目的分析宫腔镜联合腹腔镜在不孕症诊治中的应用和意义。方法回顾性分析2004年9月至2010年9月联合应用宫、腹腔镜对90例不孕症患者进行检查,并对病因明确者行相应治疗。结果 90例中原发不孕36例,继发不孕54例;其中有盆腔病变者80例,占88.9%。不孕原因居前四位分别是盆腔粘连30例(33.3%),输卵管阻塞23例(25.6%),子宫内膜异位症9例(10.0%),子宫内膜息肉7例(7.8%)。术后6～24个月随访,妊娠率为13.3%(12/90),其中宫内妊娠11例,宫外孕1例。结论应用宫、腹腔镜联合诊治不孕症患者能直观、准确、全面地明确盆腔、宫腔疾患,并予以针对性治疗,提高手术疏通输卵管的成功率,提高女性不孕患者的妊娠率。 Objective To analyze the application and significance of hysteroscopy combined with laparoscopy in diagnosis and treatment of infertility. Methods A retrospective analysis of September 2004 to September 2010 joint application of the palace, laparoscopic examination of 90 cases of infertility patients, and the etiology of the corresponding line of treatment. Results In 90 cases, 36 cases were primary infertility and 54 cases were secondary infertility. Among them, 80 cases were pelvic lesions, accounting for 88.9%. The top four causes of infertility were pelvic adhesions in 30 cases (33.3%), tubal occlusion in 23 cases (25.6%), endometriosis in 9 cases (10.0%), endometrial polyps in 7 cases (7.8% . After 6 to 24 months of follow-up, the pregnancy rate was 13.3% (12/90), including 11 cases of intrauterine pregnancy and 1 case of ectopic pregnancy. Conclusions The application of uterine and laparoscopy combined with diagnosis and treatment of infertility patients can intuitively, accurately and comprehensively identify pelvic cavity and uterine cavity diseases and give targeted treatment to improve the success rate of operation to clear the fallopian tube and improve the pregnancy rate of female infertility patients.