目的:探讨腹腔镜手术治疗休克型异位妊娠的可行性及安全性。方法:以腹腔镜手术治疗异位妊娠大出血800～3 100 ml的89例为研究组,与同期相同方法治疗的异位妊振出血<800 ml的767例(对照组)进行比较,分析两组患者围手术期情况。结果:89例休克型异位妊娠患者均顺利完成腹腔镜手术,无中转开腹,两组患者的手术时间、住院时间、手术过程中出血量、术后恢复等差异无统计学意义(P>0.05)。结论:具备熟练的腹腔镜操作技术对休克型输卵管妊娠及合理输血补液的条件下行腹腔镜手术是安全可行的,手术成功率高,并具有创伤小、恢复快等优点。 Objective: To investigate the feasibility and safety of laparoscopic surgery in the treatment of shock ectopic pregnancy. Methods: A total of 89 patients with major bleeding of 800-3 100 ml in ectopic pregnancy undergoing laparoscopic surgery were enrolled in this study. Compared with 767 cases (control group) with ectopic pregnancy hemorrhage <800 ml treated by the same period, the patients in two groups Perioperative conditions of patients. Results: All the 89 patients with shock ectopic pregnancy were successfully performed laparoscopic surgery without conversion to open surgery. There was no significant difference in operative time, hospitalization time, blood loss during operation and postoperative recovery between the two groups (P> 0.05). CONCLUSION: Laparoscopic operation is safe and feasible for laparoscopic surgery with shock-type tubal pregnancy and reasonable transfusion rehydration. The successful operation rate is high, with the advantages of less trauma and faster recovery.