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目的：观察腹腔镜子宫动脉阻断联合B超监测下清宫治疗剖宫产术后子宫瘢痕妊娠的临床效果。方法将2010年1月~2015年7月在南海妇幼保健院妇科住院的瘢痕妊娠患者30例随机分为两组，观察组行腹腔镜子宫动脉阻断联合B超监测下清宫，对照组行药物流产联合B超监测下清宫术。结果观察组患者治愈率100豫，对照组患者治愈率53.3豫，两组出血量、术后血β-HCG定量恢复正常时间、术后阴道流血时间等比较差异均有显著性（<0.05）。结论腹腔镜子宫动脉阻断联合B超监测下清宫治疗子宫瘢痕妊娠疗效确切，值得临床推广应用。“,”Objective To observe the clinical efficacy of laparoscopic uterine arteries ligation combined with curettage guided by ultrasonography in treatment of cesarean scar pregnancy(CSP). Methods Thirty cases with CSP hospitalized in gynecology department of our hospital from January 2010 to July 2015 were randomly divided into 2 groups. Patients in observation group were treated with laparoscopic uterine arteries ligation combined with curettage guided by ultrasonography. Patients in control group were treated with drug induced abortion combined with curettage guided by ultrasonography.Results The observation group had a curative rate of 100%, while the curative rate was 53.3% in the control group. The amount of bleeding,the time of HCG quantitative clearance, and the time of vaginal bleeding postoperation were significantly different between the two groups(< 0.05 ).Conclusion Application of laparoscopic uterine arteries ligation combined with curettage guided by ultrasonography is effective in treatment of CSP.