Objective To comparatively analyze the morphological recovery and recanalization of fallopian tubes in patients after tubal pregnancy treated by drug treatment , retaining the abdominal and laparoscopic operation .Methods Seventy-two cases of patients with tubal pregnancy who had fertility requirements were selected , during whom 20 cases were treated by drug therapy (group A), 18 cases by abdominal operation (group B), and 34 cases by laparoscopic operation ( group C) .The patients returned to hospital after successful retaining oviduct treatment 3-6 months and underwent a day of laparoscopy to observe the morphological recovery and patency of fallopian tubes .Results The morphological recovery of the oviduct:group A had 1 case of fistula formation , 8 cases of obstruction nodules , 2 cases of hydrocephalus dilatation and 3 cases of adhesion formation;they were 5, 2, 5 and 8 cases in group B;and 8, 3, 7, 4 cases in group C.The incidence of obstruction nodule in group A was higher than that of groups B and C , the adhesion formation rate of group B was higher than that of groups A and C , that in group C was higher than that in group A , all P<0.05.There were 12, 15 and 8 cases with tubal patency in groups A , B and C, all P>0.05.Conclusion The recanalization rate has no significant difference in tubal pregnancy patients treated by 3 different methods , but there are some differences between tubal shape recovery .%目的：比较分析药物治疗、保留输卵管的腹式及腹腔镜手术治疗输卵管妊娠后输卵管的管腔形态恢复及再通情况。方法选择有生育要求的输卵管妊娠患者72例，其中采用药物治疗20例（ A组），腹式手术治疗18例（B组），腹腔镜手术治疗34例（C组）；均在保留输卵管治疗成功后3～6个月返院，行一日腹腔镜检查术，观察输卵管的管腔形态恢复及通畅情况。结果输卵管管腔形态恢复情况：A组瘘口形成1例、梗阻结节8例、积水扩张2例、粘连形成3例，B组分别为5、2、5、8例，C组分别为8、3、7、4例；A组梗阻结节发生率高于B、C组，B组粘连形成率高于A、C组，C组粘连形成率高于A组，P均＜0．05。 A、B、C组输卵管通畅分别为12、15、8例，3组比较，P均＞0．05。结论3种方法治疗对输卵管妊娠患者的管腔再通率无明显差异，但输卵管形态恢复存在一定差异。
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