Obective: To analyze the risk factors of postoperative recurrence of cervical cancer, and to investigate the predictive value of serum squamous cell carcinoma antigen (SCC-Ag) level and high-risk human papillomavirus (HR-HPV) infection for postoperative recurrence of cervical cancer. Methods: 300 cases of cervical cancer in our hospital from January 2010 to December 2017 were analyzed retrospectively. Clinical data was collected, and all patients were followed up for 2 years. The expression of SCC-Ag and the infection status of HR-HPV were tested regularly, and patients were divided into the recurrence group and the non-recurrence group according to the recurrence situation. Univariate and multivariate Logistic regression analysis was used to analyze the risk factors of postoperative recurrence of cervical cancer, and taking pathological diagnosis as the gold standard, the predictive value of SCC-Ag and HR-HPV for postoperative recurrence of cervical cancer were analyzed. Results: During the follow-up period, 12 patients were lost to follow-up and 288 of the 300 patients were followed up, 40 cases recurred, 248 cases did not recurred. Univariate analysis showed that postoperative recurrence of cervical cancer was related to tumor diameter, differentiation degree, tumor stromal infiltration, clinical stage, Lymph node metastasis, SCC-Ag positive expression, HR-HPV persistent infection (P<0.05). However, it was not associated with age of onset, Body mass index (BMI), smoking history, sexual behavior start age, family history of cervical cancer, pathological type, postoperative radiotherapy and chemotherapy (P>0.05). Multivariate logistic regression analysis showed that low differentiation, deep myometrial invasion, clinical stage IIA1-IIA2, lymph node metastasis, SCC-Ag positive, HR-HPV positive were the risk factors of postoperative recurrence of cervical cancer (P<0.05). The sensitivity, specificity, positive predictive value and negative predictive value of SCC-Ag combined with HR-HPV were 92.50%, 87.50%, 54.41%, 98.64% respectively. Conclusion: Poor differentiation, deep myometrial invasion, clinical stage IIA1-IIA2, lymph node metastasis, SCC-Ag positive and HR-HPV positive are the risk factors of postoperative recurrence of cervical cancer. The SCC-Ag combined with HR-HPV has a certain value in predicting postoperative recurrence of cervical cancer, which is worthy of clinical attention. [ABSTRACT FROM AUTHOR]