目的 :比较与评价开腹手术与腹腔镜手术、药物保守治疗输卵管妊娠的临床疗效。方法 :输卵管妊娠患者 88例 ,比较开腹手术、腹腔镜手术及药物治疗的效果和预后。结果 :开腹手术中 31例行输卵管切除 ,腹腔镜手术治疗成功率 92 3% ;药物保守治疗成功率 90 %。三组患者术后输卵管通畅率分别为 5 5 6 % ,75 0 % ,76 5 %。结论 :腹腔镜下手术和药物保守治疗输卵管妊娠均可取得较好的临床疗效 ,适合于需要保留生育功能的妇女 OBJECTIVE: To compare and evaluate the clinical efficacy of laparotomy and conservative surgery for tubal pregnancy. Methods: Tubal pregnancy in 88 patients, more open surgery, laparoscopic surgery and drug treatment effect and prognosis. Results: In the open operation, 31 cases underwent tubal resection, the success rate of laparoscopic operation was 92.3%. The success rate of drug conservative treatment was 90%. The tubal patency rates of the three groups of patients were respectively 55.6%, 75.0% and 76.5%. Conclusion: Laparoscopic surgery and drug conservative treatment of tubal pregnancy can achieve better clinical efficacy, suitable for women who need to retain reproductive function