Abstract Objective： To investigate the application effectiveness and safety inquiry of patients with cesarean section scar pregnancy treated with vaginal surgery. Method： 30 cases of patients with cesarean section scar pregnancy were chosen from January 2011 to August 2013 in our hospital to received treatment，and divided into observation group and control group，15 patients in each group. The effects and complications were analyzed.Result： After treatment，analyzed the efficacy of observation group and the control group， the success rate was respectively 93.3% and 66.7%，after a comparative analysis， the difference was statistically significant（ 字2=6.282，P<0.05）.After treatment， analyzed after comparative analysis the amount of bleeding，length of stay and β-hCG in the observation group and the control group of patients，the differences were statistically significant（ P<0.05）.30 cases of CSP patients after treatment， 28
cases of patients were able to complete the preserve fertility. In the followed-up process， the blood β-hCG value of the observation group was able to quickly return to normal； the control group patients after the weekly review， blood β-hCG values in 12 patients 1-5 weeks after discharge can be restored normal. 25 patients were in the 30-40 d menstrual cramps，5 patients were in the 40-60 d menstrual cramps.Conclusion： After vaginal surgery for the treatment of patients with caesarean section scar pregnancy is a more appropriate treatment， but for the patients of vaginal stenosis， cervical difficult to expose， should be based on the actual situation， through the vaginal ultrasound and surgical experience of physicians，to take reasonable treatment programs and provide protection for the rehabilitation of patients.
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