腹腔镜下输卵管内注射氨甲蝶吟(MTX)治疗未破裂的输卵管妊娠具有用药剂量小,不良副作用轻的优点。本院1990年8月～12月结合临床症状、体征、人绒毛膜促性腺激素(HCG)检测和超声探查,筛选早期未破裂输卵管壶腹部妊娠患者8例,注射指征为:①输卵管病灶直径小于5cm。②浆膜层完整无活动性出血。③盆腔充分暴露.于腹腔镜直视下,用15cm长的18号穿刺针作输卵管内穿刺,拔去针芯,回抽有积血,注入50％葡萄糖2.5ml稀释的MTX12.5mg,检查穿刺点有无药液渗漏。术后48 小时 Laparoscopic intra-tubal injection of methotrexate (MTX) in the treatment of unruptured tubal pregnancy has the advantages of low dosage and low adverse side effects. Our hospital from August 1990 to December combined with clinical symptoms, signs, human chorionic gonadotropin (HCG) detection and ultrasound exploration, screening of early unruptured tubal ampulla of pregnancy in 8 patients, injection indications: tubal lesion diameter Less than 5cm. Serosal complete without active bleeding. ③ pelvic full exposure in the laparoscopic direct vision, with a 15cm long No. 18 puncture needle for tubal puncture, pull the needle core, pull back with hemorrhage, injection of 50% glucose 2.5ml diluted MTX12.5mg, check the puncture No liquid leakage point. 48 hours after surgery