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目的：对剖宫产瘢痕妊娠病例采用腹腔镜、经阴道手术与开腹手术三种手术方式的临床疗效进行评价。方法：回顾性分析四川省什邡市妇幼保健院2008年9月至2014年9月采用手术治疗的剖宫产瘢痕妊娠58例患者的临床资料，其中腹腔镜手术17例，经阴道手术20例，开腹手术21例。对不同手术方式术中及术后情况进行比较。结果：腹腔镜组和经阴道手术术后肛门排气时间短于开腹组(P<0.05)，术中出血量少于开腹组(P<0.05)，术后住院时间明显短于开腹组(P0.05)。结论：腹腔镜及经阴道手术治疗剖宫产瘢痕妊娠可以使患者创伤少、痛苦小、住院时间短，建议推广。“,”Objective For the cesarean scar pregnancy cases, evaluate the clinical effect of three kinds of operation method: vaginal surgery, laparoscopic surgery and laparotomy.MethodsWere retrospectively analyzed the clinical data of 58 patients with cesarean scar pregnancy, they were treated by operation in Shifang maternal and child health care from September 2008 to September 2014. Ameng them, 17 cases of laparoscopic surgery, 20 cases of vaginal surgery, 21 cases laparotomy . To comparison the Intraoperative and postoperative situation.Results Postoperative anal exhaust time, the laparoscopic group and transvaginal group is shorter than laparotomy group (P < 0.05). Intraoperative blood loss, less than laparotomy group (P< 0.05). Postoperative hospital stay, obviously shorter than laparotomy group (P 0.05).ConclusionThe laparoscopic and transvaginal operation for cesarean scar pregnancy can make patients less trauma, less pain, shorter hospital stay, the proposed promotion.