目的:比较国内宫外孕腹腔镜保守手术与传统开腹保守手术后宫内妊娠率。方法:采用Review Manager4.2分析软件,对国内5篇有关腹腔镜手术与开腹手术保守治疗宫外孕患者的术后受孕情况进行随机效应模型的Meta分析。结果:腹腔镜手术治疗宫外孕组的术后受孕情况明显优于开腹手术组[OR=1.64,95%,CI为(1.17,2.30),P<0.01]。结论:腹腔镜手术与传统开腹手术比较,前者有较高的宫内妊娠率。 Objective: To compare the intrauterine pregnancy rate after laparoscopic conservative surgery and conventional laparotomy in our country. Methods: By using Review Manager4.2 software, we conducted a meta-analysis of 5 randomized effect models of postoperative conception in our country for laparoscopic surgery and laparotomy conservative treatment of ectopic pregnancy. Results: The postoperative pregnancy outcomes of laparoscopic surgery for ectopic pregnancy were significantly better than those for laparotomy [OR = 1.64, 95%, CI (1.17, 2.30, P <0.01]. Conclusion: Laparoscopic surgery compared with the traditional open surgery, the former has a higher intrauterine pregnancy rate.