【摘要】目的：考察腹腔镜下保守手术与经阴道内镜手术治疗宫外孕的临床效果差异。方法：回顾性分析56例腹腔镜下保守手术治疗的宫外孕患者临床资料并设为对照组和43例自然腔道内镜手术治疗宫外孕患者临床资料并设为观察组。比较两组患者术中资料、术后恢复速率和临床疗效。结果：观察组患者术中出血量显著低于对照组(P<0.01)，手术时间无统计学差异(P>0.05)。观察组患者输卵管畅通率和宫内妊娠率显著高于对照组(P<0.05)。两组间再次宫外妊娠率差异无统计学意义(P>0.05)。观察组患者切口愈合时间和住院时间显著低于对照组(P<0.05)。结论：经阴道内镜手术治疗宫外孕疗效更佳且术中伤害更小、术后恢复更快，具有临床应用价值。

    【关键词】宫外孕； 腹腔镜下保守手术； 经阴道内镜手术

    【Abstract】Objectives： To compare the clinical effects of laparoscopic oviduct-sparing operation and natural orifice transluminal endoscopic operation on ectopic pregnancy. Methods： A total of 56 ectopic pregnancy patients treated by laparoscopic oviduct-sparing operation were selected as control group and 43 ectopic pregnancy patients treated by natural orifice transluminal endoscopic operation were selected as observation group. The operative situation ......