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目的：探讨剖宫产术后瘢痕子宫妊娠经阴道分娩的可行性,为瘢痕子宫妊娠产妇寻求适宜的分娩方式。方法选取剖宫产后瘢痕子宫妊娠产妇134例,根据产妇分娩方式将其分为两组。对照组产妇采取剖宫产,观察组产妇采取经阴道分娩。对两组产妇产后并发症进行统计,并统计两组产妇出血量、住院时间以及住院费用。结果观察组产妇产褥感染和新生儿窒息发生率分别为0和1.49%,无子宫下段切口愈合不良以及恶露时间过长发生,分娩并发症发生率共为1.49%,对照组为19.40,观察组明显低于对照组；观察组产妇出血量、住院时间、住院费用分别为观察组产妇出血量、住院时间、住院费用分别为(150.37±14.22)ml、(3.87±0.13)d和(4221.18±293.76)元,对照组分别为(350.39±19.67)ml、(5.58±0.41)d和(7855.73±322.08)元,观察组均明显少于对照组。上述比较两组差异有统计学意义(﹤0.05)。结论剖宫产术后瘢痕子宫妊娠者行阴道分娩可以减少并发症的发生,同时可以减少产妇的损伤,产后恢复更快,在对产妇条件进行仔细筛选后,与再次进行剖宫产相比,该方法更为理想。“,”Objective To investigate the cesarean uterine scar pregnancy after viability vaginal childbirth, pregnancy, maternal uterine scar seek appropriate mode of delivery. Methods After selecting cesarean scar pregnancy in maternal 134 cases, according to the maternity fashion will be divided into two groups. The control group mothers take cesarean section, study group mothers take vaginal delivery. Two groups of postpartum complications statistics, and statistics two groups of maternal blood loss, length of hospital stay and hospital costs. Results The maternal and neonatal asphyxia puerperal infection rates were 0 and 1.49%, no lower uterine segment incision healing and prolonged lochia occurs, childbirth complication rate for a total of 1.49%, the control group was 19.40, observation group was significantly lower than the control group; observation group of maternal blood loss, hospital stay, hospital costs were the observation group maternal blood loss, hospital stay, hospital costs were (150.37 ± 14.22) ml, (3.87 ± 0.13) d and (4221.18 ± 293.76) yuan, respectively, in the control group (350.39 ± 19.67) ml, (5.58 ± 0.41) d and (7855.73 ± 322.08) yuan, the observation group were significantly less than the control group. The comparison between the two groups was statistically significant ( <0.05). Conclusion The cesarean uterine scar pregnancy vaginal delivery may reduce the incidence of complications, and can reduce maternal injuries, postpartum recovery faster, after careful screening for maternal conditions, were compared with cesarean again This method is more ideal.