〔Abstract〕 Objective To study the pregnancy rate and recurrence rate of ectopic pregnancy patients after treatment by laparoscope surgery and traditional laparotomy. Methods Data of ectopic pregnancy patients who received surgical treatment in Jinjiang Maternal and Child Health Hospital from January 2019 to October 2021 were retrospectively selected. According to the surgical method, 49 patients who received traditional laparotomy were included in the laparotomy group, and 49 patients who received laparoscopic surgery were included in the laparoscopic group. The clinical indexes of the two groups were compared, and the changes of serum inflammatory factors in the two groups were observed before and 3 days after surgery, and the incidence of postoperative adverse reactions in the two groups were analyzed. The pregnancy rate and recurrent ectopic pregnancy rate of the two groups were analyzed after 1 year follow-up. Results There was no significant difference in the conversion time of human chorionic gonadotropin (HCG) between the two groups (P > 0.05). Compared with the laparotomy group, the postoperative recovery process in the laparoscopic group was shorter, the levels of serum C-reactive protein (CRP), interleukin (IL)-6 and IL-1β were lower in the laparoscopic group 3 days after operation, the incidence of postoperative complications was lower in the laparoscopic group, and the differences were statistically significant (P < 0.05). One year after surgery, the rate of tubal patency and intrauterine pregnancy in the laparoscopic group were higher, and the differences were statistically significant (P < 0.05). Conclusion Laparoscopic surgery for ectopic pregnancy can improve the long-term fallopian tube patency rate after surgery to obtain a higher postoperative pregnancy rate, but there is no significant difference in the probability of recurrent ectopic pregnancy compare with traditional laparotomy.