摘要：目的 了解剖宫产瘢痕部位妊娠的临床特点，探讨其诊断和治疗方法及效果。方法 回顾性分析22例剖宫产瘢痕部位妊娠的临床表现和诊断治疗方法。结果 19例经甲氨喋呤治疗后行清宫术，2例经甲氨喋呤治疗后采用子宫瘢痕部位病灶切除及子宫修补术，1例直接采用子宫瘢痕部位病灶切除及子宫修补术，22例均治愈。结论 有剖宫产史的妇女再次妊娠时应警惕CSP，超声检查是早期发现、诊断、监测剖宫产瘢痕部位妊娠的重要手段，甲氨喋呤治疗加适时清宫术可作为治疗CSP的主要手段。

    关键词：剖宫产瘢痕部位妊娠；甲氨喋呤；清宫术

    Abstract：Objective To investigate the clinical characteristics of caesarean scar pregnancy(CSP)，and explore its diagnosis and efficiency of treatment.Methods The clinical characteristics，diagnosis，and treatment of 22 cases with CSP were analyzed retrospectively.Results Nineteen patients were performed curettage after being treated with Methotrexatum ......