目的分析瘢痕子宫再次妊娠选择阴道试产的可行性及安全性。方法 210例瘢痕子宫再次妊娠患者,阴道试产89例(阴道试产组),剖宫产121例(剖宫产组),对其分娩方式进行分析。结果阴道试产组试产成功率为88.8%。剖宫产组剖宫产率57.6%。阴道试产组的产妇产后24 h出血量(138.2±79.7)ml、住院时间(2.5±2.2)d优于剖宫产组的(305.1±98.5)ml和(5.9±1.5)d,比较差异有统计学意义(P<0.05),Apgar评分组间比较差异无统计学意义(P>0.05)。结论瘢痕子宫再次妊娠的孕妇在一定条件下实施阴道分娩具有可行性,安全性较高,值得临床推广。 Objective To analyze the feasibility and safety of vaginal trial of pregnancy after scar pregnancy. Methods Totally 210 pregnant women with scarred uterus were included in this study. 89 vaginal samples (vaginal trial group), 121 cesarean section (cesarean section group) and their delivery mode were analyzed. Results The trial success rate of vaginal trial group was 88.8%. Cesarean section cesarean section rate of 57.6%. The amount of bleeding in the vaginal trial group was (138.2 ± 79.7) ml and the duration of hospitalization (2.5 ± 2.2) days was (305.1 ± 98.5) ml and (5.9 ± 1.5) days in the cesarean section group, respectively, with a difference of 24 h Statistical significance (P <0.05), Apgar score was no significant difference between groups (P> 0.05). Conclusion pregnant women with uterine scar pregnancy again under certain conditions, vaginal delivery is feasible and safe, it is worth clinical promotion.