目的:探讨剖宫产瘢痕妊娠的诊断和处理。方法:回顾性分析11例剖宫产瘢痕妊娠的临床资料。结果:11例中3例流产术中、术后大出血而行子宫动脉栓塞;8例术前明确诊断,行子宫动脉栓塞联合甲氨蝶呤后再行流产术,出血少;2例清宫不全给予局部甲氨蝶呤治疗,均预后良好。结论:剖宫产瘢痕妊娠临床罕见,发病隐匿,早期易误诊。介入性子宫动脉栓塞联合甲氨蝶呤可有效治疗病情,并避免切除子宫的痛苦,保留生育功能。 Objective: To investigate the diagnosis and treatment of cesarean scar pregnancy. Methods: A retrospective analysis of 11 cases of cesarean scar pregnancy clinical data. Results: Of the 11 cases, 3 cases of abortion occurred after hemorrhage and had uterine artery embolization. Eight cases were diagnosed preoperatively, followed by uterine arterial embolization combined with methotrexate, followed by abortion. There were less bleeding and 2 cases of incomplete cure Local methotrexate treatment, are good prognosis. Conclusion: Cesarean scar pregnancy clinically rare, occult onset, early misdiagnosis. Interventional uterine artery embolization combined with methotrexate can effectively treat the disease, and to avoid the pain of removal of the uterus, to retain reproductive function.