经阴道四维输卵管超声造影图像质量的影响因素分析  

Factors affecting the quality of transvaginal four-dimensional contrast-enhanced tubal ultrasound

作　　者：郭金淼 张郦 陈淑霞 胡寅峰[2] GUO Jin-miao;ZHANG Li;CHEN Shu-xia;HU Yin-feng(Department of Ultrasound,Ningbo Fenghua District People's Hospital,Ningbo,Zhejiang 315500,China;不详)

机构地区：[1]宁波市奉化区人民医院超声科,浙江宁波315500 [2]宁波市第一医院超声科,浙江宁波315010

出　　处：《中华全科医学》2022年第2期286-289,共4页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2020KY829)。

摘　　要：目的探究可能影响经阴道四维输卵管超声造影图像质量的相关因素。方法选取2016年6月-2019年12月于宁波市奉化区人民医院超声科检查的54例不孕患者为研究对象,根据影像质量情况将研究对象分为优秀质量组(42例)和一般质量组(12例),记录2组患者临床资料、检查结果及超声相关检查情况,比较2组患者一般资料和行超声检查时相关数据,并进行回归分析。结果比较2组患者的一般资料情况,其中优秀质量组原发性不孕占比高于一般质量组(P=0.010),有输卵管或子宫手术史占比低于一般质量组,组间差异有统计学意义(均P<0.001)。球囊大小的组间差异有统计学意义,一般质量组显著高于优秀质量组(P<0.001)。Logistic多因素分析表明球囊大小[OR=15.211(5.412~42.755),P=0.002)]、子宫手术史[OR=8.353(0.780~89.452),P=0.017]和输卵管手术史[OR=7.575(0.399~143.836),P=0.049]均为影响造影影像质量的影响因素。结论输卵管和子宫手术史会显著影响经阴道四维输卵管超声造影图像质量,在临床操作过程中需要操作者关注患者既往手术史的情况。Objective To explore the related factors which may influence the quality of transvaginal four-dimensional contrast-enhanced tubal ultrasound.Methods Fifty-four patients with infertility in the Ultrasound Department of the People's Hospital of Fenghua District,Ningbo City from June 2016 to December 2019 were selected as participants.According to image quality,the patients were divided into excellent quality group(42 cases)and general quality group(12 cases).The clinical data,examination results and ultrasonic operations of the two groups were recorded.The general data and the relevant data during ultrasound examination of the two groups were compared,and a regression analysis was performed.Results The proportion of primary infertility in the excellent quality group was higher than that in the general quality group(P=0.010).The history of fallopian tubes or the history of uterine surgery was lower than that of the general quality group,and the difference between groups was statistically significant(all P<0.001).Significant differences in balloon size during operation were found between the two groups,with the balloon in the general quality group significantly larger than that in the good quality group(P<0.001).Logistic analysis showed that balloon size[OR=15.211(5.412-42.755),P=0.002],history of uterine surgery[OR=8.353(0.780-89.452),P=0.017]and history of tubal surgery[OR=7.575(0.399-143.836),P=0.049]were influencing factors for image quality.Conclusion The operation history of the fallopian tube and the uterus exerts a significant effect on the image quality of 4D contrast-enhanced ultrasonography of the fallopian tube.

关 键 词：四维输卵管超声造影 造影质量 影响因素 

分 类 号：R445.1[医药卫生—影像医学与核医学] R711.76[医药卫生—诊断学]