Objective To discuss the efficacy of laparoscope in the diagnosis of obstruction of fallopian tubes and in the treatment for tubal infertility.Method From February 2010 to March 2011

40 patients with secondary infertility in our hospital received the diagnosis and treatment by laparoscope.Results Of the 40 cases with tubal obstruction diagnosed by traditional catheterization and hysterosalpingography

the fallopian tubes of three patients were with full patency

and the false positive rate was 7.5%;of 37 patients receiving treatment of laparoscope

28 cases had no tubal obstruction and the patency rate was 75.7%;of 25 cases

23 cases had no tubal obstruction after operation during follow-up in two months

and the patency rate was 92.0%;18 cases were pregnant

and the pregnancy rate was 45.0%.Conclnsion Laparoscope used to diagnose tubal obstruction has higher accuracy than traditional methods

and it has significant advantages;it is effective to treat the infertility resulted from tubal occlusion and hydrosalpinxand and peritubal adhesions.