经阴道子宫输卵管四维超声造影过程中发生造影剂逆流的相关因素分析  

Analysis of Related Factors of Contrast Agent Reflux during Transvaginal Hysterosalpingography with Four Dimensional Ultrasound

作　　者：许瑞瑶 XU Ruiyao(Ultrasound Imaging Department,Shenzhen Traditional Chinese Medicine Hospital,Guangdong 518033,China)

机构地区：[1]深圳市中医院超声影像科,广东518033

出　　处：《影像技术》2024年第6期27-31,36,共6页Image Technology

摘　　要：目的:对不孕症患者经阴道子宫输卵管四维超声造影(Transvaginal 4-dimensional Hysterosalpingo-Contrast Sonography,TVS 4D-HyCoSy)过程中出现造影剂逆流的相关因素进行分析。方法:将2019年1月到2020年12月我院收治的186例不孕症患者纳入研究。所有患者均接受TVS 4D-HyCoSy检查,根据检查中是否发生造影剂逆流进行分组,分为逆流组(31例)和正常组(155例)。通过单因素分析两组患者可能引发造影剂逆流的危险因素。再使用多因素logistic回归分析引发造影剂逆流的独立危险因素。结果:单因素分析显示,两组不孕症类型、宫腔手术史、子宫内膜厚薄程度、肌层是否病变、造影时机、输卵管通畅性、造影剂推注压力、造影剂推注量存在显著差异(P<0.05);多因素logistic回归分析结果显示,不孕症类型、造影时机、子宫内膜厚薄程度、输卵管通畅性、肌层是否病变、造影剂推注压力是引发造影剂逆流的独立危险因素(P<0.05)。结论:影响不孕症患者TVS 4D-HyCoSy检查中发生造影剂逆流的因素有不孕症类型、造影时机、子宫内膜厚薄程度、输卵管通畅性、肌层是否病变、造影剂推注压力。Objective:To analyze the related factors of contrast agent reflux during transvaginal four-dimensional hysterosalpingography(TVS 4D HyCoSy)in infertile patients.Methods:186 infertile patients admitted to our hospital from January 2019 to December 2020 were included in the study.All patients underwent TVS 4D HyCoSy examination and were grouped based on whether there was contrast agent reflux during the examination.Patients who experienced contrast agent reflux were included in the reflux group(31 cases),while patients who did not experience reflux were included in the normal group(155 cases).Univariate analysis of potential risk factors for contrast agent reflux in two groups of patients.Further use multiple logistic regression analysis to identify independent risk factors for contrast agent reflux.Results:Single factor analysis showed significant differences(P<0.05)between the two groups in terms of infertility type,history of intrauterine surgery,thickness of endometrium,presence of muscle layer lesions,timing of contrast imaging,patency of fallopian tubes,pressure and amount of contrast agent injection;The results of multiple logistic regression analysis showed that infertility type,timing of contrast imaging,thickness of endometrium,patency of fallopian tubes,presence of muscle layer lesions,and pressure of contrast agent injection were independent risk factors for contrast agent reflux(P<0.05).Conclusion:The factors that affect the occurrence of contrast agent reflux in TVS 4D HyCoSy examination for infertility patients include infertility type,contrast timing,endometrial thickness,fallopian tube patency,muscle layer lesions,and contrast agent injection pressure.

关 键 词：不孕症 经阴道实时四维子宫输卵管超声造影 造影剂逆流 危险因素 

分 类 号：R711.6[医药卫生—妇产科学]