目的讨论瘢痕子宫再次妊娠的分娩方式的选择。方法回顾性分析剖宫产术后再次妊娠的155例孕产妇的临床资料。结果 155例瘢痕子宫中,112例再次行剖宫产术,43例经阴道试产,7例中途改为剖宫产,36例试产成功,阴道试产成功率83.72%。结论瘢痕子宫不是剖宫产手术的绝对指征,对于符合阴道试产条件着,可严密监护下试产。 Objective To discuss the choice of delivery mode of scar pregnancy again. Methods The clinical data of 155 pregnant women who were re-pregnant after cesarean section were retrospectively analyzed. Results Among the 155 cases of scarring uterus, 112 cases underwent cesarean section again, 43 cases were vaginal trial, 7 cases were changed to cesarean section, 36 cases were successful trial, and the success rate of vaginal trial was 83.72%. Conclusion The scar uterus is not an absolute indication of cesarean section surgery. For the trial of vaginal trial production, trial production can be closely monitored.