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Objective Analysis of Caesarean Scar Pregnancy

The Predictive Value of an Ultrasound Quantitative Scoring System for Treatment Method Selection in Patients With Caesarean Scar Pregnancy: A Single-Centre Retrospective Study

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT06276790
Enrollment
117
Registered
2024-02-26
Start date
2019-01-18
Completion date
2022-12-25
Last updated
2024-02-26

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Caesarean Scar Pregnancy, Ultrasound Scoring System

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

PROCEDUREultrasound-guided/hysteroscopic curettage

ultrasound-guided/hysteroscopic curettage

PROCEDUREProcedure/Surgery: laparoscopic removal of the pregnancy lesion

laparoscopic removal of the pregnancy lesion

Sponsors

Chengde Central Hospital
Lead SponsorOTHER_GOV

Study design

Observational model
CASE_CONTROL
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
FEMALE
Age
20 Years to No maximum

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

MeasureTime frameDescription
intraoperative blood lossduring surgeryThe patient's blood loss during surgery. Check the blood volume in ml of the aspirator reservoir.
length of hospital stayWithin 1 weekNumber of days the patient was hospitalized. Discharge assessment: vital signs stable, no abdominal pain, no active bleeding.
serum β-HCG levelsWithin 2 weeks after the operationThe time taken for serum β-HCG levels to return to normal

Countries

China

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026