Objective Analysis of Caesarean Scar Pregnancy

Completed

• Conditions: Caesarean Scar Pregnancy; Ultrasound Scoring System
• Interventions: Procedure: ultrasound-guided/hysteroscopic curettage

• Registration Number: NCT06276790
• Lead Sponsor: Chengde Central Hospital

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2019-01-18
• Primary Completion: 2022-12-23
• Study Completion: 2022-12-25
• Study First Submitted: 2024-01-25
• Status Verified: 2024-02
• Study First Submitted QC: 2024-02-17
• Last Update Submitted: 2024-02-17
• Study First Posted: 2024-02-26
• Last Update Posted: 2024-02-26

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 117

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
low-risk group	ultrasound-guided/hysteroscopic curettage	-

Primary Outcome Measures

Name	Time	Method
intraoperative blood loss	during surgery	The patient's blood loss during surgery. Check the blood volume in ml of the aspirator reservoir.
serum β-HCG levels	Within 2 weeks after the operation	The time taken for serum β-HCG levels to return to normal
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.

Trial Locations

Locations (1)

Chengde Central Hospital; 🇨🇳 Chengde, China