Objective Analysis of Caesarean Scar Pregnancy

Chengde Central Hospital

Status: Completed

Conditions: Caesarean Scar Pregnancy; Ultrasound Scoring System

Treatments: Procedure: ultrasound-guided/hysteroscopic curettage; Procedure: Procedure/Surgery: laparoscopic removal of the pregnancy lesion

Study type: Observational

Funder types: Other

Identifiers

NCT06276790

ChengdeCentralHospital

Details and patient eligibility

About

This study uses a systematic scoring method combined with clinical and ultrasound data to comprehensively evaluate patient conditions and explore the guiding value of the ultrasound quantitative scoring system for selecting the surgical approach for caesarean scar pregnancy.

Enrollment: 117 patients

Sex: Female

Ages: 20+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• history of at least one previous caesarean section
• symptoms suggestive of caesarean scar pregnancy, such as unexplained abnormal vaginal bleeding, abdominal pain, cervical pain or abnormal uterine activity during pregnancy
• amenorrhea ≤84 days
• ultrasound examination suggesting a single gestational sac with intact morphology
• stable maternal vital signs

Exclusion criteria

• mass-type caesarean scar pregnancy
• previous medication or surgical treatment before ultrasound examination
• haemodynamically unstable patients
• patients with surgical contraindications
• incomplete or lost follow-up clinical data
• patients with severe medical conditions such as hypertension, diabetes, hyperthyroidism and haemophilia

Trial design

117 participants in 2 patient groups

low-risk group

Treatment:

Procedure: ultrasound-guided/hysteroscopic curettage

high-risk group

Treatment:

Procedure: Procedure/Surgery: laparoscopic removal of the pregnancy lesion