本文报导23例未破裂的输卵管妊娠,以腹腔镜确定诊断,为增加妊娠机会施行24次保守外科手术(1例对侧卵管再次妊娠)。外科手术:病人均按腹部外科手术常规,切开腹壁后,妊娠卵管以指挟取,提出盆腔。在卵管妊娠部位作5～6毫米的纵切口,吸出管腔内妊娠产物,其余滋养叶组织用钳子轻轻取出,不要伤及卵管内膜。然后用5/0尼龙线将卵管切口的肌层和浆膜层间断缝合,避开内膜。一般不需要缝合止血,小量出血以手轻压即可。卵管修复后,腹腔注入氢化考地松,氨苄青霉素和异丙嗪溶液。术后预防性抗菌素、抗酶药物和类固醇联合应用。自术后第一 This article reports 23 cases of unruptured tubal pregnancy diagnosed by laparoscopy, to perform 24 conservative surgeries to increase chances of pregnancy (one contralateral ovarian re-pregnancy). Surgery: Patients were abdominal surgery routine, incision of the abdominal wall, the pregnancy of the oviduct to take with the finger, put forward the pelvis. Tubal pregnancy in the 5 to 6 mm longitudinal incision, aspiration of intraluminal pregnancy products, the other tonic leaves with pliers gently removed, do not hurt the intima of the ovary. Then use 5/0 nylon line to the oviduct incision muscle layer and serosal interrupted suture, to avoid the intima. Generally do not need to suture hemostasis, a small amount of bleeding can be gently pressed by hand. After repair of the oviduct, intraperitoneal injection of hydrogenated cortisone, ampicillin and promethazine solution. Postoperative prophylactic antibiotics, anti-enzyme drugs and steroids in combination. Since the first postoperative