摘要
目的 探究子宫输卵管超声造影中造影剂逆流的影响因素,以提高临床诊断检查的有效性.方法 选取 192 例行子宫输卵管超声造影的不孕症患者作为研究对象,依照造影剂是否逆流将患者分为逆流组(38 例)和无逆流组(154 例).对两组患者的基本资料(年龄、不孕年限、宫腔手术史等)、检查资料(输卵管通畅程度、内膜厚度、子宫位置、造影时机)进行单因素及Logistic多因素分析.结果 两组年龄、不孕年限、子宫位置比较无统计学差异(P>0.05);两组宫腔手术史、输卵管通畅程度、内膜厚度和造影时机比较有显著性统计学差异(P<0.05).经Logistic多因素分析得出,宫腔手术史、输卵管通畅程度、内膜厚度和造影时机是子宫输卵管超声造影中造影剂逆流的影响因素(OR=4.664、4.613、4.538、4.119,P<0.05).结论 在子宫输卵管超声造影中,宫腔手术史、输卵管通畅程度、内膜厚度和造影时机是子宫输卵管超声造影中造影剂逆流的影响因素,应强化造影时机等把握,降低造影剂逆流的发生率.
Abstract
Objective To explore the relevant influencing factors of contrast agent reflux in hysterosalpingo-contrast sonography,so as to improve the effectiveness of clinical diagnostic tests.Methods 192 infertile patients who underwent hysterosalpingo-contrast sonography were selected as the study subjects.The patients were divided into a reflux group(38 cases)and a non-reflux group(154 cases)according to whether the contrast agent was refluxing or not.Univariate and Logistic analysis were performed on the basic data(age,infertility duration,history of uterine surgery,etc.)and examination data(patency of fallopian tube,endometrial thickness,uterine position,angiography time)of the two groups.Results There were no significant differences in age,infertility duration and uterine position between the two groups(P>0.05).There was a statistically significant difference between the two groups in terms of history of uterine surgery,degree of tubal patency,intima-media thickness and timing of angiography(P<0.05).There were statistically significant differences in the history of uterine surgery,patency of fallopian tube,endometrial thickness and the timing of angiography between the two groups(P<0.05).Logistic analysis showed that the history of uterine surgery,patency of fallopian tube,endometrial thickness and the timing of angiography were the factors affecting contrast agent reflux in hysterosalpingo-contrast sonography(OR=4.664,4.613,4.538,4.119;P<0.05).Conclusion In hysterosalpingo-contrast sonography,the history of uterine surgery,patency of fallopian tube,endometrial thickness,and timing of angiography are influencing factors for contrast agent reflux.It is necessary to strengthen the timing of angiography and reduce the incidence of contrast agent reflux.
维普
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