子宫输卵管四维超声造影剂逆流发生影响因素的Logistic回归分析

王瑞; 王金萍; 张超学

doi:10.16016/j.1000-5404.201902157

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子宫输卵管四维超声造影剂逆流发生影响因素的Logistic回归分析

临床医学 | 更新时间：2026-01-09

- 子宫输卵管四维超声造影剂逆流发生影响因素的Logistic回归分析
- Influencing factors for contrast agent reflux in four-dimensional hysterosalpingo-contrast sonography: a logistic regression analysis
- 第三军医大学学报 2019年41卷第15期页码：1473-1477
- 作者机构：
- 作者简介：
- 基金信息：
  
  安徽省2018年度重点研究与开放计划项目(1804h08020248)
- DOI：10.16016/j.1000-5404.201902157
  中图分类号：
- 收稿：2019-02-11，
  
  纸质出版：2019-08-15
- 稿件说明：
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王瑞, 王金萍, 张超学. 子宫输卵管四维超声造影剂逆流发生影响因素的Logistic回归分析[J]. 第三军医大学学报, 2019,41(15):1473-1477.

Rui WANG, Jinping WANG, Chaoxue ZHANG. Influencing factors for contrast agent reflux in four-dimensional hysterosalpingo-contrast sonography: a logistic regression analysis[J]. Journal of Third Military Medical University, 2019, 41(15): 1473-1477.
王瑞, 王金萍, 张超学. 子宫输卵管四维超声造影剂逆流发生影响因素的Logistic回归分析[J]. 第三军医大学学报, 2019,41(15):1473-1477. DOI： 10.16016/j.1000-5404.201902157.

Rui WANG, Jinping WANG, Chaoxue ZHANG. Influencing factors for contrast agent reflux in four-dimensional hysterosalpingo-contrast sonography: a logistic regression analysis[J]. Journal of Third Military Medical University, 2019, 41(15): 1473-1477. DOI： 10.16016/j.1000-5404.201902157.

摘要

Abstract

Objective

To investigate the influencing factors of contract agent reflux during four-dimensional hysterosalpingo-contrast sonography.

Methods

A total of 235 infertility women (aged from 22 to 47 years

with an infertility duration of 1 to 13 years) who undertook four-dimensional hysterosalpingo-contrast sonography in the First Affiliated Hospital of Anhui University of Chinese Medicine from January 2017 to December 2018 were enrolled in this study. Retrospective analyses were conducted on the 101 patients who experienced reflux of contract agent during the examination. Ultrasonograms of their reflux were observed

and reasons for that were probed from the following 15 aspects: age

infertility time

tube patency

pain level

uterine position

endometrial thickness

menstruation examination time

infertility type

abortion history

uterine malformation

ectopic pregnancy history

gynecological inflammation

uterine space-occupying lesions

pelvic surgery history

and intrauterine adhesion.

Results

The incidence of contrast reflux was 42.9% in this cohort. Univariate analyses showed that endometrial thickness

history of abortion

menstruation examination time

intrauterine adhesion

type of infertility and tubal patency were associated with occurrence of contract reflux (

0.05). Multivariate logistic r

egression analyses indicated that endometrial thickness

menstruation examination time

type of infertility and tube patency were closely related with the reflux (

=0.036

0.045

0.025

0.004)

and endometrial thickness and menstruation examination time were negatively correlated with the reflux (

=-0.834

-0.802)

while type of infertility and obstruction of fallopian tubes were positively correlated (

=1.122

0.898).

Conclusion

Endometrial thickness < 6 mm

examination 3 to 4 d after menstruation

secondary infertility and tubal occlusion are the main causes of contrast reflux. Therefore

it is advisable to have the examination when the endometrial thickness is ≥6 mm and the menstruation is over for 5 to 7 d. Meanwhile

endometrial damage should be avoided and uterine cavity pressure be reduced as much as possible

which may be beneficial to keep incidence of reflux low.

关键词

Keywords

references

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