biostudies-literatureUnknown22(1)Qu W<h4>Background</h4>The aim of this study was to evaluate the effectiveness and safety of different treatment strategies for endogenic caesarean scar pregnancy (CSP) patients.<h4>Methods</h4>According to Vial's standard, we defined endogenic-type CSP as (1) the gestational sac growing towards the uterine cavity and (2) a greater than 0.3 cm thickness of myometrial tissue at the caesarean scar. A total of 447 endogenic CSP patients out of 527 patients from 4 medical centres in China were enrolled in this study. A total of 120 patients were treated with methotrexate (MTX) followed by surgery, 106 received ultrasound-guided curettage directly and 221 received curettage combined with hysteroscopy. The clinical information and clinical outcomes of these patients were reviewed. Successful treatmeBMC pregnancy and childbirth404https://www.ebi.ac.uk/biostudies/studies/S-EPMC9103451biostudies-literatureComparison of different treatment strategies in the management of endogenic caesarean scar pregnancy: a multicentre retrospective study.PMC9103451Li HJiang JBan YShi WHao YLi RLi NLiu WZhang TZhang YXie JQu WCui BfalseComparison of different treatment strategies in the management of endogenic caesarean scar pregnancy: a multicentre retrospective study.<h4>Background</h4>The aim of this study was to evaluate the effectiveness and safety of different treatment strategies for endogenic caesarean scar pregnancy (CSP) patients.<h4>Methods</h4>According to Vial's standard, we defined endogenic-type CSP as (1) the gestational sac growing towards the uterine cavity and (2) a greater than 0.3 cm thickness of myometrial tissue at the caesarean scar. A total of 447 endogenic CSP patients out of 527 patients from 4 medical centres in China were enrolled in this study. A total of 120 patients were treated with methotrexate (MTX) followed by surgery, 106 received ultrasound-guided curettage directly and 221 received curettage combined with hysteroscopy. The clinical information and clinical outcomes of these patients were reviewed. Successful treatme2022-01-01T00:00:00Z2022 May2025-04-04T20:36:18.149Z2025-04-04T20:36:18.149ZS-EPMC91034513554988610.1186/s12884-022-04633-y