目前不少临床医师在腹腔广泛脓肿、严重腹腔腹壁感染时，采取更积极主动的引流方法—腹腔造口术（Laporostoˉmy），意即将腹腔敞开，视整个腹腔为一个脓肿来处理，可以减少再次剖腹的次数，减少腹腔感染和腹壁切口裂开的发生率 〔4〕 。
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方法：经腹腔途径行腹腔镜双侧输尿管皮肤造口术，并观察其术后恢复情况及手术效果。
Methods: Laparoscopic double cutaneous ureterostomy was carried out for a patient, then, the condition of resuming and effect of operation were observed.
结论：腹腔镜对输卵管远端阻塞既可明确诊断，又能根据镜下分期进行粘连松解或输卵管造口术。
Conclusions: Laparoscopy can not only definitely diagnose distal tubal obstruction but also perform lysis of adhesions or ostomy according to stages classified by it self.
所有病例均经腹腔镜明确诊断并分期，根据分期行腹腔镜粘连松解或造口术。
All cases were definitely diagnosed and divided into stages via laparoscopy and according to stages lysis of adhesions or ostomy was performed laparoscopically.
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