笔者对剖宫产瘢痕妊娠1例行经腹子宫瘢痕部位妊娠病灶清除术+修补术,手术成功。认为此种手术方式较其他治疗方法,具有明显优势,特别适合基层医院开展,现报道如下。1病历摘要女,36岁。孕次2次,有1次剖宫产分娩史。本次发病至剖宫产手术已5 a。患者以“停经63 d,阴道不规则出血1周,下腹轻度坠胀不适1 d”为主要表现入院。阴道彩超检查示:子宫下段前壁类似孕囊的混合回声,约4 cm,浆膜层菲薄如纸;测 I cesarean scar pregnancy 1 case of abdominal scar pregnancy site removal of the lesion + repair surgery was successful. That this surgical approach than other treatment methods, has obvious advantages, especially for grass-roots hospitals, are reported below. 1 medical records summary Female, 36 years old. 2 times of pregnancy, there is a history of cesarean delivery. The incidence of caesarean section surgery has 5 a. Patients with “menopause 63 d, vaginal irregular bleeding for 1 week, mild abdominal bulge discomfort 1 d ” as the main performance of admission. Vaginal ultrasound examination showed: similar to the anterior wall of the lower uterine segment hybrid echo of gestational sac, about 4 cm, serosal as thin as paper;