕检查,如性交后试验,子宫输卵管碘油造影,子宫内膜活检,男方精液分析。所有病人随访至少6个月～39个月。附件粘连按美国生育学会方法分类,子宫内膜异位症按美国生育学会修改的力法分类。在全麻下,腹腔镜多孔 The distal tubal atresia is an important issue for gynecologists. This article from May 1989 to July 1992 113 consecutive patients diagnosed as tubal infertility, history ≥ 1 year, 6 months before surgery without hormone therapy and conservative surgery. All patients underwent preoperative infertility examination, such as sexual intercourse test, hysterosalpingography, endometrial biopsy, the man’s semen analysis. All patients were followed up for at least 6 months to 39 months. Annex adhesions according to the American Fertility Society classification, endometriosis according to the American Fertility Society to modify the force classification. Under general anesthesia, laparoscopic porous