Caesarean Scar Pregnancy, Ultrasound Scoring System
Conditions
Brief summary
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.
Interventions
ultrasound-guided/hysteroscopic curettage
laparoscopic removal of the pregnancy lesion
Sponsors
Study design
Eligibility
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative blood loss | during surgery | The patient's blood loss during surgery. Check the blood volume in ml of the aspirator reservoir. |
| length of hospital stay | Within 1 week | Number of days the patient was hospitalized. Discharge assessment: vital signs stable, no abdominal pain, no active bleeding. |
| serum β-HCG levels | Within 2 weeks after the operation | The time taken for serum β-HCG levels to return to normal |
Countries
China