目的:观察腹腔镜监视下宫腔镜子宫中隔切除术的临床疗效。方法:30例子宫中隔患者行腹腔镜监视下宫腔镜子宫中隔切除术,术后予雌、孕激素治疗3个周期促子宫内膜修复,随访3～24个月观察妊娠情况。结果:30例腹腔镜监视下宫腔镜子宫中隔电切术均无并发症发生。术后妊娠率达93.3%,自然流产率16.7%,足月妊娠率86.7%,总活产分娩率93.3%;而术前自然流产率、足月妊娠率和总活产分娩率分别为80%、3.3%、3.3%,差异均有统计学意义(P<0.01)。结论:腹腔镜监视下宫腔镜子宫中隔切除术安全、有效,能显著改善妊娠结局。 Objective: To observe the clinical effect of laparoscopic hysteroscopic resection of hysteroscopic septum. Methods: Thirty patients with uterine septum underwent laparoscopic hysteroscopic resection of uterine septum. After three cycles of estrogen and progesterone treatment, endometriosis was repaired. The pregnancy was followed up for 3-24 months. Results: There were no complications in hysteroscopic septum resection under laparoscopy in 30 cases. Postoperative pregnancy rate was 93.3%, spontaneous abortion rate was 16.7%, full term pregnancy rate was 86.7%, total live birth rate was 93.3%; while preoperative spontaneous abortion rate, full-term pregnancy rate and total live birth rate were 80% , 3.3% and 3.3% respectively, with significant difference (P <0.01). Conclusions: Hysteroscopic hysterectomy under laparoscopy is safe and effective, which can significantly improve pregnancy outcomes.