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.

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粘连松解后伞端正常、输卵管通畅者妊娠率4 7 4 % ，若行腹腔镜下输卵管造口术，2 6例无一例妊娠。

The pregnancy rate of normal fimbria and unobstructed tube after lysis of periadnexal adhesion was 47.4%, 26 cases of laparoscopic salpingostomy had no pregnancy.

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