子宫输卵管超声造影中引起造影剂静脉逆流的相关因素研究  

Study on the related factors of contrast agent venous reflux in hysterosalpinx contrast-enhanced ultrasonography

作　　者：卢海霞[1] 王小玲[1] 肖梅 黎粤[1] 陈敏 LU Haixia;WANG Xiaoling;XIAO Mei;LI Yue;CHEN Min(Department of Ultrasound Medicine,Xinyi People′s Hospital,Xinyi 525300,Guangdong,China;Department of Obstetrics and Gynecology,Xinyi People′s Hospital,Xinyi 525300,Guangdong,China)

机构地区：[1]广东省信宜市人民医院超声医学科,广东信宜525300 [2]广东省信宜市人民医院妇产科,广东信宜525300

出　　处：《中国性科学》2021年第1期40-42,共3页Chinese Journal of Human Sexuality

基　　金：茂名市科技项目(2019325)。

摘　　要：目的探讨子宫输卵管超声造影中引起造影剂静脉逆流现象发生的相关因素。方法回顾性分析2018年7月至2019年7月广东省信宜市人民医院接诊并行子宫输卵管超声造影的50例不孕症患者,根据接受造影检查距月经干净的时间分为3~4天组(n=13)、5~6天组(n=21)和7天组(n=16);根据接受造影检查时患者子宫内膜厚度分为≤6mm组(n=11)、7~8mm组(n=22)和≥9mm组(n=17)。比较检查时间与子宫内膜厚度对造影剂静脉逆流的影响。结果5~6天组造影剂逆流率略高于3~4天组、7天组,但差异无统计学意义(χ^(2)=0.024,P=0.877;χ^(2)=0.018,P=0.893);≤6mm组造影剂逆流率高于7~8mm组、≥9mm组(χ^(2)=0.052,P=0.028;χ^(2)=0.053,P=0.042),7~8mm组造影剂逆流率与≥9mm组比较,差异无统计学意义(χ^(2)=1.000,P=0.623)。结论子宫输卵管超声造影剂静脉逆流发生率与子宫内膜厚度具有相关性,建议进行子宫输卵管超声造影时在子宫内膜厚度≥7mm时进行,有助于降低造影剂静脉逆流发生率。Objective To investigate the related factors of venous reflux in hysterosalpinx contrast-enhanced ultrasonography.Methods A total of 50 infertility patients treated with sterility in Xinyi People′s Hospital of Guangdong Province from July 2018 to July 2019 were retrospectively analyzed,and were divided into 3~4 days group(n=13),5~6 days group(n=21)and 7 days group(n=16)according to the time between receiving contrast-enhanced ultrasonography and menstruation.The patients were divided into≤6mm group(n=11),7~8mm group(n=22)and≥9mm group(n=17)according to the endometrial thickness at the time of angiography.The influence of examination time and endometrial thickness on contrast intravenous reflux was compared.Results The reflux rate of the 5~6 day group was slightly higher than that of the 3~4 day group and the 7 days group,but the difference was not statistically significant(χ^(2)=0.024,P=0.877;χ^(2)=0.018,P=0.893);The reflux rate of the≤6mm group was higher than that of the 7~8mm group and the≥9mm group(χ^(2)=0.052,P=0.028;χ^(2)=0.053,P=0.042),there was no statistically significant difference in contrast agent reflux rate between the 7~8mm group and the 9mm group(χ^(2)=1.000,P=0.623).Conclusions The incidence of intrauterine tubal ultrasound contrast agent venous reflux is correlated with endometrial thickness.It is suggested that hysterosalpingography should be performed when the endometrial thickness is greater than≥7mm,which helps to reduce the incidence of contrast intravenous reflux.

关 键 词：子宫输卵管超声造影 造影剂静脉逆流 因素 不孕症 

分 类 号：R711[医药卫生—妇产科学]