输卵管妊娠保留器官手术之目的是保持生殖能力。1953年Stromme首次报道宫外孕保留输卵管的输卵管切开术。由于内窥镜手术技术的发展,Semm也经盆腔镜施术。在危及生命的破裂之前,早期阴道超声确诊后可应用该方法。保留输卵管手术的危险是滋养层的残留未再吸收或重新增生,引起宫外孕复发的征象。为尽早发现此外发症,作者提出术后监测β-hCG值。 1987～1993年Kiel大学妇产医院对337例宫外孕进行治疗。253例输卵管峡部或壶腹部妊娠行保留器官的盆腔镜线形输卵管切开术,取出胚胎,并用4-0 PDS线缝合浆膜。在组织学证实的232例中,15例由于滋养层残留再次行盆腔镜检,7例高β Tubal pregnancy Retention organ surgery is to maintain reproductive capacity. 1953 Stromme first reported ectopic pregnancy retained tubal tubal incision. Due to the development of endoscopic surgical techniques, Semm has undergone pelvic surgery. This method can be applied after the diagnosis of early vaginal ultrasound before the life-threatening rupture. Retained tubal surgery is the risk of trophoblast residue is not reabsorbed or regrowth, causing signs of recurrent ectopic pregnancy. In order to detect this outbreak as soon as possible, the authors propose postoperative monitoring of β-hCG values. From 1987 to 1993, 337 cases of ectopic pregnancy were treated at Kiel University Maternity Hospital. 253 cases of tubal isthmus or ampulla of pregnancy, organ preservation pelvic mirror linear tubal incision, remove the embryos, and 4-0 PDS line suture serosa. Histologically confirmed in 232 cases, 15 cases again due to trophoblast pelvic examination, 7 cases of high β