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目的：分析腹腔镜下输卵管切开取胚术治疗输卵管壶腹部妊娠术后患侧输卵管通畅情况，探讨如何提高术后输卵管通畅率。方法2008年11月-2010年12月经腹腔镜检查确诊为输卵管壶腹部妊娠且未破裂未流产82例，行输卵管切开取胚术，于术前根据血β人绒毛膜促性腺激素（human chorionic gonadotropin,HCG）值分为两组，A组术前血β-HCG＜1200IU/L，B组术前血β-HCG≥1200IU/L，比较两组术中出血量、手术时间及术后患侧输卵管通畅率。结果82例患者，切开取胚术失败改行患侧输卵管切除术6例，均为B组患者；通畅58例，总通畅率76.32%；A组47例，通畅44例，通畅率93.62%，B组35例，取胚术失败改行切除术6例，通畅14例，通畅率48.28%。术中出血量A组（18.46±8.32ml）与B组（105.76±45.20ml）、手术时间A组（38.32±10.25分钟）与B组（78.55±20.42分钟）及术后患侧输卵管通畅率A组93.62%与B组48.28%比较，差异均有显著性（P＜0.01）。结论腹腔镜输卵管切开取胚术保留输卵管功能具有优势，术前血β-HCG值＜1200IU/L者术后输卵管通畅率高。“,”[Objective] To investigate Postoperative unobstructed rate of fallopian tube of ampul a fal opian tube pregnancy patients who had undergone laparoscopic tubal embryo surgery incision and discuss on how to improve the postoperative the affected oviduct patency rate.[Methods] Eighty-two cases of ampul a fal opian tube pregnancy without rupture or abortion were diagnosed by laparoscopy from November 2008 to December 2010, treated by laproscopic tubal embryo surgery incision. The patients were divided into two groups before operation according to preoperative blood β-HCG. Patients whose blood β-HCG<1200IU/Lwere for A group, ≥1200IU/L for B group. To compare of two groups of intraoperative bleeding volume, operation time, and postoperative the affected oviduct patency rate. [ Results] In eighty-two patients, 6 cases who were failed to tubal embryo surgery incision were operated by surgical removal of a fal opian tube, al of which belonged of B group. Patency existed in 58 cases. The total patency rate was 76.32%.The patency rate of A group was 93.62%, and the patency rate of B group was 48.28%.The intraoperative bleeding volume of A group was 18.46±8.32ml, B was 105.76±45.20ml. The operation time of A group was 38.32±10.25minutes, B was 78.55±20.42minutes. The postoperative the affected oviduct patency rate of A group was 93.62%, B was 48.28%. There were significant difference between A and B group in intraoperate bleeding volume, operation time, and postoperative the affected oviduct patency rate (P<0.01). [Conclusions] Laparoscopic tubal embryo surgery incision has the advantages in retention of tubal function. The postoperative the affected oviduct patency rate for the patients whose blood β-HCG are less than 1200IU/L is high.