目的探讨腹腔镜在输卵管复通术中的应用价值。方法 120例因输卵管不通而做复通术患者的资料,将其中63例利用腹腔镜行输卵管复通术者设为实验组,57例在开腹下行输卵管复通术者设为对照组,经术后随访3~36个月后,对两组间复通术的术后效果即宫内妊娠率和总妊娠率进行统计分析。结果所有患者的手术都未出现异常现象。实验组术后正常妊娠49例,异位妊娠5例,未孕9例,正常妊娠率77.78%,总妊娠率85.71%;对照组术后正常妊娠29例,异位妊娠5例,未孕23例,正常妊娠率50.88%,总妊娠率59.65%。两组间差异均有统计学意义(P<0.05)。结论腹腔镜手术用于输卵管复通术与开腹手术相比具有损伤小、出血少、术后恢复快等优点,腹腔镜手术术后有较高的宫内妊娠率。 Objective To investigate the value of laparoscopy in tubal recanalization. Methods One hundred and twenty cases of patients with recanalization due to failure of fallopian tubes were enrolled in this study. Sixty-three patients underwent laparoscopic tubal recanalization as experimental group and 57 underwent open fallo-tubal recanalization as control group. After 3 to 36 months of follow-up, the postoperative effects of compound surgery were analyzed statistically between the two groups, ie intrauterine pregnancy rate and total pregnancy rate. Results All patients had no abnormalities in the operation. In the experimental group, there were 49 cases of normal pregnancy, 5 cases of ectopic pregnancy, 9 cases of non-pregnancy, the normal pregnancy rate was 77.78% and the total pregnancy rate was 85.71%. The control group had 29 cases of normal pregnancy, 5 cases of ectopic pregnancy, For example, the normal pregnancy rate was 50.88%, the total pregnancy rate was 59.65%. The differences between the two groups were statistically significant (P <0.05). Conclusions Laparoscopic surgery for tubal recanalization has the advantages of less injury, less bleeding and faster recovery after laparotomy. Laparoscopic surgery has higher intrauterine pregnancy rate.