{
    "abstract": "Cesarean scar pregnancy (CSP) is a type of ectopic pregnancy associated with severe complications, including significant hemorrhage, the potential need for hysterectomy, and life-threatening risks. Currently, two classification methods exist for CSP: Vial (type I\nOur study included 906 patients with CSP from January 2013 to December 2018. The chi-squared test and logistic analysis were used to compare the clinical characteristics. The median and interquartile range (IQR) was calculated. We also analyzed whether preoperative application of methotrexate (MTX) could improve surgical outcomes and the relevant characteristics of misdiagnosed CSP patients.\nThere was a significant difference in gestational age, gestational sac diameter, gestational sac width, gestational sac area, remnant myometrial thickness, vaginal bleeding and preoperative hemoglobin levels (p\u2009<\u20090.001) but not in the incidence of residual tissue (p\u2009=\u20090.053). The other factors (intraoperative blood loss, hemoglobin decline, first hemoglobin after operation, total hospital stay, hospital stay after operation, transfusion and duration of catheter drain) were significantly different (p\u2009<\u20090.001). For type I\nFor type I CSP patients, D&E under ultrasound or D&E under hysteroscopy should be recommended. For type III",
    "authors": [
        {
            "affiliation": "Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Anv. Wuhan, Wuhan, Hubei, 430030, P.R. China.",
            "firstname": "Haiying",
            "initials": "H",
            "lastname": "Sun"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, P.R. China.",
            "firstname": "Juan",
            "initials": "J",
            "lastname": "Wang"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Anv. Wuhan, Wuhan, Hubei, 430030, P.R. China.",
            "firstname": "Peiying",
            "initials": "P",
            "lastname": "Fu"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Anv. Wuhan, Wuhan, Hubei, 430030, P.R. China.",
            "firstname": "Ting",
            "initials": "T",
            "lastname": "Zhou"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Anv. Wuhan, Wuhan, Hubei, 430030, P.R. China. Liuzhu38@126.com.",
            "firstname": "Ronghua",
            "initials": "R",
            "lastname": "Liu"
        }
    ],
    "conclusions": "For type I CSP patients, D&E under ultrasound or D&E under hysteroscopy should be recommended. For type III",
    "copyrights": "\u00a9 2024. The Author(s).",
    "doi": "10.1186/s12958-024-01256-0\n10.1080/14767058.2021.1897564\n10.1097/GCO.0000000000000808\n10.1007/s00404-016-4069-y\n10.1016/S0140-6736(14)60716-9\n10.7863/jum.2011.30.9.1179\n10.1080/14767058.2022.2162818\n10.1016/j.jmig.2022.11.015\n10.1016/j.jmig.2023.02.021\n10.1007/s00404-020-05906-7\n10.1046/j.1469-0705.2000.00300-2.x\n10.1111/jog.14226\n10.2147/IJGM.S369884\n10.1016/j.bpobgyn.2023.102353\n10.1016/j.ajog.2022.06.024\n10.1186/s12958-020-00666-0\n10.1016/j.jmig.2015.04.008\n10.1016/j.tjog.2020.01.011\n10.1016/j.ijgo.2016.04.019\n10.1016/j.jmig.2017.02.020\n10.1016/j.fertnstert.2015.12.130\n10.1016/j.jmig.2017.05.019\n10.1007/s00404-022-06498-0\n10.1002/ijgo.14626\n10.3389/fmed.2021.671035\n10.12659/MSM.924076\n10.1186/s12884-020-03213-2",
    "journal": "Reproductive biology and endocrinology : RB&E",
    "keywords": [
        "Cesarean scar pregnancy",
        "Dilatation and curettage",
        "Hysteroscopy",
        "Laparoscopy",
        "Laparotomy"
    ],
    "methods": "Our study included 906 patients with CSP from January 2013 to December 2018. The chi-squared test and logistic analysis were used to compare the clinical characteristics. The median and interquartile range (IQR) was calculated. We also analyzed whether preoperative application of methotrexate (MTX) could improve surgical outcomes and the relevant characteristics of misdiagnosed CSP patients.",
    "publication_date": "2024-07-19",
    "pubmed_id": "39026328\n33730990\n36036475\n27056054\n24766963\n21876087\n36597830\n36442750\n36893898\n33389114\n11169360\n32153107\n36124106\n37329645\n35850938\n33168010\n25889882\n32127144\n27634054\n34721613\n28268103\n26794422\n11004351\n28599886\n35284958\n36511801\n34211987\n32595205\n25371837\n32883223\n37153302",
    "results": "There was a significant difference in gestational age, gestational sac diameter, gestational sac width, gestational sac area, remnant myometrial thickness, vaginal bleeding and preoperative hemoglobin levels (p\u2009<\u20090.001) but not in the incidence of residual tissue (p\u2009=\u20090.053). The other factors (intraoperative blood loss, hemoglobin decline, first hemoglobin after operation, total hospital stay, hospital stay after operation, transfusion and duration of catheter drain) were significantly different (p\u2009<\u20090.001). For type I",
    "title": "Systematic evaluation of the efficacy of treatments for cesarean scar pregnancy.",
    "xml": "<Element 'PubmedArticle' at 0x788504515670>"
}