目的探讨剖宫产术后子宫瘢痕妊娠的诊治方法。方法回顾性分析武汉大学人民医院收治的23例CSP患者的临床资料。结果多数患者表现为停经和阴道流血,所有患者均通过-βHCG测定、阴道彩超或术后病理诊断确诊。多数病例经MTX或子宫动脉栓塞术+清宫术治愈;3例单纯MTX治愈,1例行宫腹腔镜病灶切除术治愈,3例经子宫切除术治愈。结论根据患者的临床表现结合妇科检查、血-βHCG水平尤其是阴道彩超作出早期诊断,强调根据患者情况给予个体化治疗,可获得较好的疗效。 Objective To investigate the diagnosis and treatment of uterine scar pregnancy after cesarean section. Methods The clinical data of 23 CSP patients admitted to Wuhan University People’s Hospital were analyzed retrospectively. Results Most of the patients showed menopause and vaginal bleeding. All patients were diagnosed by -βHCG assay, vaginal ultrasound or postoperative pathological diagnosis. The majority of cases were cured by MTX or uterine artery embolization + curettage; 3 cases were treated by MTX alone, 1 case was treated by laparoscopic resection of the hysteroscope, 3 cases were cured by hysterectomy. Conclusion According to the clinical manifestations of patients combined with gynecological examination, blood-βHCG levels, especially the early diagnosis of vaginal ultrasound, emphasizing individualized treatment according to the patient’s condition, can obtain better efficacy.