目的　探讨再次输卵管妊娠显微修复手术的疗效。　方法　对 35例再次输卵管妊娠 (再次组 )和 75例首次输卵管妊娠 (首次组 )施行显微修复手术 ,术后随访 1～ 6年 ,观察 2组的术后宫内妊娠率、异位妊娠率及未妊娠率。　结果　术后 2组的输卵管通畅率均为 10 0 %。与首次组比较 ,再次组的术后宫内妊娠率较低 ,未妊娠的发生率较高 ,而异位妊娠发生率在 2组间无差别。　结论　对再次输卵管妊娠施行显微修复手术仍有较理想的宫内妊娠率 ,而并不增加术后异位妊娠的发生率 Objective To investigate the effect of microsurgical repair of tubal pregnancy again. Methods 35 cases of tubal pregnancy (re-group) and 75 cases of first-time tubal pregnancy (first group) were treated by microsurgery. The patients were followed up for 1 to 6 years. The intrauterine pregnancy rate, ectopic pregnancy rate And non-pregnancy rate. Results The postoperative tubal patency rate was 100% in both groups. Compared with the first group, the rate of intrauterine pregnancy after re-group was lower, the incidence of non-pregnancy was higher, but the incidence of ectopic pregnancy was no difference between the two groups. Conclusion There is still an ideal intrauterine pregnancy rate for microsurgical repair of tubal pregnancy again without increasing the incidence of postoperative ectopic pregnancy