目的:探讨应用宫-腹腔镜联合手术的诊断技术对女性因素不孕病因的诊断价值。方法:对880例不孕症患者经宫-腹腔镜联合手术,诊断其盆腔疾病、宫腔疾病和不孕的可能原因。结果:在880例不孕症患者中,676例患有盆腔粘连,占76.8%;双侧输卵管阻塞者503例,占57.1%;子宫因素者112例,占12.7%;宫腔病变者107例,占12.2%;卵巢因素者103例,占11.7%;生殖器畸形者69例,占7.9%。其中原发不孕者中痛经、多囊卵巢的患者多于继发不孕,而继发不孕者中有盆腔炎症和盆腹腔手术史的比例较多。结论:女性不孕的首要暴露因素(危险因素)是盆腔及生殖道感染性疾病,输卵管阻塞是导致不孕的重要因素之一。应用宫-腹腔镜联合手术对女性不孕症的病因诊断有重要价值并能对盆腔粘连、输卵管疾病在诊断的同时进行治疗。 Objective: To investigate the diagnosis of etiological factors of female infertility using the diagnostic technique of uterine-laparoscopy combined with surgery. Methods: 880 cases of infertility patients by transvaginal laparoscopic surgery, diagnosis of pelvic disease, uterine disease and possible causes of infertility. Results: Of the 880 infertility patients, 676 had pelvic adhesions, accounting for 76.8%; 503 with bilateral tubal obstruction, accounting for 57.1%; 112 with uterine factors accounting for 12.7%; 107 with uterine cavity lesions , Accounting for 12.2%; 103 cases of ovarian factors, accounting for 11.7%; 69 cases of genital malformations, accounting for 7.9%. One of the primary infertility dysmenorrhea, polycystic ovary more than secondary infertility, and secondary infertility in pelvic inflammatory disease and pelvic surgery history ratio. Conclusion: The primary exposure factor (risk factor) of female infertility is pelvic and reproductive tract infectious diseases. Tubal obstruction is one of the important factors leading to infertility. Application of palace - laparoscopic surgery on female etiology diagnosis of infertility has important value and pelvic adhesions, tubal disease diagnosis at the same time be treated.