ObjectiveTo observe the effect of hysteroscopy combined with laparoscopy on tubal obstructive infertility. MethodsA total of 100 cases of infertility due to tubal obstruction were selected as the subjects and divided into control group (n=50) and observation group (n=50) according to the method of random number table. The control group was treated with laparoscopic surgery, while the observation group was treated with hysteroscopic and laparoscopic surgery. Clinical efficacy, perioperative indicators, stress levels, incidence rates of complications, and pregnancy rates were compared between the two groups. ResultsAfter treatment, the total effective rate in the observation group was significantly higher than that in the control group (92.00% vs. 74.00%, P＜0.05); after treatment, there were no statistically significant differences in intraoperative blood loss, exhaust time, or urethral catheterization duration between the two groups (P＞0.05); the observation group had shorter hospitalization time, lower levels of adrenaline and cortisol , and a higher thyroid-stimulating hormone level compared with the control group(P＜0.05); the incidence rate of complications in the observation group was 10.00%, which was significantly lower than 26.00% in the control group (P＜0.05); six months after operation, the pregnancy rate in the observation group was 52.00%, which was significantly higher than 30.00% in the control group (P＜0.05). ConclusionHysteroscopy combined with laparoscopy has a significant effect on tubal obstructive Infertility, which can reduce the expression of stress factors, reduce the incidence rate of complications and improve pregnancy rate.

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