Objective To investigate the clinical effect and significance of hysteroscopic and laparoscopic surgery in the treatment of fallopian tube obstruction. Methods Seventy-four cases with fallopian tube obstruction admitted in our hospital from February 2013 to March 2014 were selected as the subjects and randomly divided into the treatment group and the control group with 37 cases in each. Patients in the treatment group were given hysteroscopic and laparoscopic surgery, while those in the control group were given laparoscopic surgery. All the patients were followed up for 1 year after surgery. And the fallopian tube patency rate and success rate of pregnancy were compared between the two groups. Results After treatment, in the treatment group, there were 35 cases with fallopian tube patency and 30 cases with successful pregnancy. The fallopian tube patency rate and success rate of pregnancy was 95.59%, 81.08% in the treatment group, respectively, which was much higher than that in the control group, respectively with statistically significant difference, P<0.05. Conclusion For the treatment of fallopian tube obstruction clinically, hysteroscopic and laparoscopic surgery has exact effect with the advantages of high fallopian tube patency rate and success rate of pregnancy, so it can be promoted widely in clinical practice.%目的：对临床中采用宫腹腔镜联合手术治疗输卵管堵塞的临床效果及意义进行探讨。方法整群选取该院于2013年2月—2014年3月间收治的输卵管堵塞患者74例为研究对象，并随机分为治疗组和对照组各37例。其中，治疗组采用宫腹腔镜联合治疗输卵管堵塞，对照组单独采用腹腔镜进行治疗，术后随访一年，对两组患者的输卵管通畅率和妊娠成功率进行比较。结果经治疗后，治疗组输卵管通畅率及妊娠成功率分别为35例（95.59%）、30例（81.08%）要明显优于对照组，且差异有统计学意义（P<0.05）。结论在临床中采用宫腹腔镜联合手术治疗输卵管堵塞，疗效确切，且输卵管通畅率、妊娠成功率高，具有明显的优势，可在临床中广泛推广。
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