ArticleInternational journal of general medicine2024
Clinical Application of a New Cesarean Scar Pregnancy Classification and Evaluation System and a Risk Scoring System.
Article in International journal of general medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 6 citations in OpenAlex.
- Cesarean Scar Pregnancy and Subsequent Obstetric Outcomes: Focus on Postpartum Hemorrhage and Predictive Factors.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Contrast-enhanced ultrasonography: a potential way for diagnosing cesarean scar pregnancy.Quantitative imaging in medicine and surgery · 2026Article
- Cesarean Scar Ectopic Pregnancy: A Retrospective Study of Ultrasound-Guided Suction Evacuation From Saudi Arabia.Cureus · 2025Article
- Clinical study of two reversible arterial blockade methods in the treatment of scar pregnancy under combined hysterolaparoscopy.American journal of translational research · 2024Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: Cesarean scar pregnancy (CSP) is an uncommon form of ectopic pregnancy that carries the risk of severe bleeding. To date, there has not been a universally accepted classification and treatment strategy. We performed this study to establish a risk scoring system and new CSP classification system for CSP and evaluate its efficacy. Methods: A total of five groups were generated based on different methods of treatment, and the factors that increase the risk of intraoperative bleeding were examined in our center from 2013 to 2018. The construction of a risk scoring system in this study was based on the use of the chi-square test and multivariate logistic regression analysis. To determine the appropriate cutoff scores, receiver operating characteristic (ROC) curves and the area under the curve (AUC) were generated. Results: We identified the main high-risk factors for excessive intraoperative hemorrhage during CSP surgery through univariate and multivariate analyses. Within this investigation, the risk factors included gestational sac location and gestational sac diameter. Through analysis, an optimal cutoff score of 3 was determined, and the area under the ROC curve was calculated to be 0.8113 (95% CI=0.7696-0.8531). A score ranging from 0-3 was classified as low risk, while a score ranging from 5-7 was classified as high risk. Additionally, a new classification system for CSP has been established based on sonographic parameters. We also established a diagnostic and treatment process for CSP patients according to the risk scoring method and new CSP classification. Conclusion: We identified the high-risk factors associated with bleeding during CSP surgery and developed a scoring system incorporating these factors. The utilization of this novel CSP typing method, in conjunction with the risk scoring system, can effectively inform doctors in their decision-making process concerning treatment strategies for patients with CSP.
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