目的:总结并探讨子宫瘢痕妊娠的诊治。方法:收集我院近年收治的36例子宫瘢痕妊娠患者的临床资料,进行回顾性分析。结果:治疗方法包括Foley双腔尿管压迫止血,清宫术,UAE(子宫动脉栓塞)+清宫术,腹腔镜切除瘢痕病灶。36例患者全部治愈。其中8例有大出血,先以Foley管压迫控制出血;24例进行UAE+清宫术治疗,平均出血80.6ml;4例进行清宫术,平均出血量113.2ml;8例进行腹腔镜手术,平均出血量131.2ml,手术时间50分钟。所有患者随访18~24个月,β-HCG均降至正常。结论:子宫瘢痕妊娠首诊误诊率较高,彩超对于该病早期诊断极为关键。UAE后再行清宫术能够显著减少出血,提高安全系数。腹腔镜手术创伤小、出血量少,值得在临床中推广应用。 Objective: To summarize and discuss the diagnosis and treatment of uterine scar pregnancy. Methods: The clinical data of 36 cases of uterine scar pregnancy collected in our hospital in recent years were collected for retrospective analysis. Results: The treatment included Foley double lumen catheter hemostasis, curettage, UAE (uterine artery embolization) and curettage, and laparoscopic resection of scar lesions. All 36 patients were cured. Among them, 8 cases had hemorrhage, and the bleeding was controlled by Foley tube; 24 cases were treated by UAE + curettage, the average bleeding was 80.6ml; in 4 cases, the mean amount of bleeding was 113.2ml; in 8 cases, the average amount of bleeding was 131.2 ml, operation time 50 minutes. All patients were followed up 18 to 24 months, β-HCG were reduced to normal. Conclusion: The first diagnosis of uterine scar pregnancy misdiagnosis rate is high, ultrasonography for the early diagnosis of the disease is extremely critical. UAE after UAE surgery can significantly reduce bleeding, improve safety factor. Laparoscopic surgery trauma, less bleeding, it is worth to promote the clinical application.