探讨剖宫产子宫瘢痕妊娠（CSP）的保留生育功能治疗方法的选择。对2000—2014年第二军医大学附属长海医院收治的46例CSP患者临床资料进行回顾性分析。孕早期45例，孕中期1例，13例（28.9 %）早孕患者早期误诊而行负压吸引术或药流+清宫术。其余32例，根据CSP临床分型标准，Ⅰ型19例，Ⅱ型13例，全部病例均成功保留子宫，63.1 %Ⅰ型CSP采用B超监护下清宫，21.0 %Ⅰ型CSP采用子宫动脉栓塞（UAE）+B超监护下清宫；84.6 %Ⅱ型CSP采用病灶切除+疤痕修补。1例中孕16+周外院引产发生产后大出血，UAE 30天后下肢血栓坏死转我院治疗，期间再次阴道大出血，手术探查证实为CSP，行病灶切除+瘢痕修补术。CSP治疗原则是早期诊断，及早处理，根据CSP临床分型、β-HCG等情况，选择个体化治疗是关键。临床上对CSP要保持高度警惕，尽早诊断，保留生育功能治疗是完全可行的。此外，UAE后仍存在一定风险，选择UAE要谨慎。

To investigate the treatment methods of retaining reproductive function in cesarean scar pregnancy. Clinical datus of 46 casesSin our hospital during 2000―2014Swere analyzed retrospectively.SThere were 45 cases of first-trimesterSpregnancy andS1 case of second-trimester pregnancy. 13 casesS(28.9 %)Sof first-trimesteSpregnancy were misdiagnosed and had received artificial abortion before hospitalization. According to CSP classificationS,S19Scases were type I,S13 cases were Stype II,Sall cases wereSsuccessful inSretaining the uterus. 63.1 % of type IScases receivedSuterine curettage under ultrasoundSmonitoring,S21%Sof type I casesSreceivedSuterineScurettageSafter uterine artery embolizationS(UAE)S. 84.6 %Sof type IIScases received surgery in which lesion were resected and uterine scar were repaired. The csp patient of second-trimester pregnancy suffered from thrombosis of lower extremity and rebleeding 30 days after UAE, she received the surgery of resecting lesion. Conclusion: STheSkeySforStheSconservativeStreatmentSSofS CSPSSis early diagnosis and early treatment. TreatmentSshouldSbeSindividualizedSaccording to CSP clinicSclassification ,β-HCG and so on.Furthermore, there are still someSrisk of UAE.WeSshould be careful to select UAESfor patients.