经阴道四维输卵管超声造影图像质量的影响因素分析

郭金淼; 张郦; 陈淑霞; 胡寅峰

doi:10.16766/j.cnki.issn.1674-4152.002334

经阴道四维输卵管超声造影图像质量的影响因素分析

doi: 10.16766/j.cnki.issn.1674-4152.002334

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

基金项目:

浙江省医药卫生科技计划项目 2020KY829

详细信息

通讯作者:
郭金淼，E-mail：axg126@yeah.net

中图分类号: R445.1 R711.76
计量
- 文章访问数: 307
- HTML全文浏览量: 176
- PDF下载量: 4
- 被引次数: 0
出版历程
- 收稿日期: 2021-04-25
- 网络出版日期: 2022-03-04

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

1.
Department of Ultrasound, Ningbo Fenghua District People's Hospital, Ningbo, Zhejiang 315500, China

摘要

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。
- 四维输卵管超声造影 /
- 造影质量 /
- 影响因素
Abstract: 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.
- Four-dimensional contrast-enhanced tubal ultrasound /
- Contrast quality /
- Influencing factors

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图 1 四维输卵管超声造影优秀质量图片

注：箭头所指为显影明显。

下载: 全尺寸图片幻灯片

图 2 四维输卵管超声造影一般质量图片

注：箭头所指为显影不明显。

下载: 全尺寸图片幻灯片

表 1 2组输卵管造影患者一般资料比较

项目	优秀质量(n=42)	一般质量(n=12)	统计量	P值
年龄(x±s，岁)	33.07±3.42	32.33±2.84	0.683^a	0.498
不孕病程(x±s，年)	2.31±0.56	2.58±0.52	-1.513^a	0.136
不孕类型[例(%)]
继发性	12(28.6)	9(75.0)	6.625^b	0.010
原发性	30(71.4)	3(25.0)
流产史[例(%)]
有	31(73.8)	8(66.7)	0.015^b	0.903
无	11(26.2)	4(33.3)
输卵管手术史[例(%)]
有	8(19.0)	9(75.0)	11.076^b	＜0.001
无	34(81.0)	3(25.0)
子宫手术史[例(%)]
有	5(11.9)	8(66.7)	12.463^b	＜0.001
无	37(88.1)	4(33.3)
子宫位置[例(%)]
前位	26(61.9)	7(58.3)	0.491^b	0.782
中位	4(9.5)	2(16.7)
后位	12(28.6)	3(25.0)
卵巢紧贴子宫[例(%)]
是	34(19.0)	9(75.0)	0.002^b	0.964
否	8(81.0)	3(25.0)
注：^a为t值，^b为χ²值。

下载: 导出CSV

表 2 2组输卵管造影患者超声相关操作比较(x±s)

组别	例数	球囊大小(mm)	造影剂注射量(mL)	生理盐水用量(mL)
优秀质量	42	2.23±0.18	13.62±2.18	5.39±0.24
一般质量	12	2.56±0.12	13.42±1.50	5.31±0.23
t值		-5.962	0.301	1.027
P值		＜0.001	0.764	0.309

下载: 导出CSV

表 3 影响造影影像质量相关因素赋值情况

项目	赋值方法
影像质量	优秀质量＝0, 一般质量＝1
原发性不孕	无＝0, 有＝1
球囊大小	连续变量，以实际值赋值
子宫手术史	无＝0, 有＝1
输卵管手术史	无＝0, 有＝1

下载: 导出CSV

表 4 影响造影影像质量的多因素logistic回归分析

项目	B	SE	Wald χ²	P值	OR(95%CI)
原发性不孕	-1.538	1.885	0.666	0.414	0.215(0.005~8.638)
球囊大小	11.932	5.227	5.212	0.002	15.211(5.412~42.755)
子宫手术史	2.123	1.210	3.078	0.017	8.353(1.780~89.452)
输卵管手术史	2.025	1.502	1.817	0.049	7.575(1.399~143.836)

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