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对输卵管妊娠后有生育要求的５８例行输卵管切除术（切除组），１５例行输卵管开窗术（开窗组），３０例应用药物保守治疗（药物组）。结果：１０３例治疗后６７例宫内妊娠，９例再次异位妊娠。切除组及开窗组宫内妊娠５２例，妊娠率（７１．２％）高于药物组（５０．０％），开窗组妊娠率（８６．７％）高于切除组（６７．２％），且无一例再次异位妊娠。同时，随机选择治疗后３～６个月的４５例行输卵管通畅检查，开窗组双侧输卵管通畅率为９３．３％，药物组为２０．０％。提示：输卵管通畅是妊娠的良好条件，术后预防粘连、积极治疗盆腔炎是提高宫内妊娠率减少异位妊娠的重要环节。
Tubal excision (resection group) was performed in 58 cases of tubal pregnancy requiring fertility, 15 cases of tubal fenestration (window group), and 30 cases of conservative treatment (drug group). Results: In the 103 cases of 67 cases of intrauterine pregnancy after treatment, 9 cases of ectopic pregnancy again. In the resection group and the fenestration group, 52 cases were intrauterine pregnancy, the pregnancy rate was higher (71.2%) than that in the drug group (50.0%), and the pregnancy rate in the fenestration group (86.7%) was higher than that in the resection group %), And no case of ectopic pregnancy again. At the same time, 45 cases of tubal patency were randomly selected from 3 to 6 months after treatment, the bilateral tubal patency rate was 93.3% in the fenestration group and 20.0% in the drug group. Tip: tubal patency is a good condition for pregnancy, postoperative prevention of adhesions, and active treatment of pelvic inflammatory disease is to improve intrauterine pregnancy rate reduce ectopic pregnancy an important part.