目的对比腹腔镜与开腹手术治疗异位妊娠的临床效果.方法选择2008年1月-2010年1月本院异位妊娠手术218例,随机分为两组,观察组和对照组.观察组采用腹腔镜手术治疗,对照组采用开腹手术治疗,回顾性分析两组治疗的临床效果.结果两组患者剖腹术史、体重、年龄、腹腔内出血、异位妊娠类型等差异无显著性(P>0.05),但手术中出血量、术后腹痛持续时间、术后肛门排气时间、术后发热情况、术后抗菌素使用时间、住院时间均存在统计学差异(P 0.05), but the hand of blood loss, postoperative pain duration, anal exhaust time, Postoperative fever, postoperative antibiotic use, hospitalization time were there significant differences (P <0.05). Conclusion: Laparoscopic surgery for ectopic pregnancy with a quick, minimaly invasive, short operative time, rapid postoperative recovery, etc., is superior to conventional open surgery, the high clinical value.