Table 4 Comprehensive analysis of misdiagnosed cesarean scar pregnancy patients
From: Systematic evaluation of the efficacy of treatments for cesarean scar pregnancy
Factor | Correct diagnosis group | Misdiagnosis group | p value |
|---|---|---|---|
Number of patients | 780 | 126 | Â |
Type |  |  | < 0.001 |
 Type Ia | 142 (18.2%) | 6 (4.8%) |  |
 Type IIa | 462 (59.2%) | 32 (25.4%) |  |
Number of artificial abortions, median (IQR) | 2.0 (1.0, 3.0) | 2.0 (1.0, 3.0) | 0.054 |
Number of cesarean sections, median (IQR) | 1.0 (1.0, 2.0) | 1.0 (1.0, 2.0) | 0.51 |
Interval from last CS (years), median (IQR) | 5.0 (3.0, 8.0) | 5.0 (3.0, 8.0) | 0.95 |
Gestational age (days), median (IQR) | 49.0 (43.0, 58.0) | 58.5 (49.0, 74.5) | < 0.001 |
Diameter of GS (cm), median (IQR) | 2.9 (2.0, 4.1) | 4.3 (3.2, 5.6) | < 0.001 |
GS width (cm), median (IQR) | 1.5 (1.0, 2.4) | 3.3 (2.1, 4.7) | < 0.001 |
GS area (cm2), median (IQR) | 4.5 (2.2, 9.4) | 14.9 (6.8, 25.2) | < 0.001 |
Remnant myometrial thickness (cm), median (IQR) | 0.3 (0.2, 0.4) | 0.1 (0.0, 0.2) | < 0.001 |
Color Doppler signal | 502 (64.4%) | 101 (80.2%) | < 0.001 |
Fetal heartbeat | 358 (45.9%) | 16 (12.7%) | < 0.001 |
Vaginal bleeding | 522 (66.9%) | 113 (89.7%) | < 0.001 |
Abdominal pain | 221 (28.3%) | 33 (26.2%) | 0.62 |
Preoperative hemoglobin, median (IQR) | 124.0 (116.0, 131.0) | 110.0 (93.0, 119.0) | < 0.001 |
Preoperative HCG (mIU/ml), median (IQR) | 35236.5 (11620.0, 71043.5) | 2702.0 (407.4, 18631.0) | < 0.001 |
Treatments methods |  |  | < 0.001 |
 D&E with ultrasonographic guidance | 239 (38.3%) | 12 (11.3%) |  |
 Hysteroscopy | 187 (30.0%) | 11 (10.4%) |  |
 D&E with laparoscopic guidance | 37 (5.9%) | 8 (7.5%) |  |
 Laparoscopy | 63 (10.1%) | 28 (26.4%) |  |
 Laparotomy | 98 (15.7%) | 47 (44.3%) |  |
Liver damage | 18 (2.3%) | 5 (4.0%) | 0.27 |
Residual tissue | 30 (3.8%) | 14 (11.1%) | < 0.001 |
Reoperation | 27 (3.5%) | 38 (30.2%) | < 0.001 |
Intraoperative blood loss (ml), median (IQR) | 50.0 (30.0, 100.0) | 100.0 (50.0, 200.0) | < 0.001 |
First hemoglobin after operation, median (IQR) | 109.0 (98.0, 117.0) | 96.0 (86.0, 106.0) | < 0.001 |
First HCG level after operation, median (IQR) | 3097.0 (1018.0, 6978.0) | 414.4 (39.0, 2000.2) | < 0.001 |
Hemoglobin decline, median (IQR) | -11.4 (-17.8, -6.3) | -12.0 (-18.6, -5.7) | 0.63 |
hCG decline, median (IQR) | -90.7 (-93.9, -84.8) | -91.7 (-94.5, -80.1) | 0.73 |
Total hospital stay (d), median (IQR) | 8.0 (7.0, 11.0) | 10.0 (8.0, 12.5) | < 0.001 |
Hospital stay after operation (d), median (IQR) | 5.0 (4.0, 7.0) | 7.0 (6.0, 8.0) | < 0.001 |
Pain | 5 (0.6%) | 2 (1.6%) | 0.26 |
Transfusion | 46 (5.9%) | 30 (23.8%) | < 0.001 |