目的:研究腹腔镜下输卵管异位妊娠手术对生育结局的影响。方法:收集在江都市妇幼保健院治疗的异位妊娠患者的临床资料,比较开放手术和腹腔镜下手术后患者的妊娠情况以及输卵管通畅情况,并用SPSS 18.0软件进行统计学分析。结果:治疗组56例输卵管通畅,18例输卵管不通畅,输卵管通畅的例数明显多于对照组;治疗组53例患者妊娠,其中41例发生宫内妊娠,妊娠和宫内妊娠的例数明显多于对照组。结论:腹腔镜下输卵管异位妊娠手术对于患者术后输卵管通畅以及妊娠都具有积极意义,应该作为异位妊娠诊断和治疗的首选方式。 Objective: To study the effect of laparoscopic tubal ectopic pregnancy on reproductive outcome. Methods: The clinical data of ectopic pregnancy patients who were treated in Jiangdu MCH hospital were collected. The pregnancy status and the tubal patency in patients after open surgery and laparoscopic surgery were compared. SPSS 18.0 software was used for statistical analysis. Results: In the treatment group, 56 cases of tubal patency, 18 cases of tubal patency, tubal patency were significantly more than the control group; treatment group, 53 patients were pregnant, of which 41 cases of intrauterine pregnancy, pregnancy and intrauterine pregnancy were significantly More than the control group. Conclusion: Laparoscopic tubal ectopic pregnancy surgery has positive significance for postoperative tubal patency and pregnancy, and should be the first choice for the diagnosis and treatment of ectopic pregnancy.