四维超声子宫输卵管造影术对输卵管性不孕症患者术后妊娠影响  

Effects of 4-dimensional hysterosalpingo-contrast sonography for treating patients with tubal infertility on their natural pregnancy

作　　者：罗琴音[1] 甘丽 黄玉明 黄丽珠 LUO Qinyin;GAN Li;HUANG Yuming;HUANG Lizhu(Baise People's Hospital,Guangxi Zhuang Autonomous Region,533000)

机构地区：[1]广西壮族自治区百色市人民医院,533000

出　　处：《中国计划生育学杂志》2024年第8期1888-1892,共5页Chinese Journal of Family Planning

基　　金：百色市科学研究与技术开发计划课题(20211134)。

摘　　要：目的:探讨输卵管性不孕症患者行四维超声子宫输卵管造影(4D HyCoSy)结果及与术后自然妊娠关系。方法:收集2021年11月-2023年7月于本院生殖中心门诊疑为输卵管性不孕症,行4D-HyCoS检查显示至少有一侧输卵管通畅或双侧输卵管轻度通而不畅、年龄22~40岁并检查后积极备孕患者120例临床资料。收集患者一般临床资料及造影结果,随访患者造影术后6个月内自然妊娠情况并分为自然妊娠组(n=32)以及非自然妊娠组(n=88)。对比两组一般资料、输卵管通畅情况以及自然妊娠情况,采用多因素分析各因素对造影术后自然妊娠的影响。结果:术后6个月累计妊娠32例(26.7%),妊娠组年龄及不孕年限均小于非妊娠组,输卵管通畅度优于非妊娠组;logistic回归分析显示,年龄大、不孕时间长、输卵管通畅性不佳是和4D HyCoSy后6个月内自然妊娠的不利因素(均P<0.05)。结论:4D-HyCoSy技术能够在检查后短期内提升输卵管不孕症女性的自然妊娠几率;患者年龄大、不孕时间长及输卵管通畅度不佳影响4D-HyCoSy检查后自然妊娠。Objective:To investigate the results of 4-dimensional hysterosalpingo-contrast sonography(4D HyCoSy)for treating patients with tubal infertility,and to study the correlation between the treatment of 4D HyCoSy for the patients and their natural pregnancy.Methods:The clinical data of 120 patients aged 22-40 years old who were suspected tubal infertility and were at least one fallopian tube unobstructed or bilateral fallopian tube slightly obstructed from November 2021 to July 2023 were selected in this study.The general clinical data and the imaging data of the patients were collected,and the natural pregnancy of the patients within 6 months after 4D HyCoSy radiography was followed up.These patients were divided into group A(32 patients with natural pregnancy)and group B(88 patients without natural pregnancy)based on the situation of the natural pregnancy of the patients.The general data,the tubal patency status and the natural pregnancy situation of the patients were compared between the two groups.The influence factors of the natural pregnancy of the patients after 4D HyCoSy were analyzed by multivariate analysis.Results:There were 32(26.7%)patients with pregnancy within 6 months after 4D HyCoSy.The age and the infertility duration of the patients in group A were significantly less than those of the patients in group B.The fallopian tube patency of the patients in group A was significantly better than that of the patients in group B.Logistic regression analysis showed that the advanced age,the longer duration of infertility and the poor tubal patency of the patients were the influencing factors of their natural pregnancy within 6 months after 4D HyCoSy(all P<0.05).Conclusion:4D-HyCoSy can improve the natural pregnancy in the short term after4D-HyCoSy of the patients with tubal infertility.The advanced age,the longer duration of infertility and the poor tubal patency of the patients can influence their natural pregnancy after 4D HyCoSy.

关 键 词：输卵管性不孕 四维超声子宫输卵管造影 术后妊娠 影响因素 

分 类 号：R713.7[医药卫生—妇产科学]