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目的 分析不同切口位置对瘢痕子宫再次剖宫产患者手术效果的影响.方法 选择66例瘢痕子宫再次剖宫产患者,根据切口位置的不同将其分为参照组与实验组,参照组纳入的33例患者于瘢痕下组织2 cm为手术切口部位,实验组纳入的33例患者于瘢痕上组织2 cm为手术切口部位,分析比较两组瘢痕子宫再次剖宫产患者经不同治疗后的术中出血量、手术时间、产后出血情况.结果 实验组瘢痕子宫再次剖宫产患者经对症治疗后术中出血量为 (200.32±33.21) ml、手术时间为 (35.54±8.57) min、产后出血发生率为3.03％,与参照组比较差异均有统计学意义 (P＜0.05).结论 将瘢痕上组织2 cm的手术切口位置应用于瘢痕子宫再次剖宫产患者疗效较为显著,可降低产后出血发生率,提高手术成功率.“,”Objective To investigate the effects different of incision position in patients with secondary cesarean section after uterine cicatricial uterus. Methods A total of 66 patients with uterine cicatricial uterus were divided into the reference group and the experimental group according to the different position of the incision, with 33 cases in each group. The patients in the reference group were performed operation at 2 cm of the tissue under the scar, and the patients in the experimental group were performed operation at 2 cm of the tissue above the scar. The bleeding volume, operative time and postpartum hemorrhage after different treatments were compared between the two groups. Results The amount of bleeding in the cesarean section of the scar uterus was (200. 32 ± 33. 21) ml, the operative time was (35. 54 ± 8. 57) min, and the incidence of postpartum hemorrhage was 3. 03％ of the patients in the experimental group, the differences were significant compared with the reference group (P ＜0. 05) . Conclusions The incision location at 2 cm of the tissue above the scar in incision is effective in patients with secondary cesarean section after uterine cicatricial uterus, which can reduce the incidence of postpartum hemorrhage and improve the success rate of the operation.