Objective:To explore and compare the therapeutic effect of hysteroscopic cesarean scar pregnancy and transvaginal scar pregnancy.Methods: 63 cases of uterine scar pregnancy patients were divided into treatment group (32 cases) and control group (31 cases) depend on the different surgical methods. The difference of operation time, intraoperative blood loss, HCG descent, postoperative hospital stay and postoperative recovery situation were compared. Results: 32 cases of hysteroscopic surgery patients were successful in one-time operation, no serious complications. Every indicator of hysteroscopic surgery group, such as operation time, intraoperative blood loss, postoperative hospital stay and postoperative blood HCG decline situation, was better than the vaginal surgery group (t=6.743, t=4.329,t=2.482,t=2.181;P<0.05).Conclusion: Hysteroscopy surgery is an important method for minimally invasive treatment of cesarean scar pregnancy, and different individual treatment program should be adopted to treat different cases of CSP and objective in clinical practice.%目的：探讨宫腔镜下剖宫产瘢痕妊娠(CSP)与经阴道术下瘢痕妊娠的治疗效果。方法：选取63例子宫瘢痕妊娠患者，根据手术方式的不同，将其分为宫腔镜手术组(32例)和阴式手术组(31例)，比较两组患者手术时间、术中出血量、血人绒毛膜促性腺激素(HCG)下降情况、术后住院天数及术后恢复情况等异同。结果：宫腔镜手术组的32例患者行宫腔镜手术均一次性成功，未出现严重并发症，其手术时间、术中出血量、术后住院天数以及术后血HCG下降值的4项指标均优于阴式手术组，两组比较差异有统计学意义(t=6.743，t=4.329，t=2.482，t=2.181；P＜0.05)。结论：宫腔镜手术是微创治疗CSP的重要手段，临床应针对不同情况的CSP和治疗目的采用不同的个体化治疗方案。
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