目的:探讨腹腔妊娠的诊断以及治疗方案,以提高对该病的认识、降低患者死亡率以及减少产后并发症。方法:回顾性分析和总结我院收治的1例原发性腹腔妊娠的诊断及治疗方案。结果:该病例氨甲喋呤(MTX)保守治疗效果不理想,后经腹腔镜检查明确诊断,同时成功予以手术治疗。结论:腹腔妊娠临床症状不典型,早期诊断较困难,腹腔镜技术是一种有效的诊断和治疗方法,腹腔妊娠的早期诊断可明显改善预后。 OBJECTIVE: To investigate the diagnosis and treatment of intraperitoneal pregnancy to improve the understanding of the disease, reduce the mortality of patients and reduce postpartum complications. Methods: A retrospective analysis and summary of our hospital admitted to a case of primary abdominal pregnancy diagnosis and treatment options. Results: Conservative treatment of methotrexate (MTX) in this case was not satisfactory. Laparoscopy was used to confirm the diagnosis and surgery was successfully performed. Conclusion: The clinical symptom of abdominal pregnancy is not typical, early diagnosis is more difficult. Laparoscopy is an effective method of diagnosis and treatment. Early diagnosis of abdominal pregnancy can significantly improve the prognosis.