经阴道四维子宫输卵管超声造影时造影剂静脉内渗的影响因素
Influence Factors on Contrast Agent Venous Intravasation During Transvaginal 4-Dimensional Hysterosalpingo-Contrast Sonography.
作者信息
Wang Weiqun, Zhou Qiulan, Zhou Xingxing, Chen Zhiyi, Zhang Hui
机构信息
Department of Ultrasound Medicine, Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
出版信息
J Ultrasound Med. 2018 Oct;37(10):2379-2385. doi: 10.1002/jum.14594. Epub 2018 Apr 10.
OBJECTIVES
To explore the risk factors on contrast agent venous intravasation during transvaginal 4-dimensional hysterosalpingo-contrast sonography (TVS 4D-HyCoSy).
METHODS
The TVS 4D-HyCoSy imaging data were collected from 276 female infertile patients. The correlation between endometrial thickness, days after menstruation, intrauterine intervention history, fallopian tubal patency degree, and contrast agent venous intravasation, respectively, was analyzed.
RESULTS
In our study, the incidence of contrast agent venous intravasation was 13.04%. Endometrial thickness and days after menstruation were significantly associated with venous intravasation (P < .05). However, there was no significance for intrauterine intervention history and fallopian tube patency degree.
CONCLUSIONS
Contrast agent intravasation during TVS 4D-HyCoSy is not infrequent. Performing TVS 4D-HyCoSy according to endometrial thickness and menstrual period could reduce intravasation incidence to some extent.
目的
探讨经阴道四维子宫输卵管超声造影（TVS 4D-HyCoSy）过程中造影剂静脉内渗漏的危险因素。
方法
收集276例女性不孕症患者的TVS 4D-HyCoSy成像数据。分别分析子宫内膜厚度、月经后天数、宫腔干预史、输卵管通畅程度与造影剂静脉内渗漏之间的相关性。
结果
在我们的研究中，造影剂静脉内渗漏的发生率为13.04%。子宫内膜厚度和月经后天数与静脉内渗漏显著相关（P < 0.05）。然而，宫腔干预史和输卵管通畅程度并无显著意义。
结论
TVS 4D-HyCoSy过程中造影剂渗漏并不罕见。根据子宫内膜厚度和月经周期进行TVS 4D-HyCoSy可在一定程度上降低渗漏发生率。
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