经阴道超声造影（HyFoSy）在疼痛和焦虑方面是否比子宫输卵管造影（HSG）更耐受？一项前瞻性真实世界设置多中心研究。
Is hysterosalpingo-foam sonography (HyFoSy) more tolerable in terms of pain and anxiety than hysterosalpingography (HSG)? A prospective real-world setting multicentre study.
机构信息
Department of Gynaecology and Obstetrics, Puerta de Hierro Majadahonda University Hospital, Joaquín Rodrigo St, 1, 28222, Majadahonda, Madrid, Spain.
Department of Gynaecology and Obstetrics, Hospital Universitario Ramón y Cajal, M-607, km. 9, 100, 28034, Madrid, Madrid, Spain.
出版信息
BMC Womens Health. 2022 Feb 13;22(1):41. doi: 10.1186/s12905-022-01606-3.
BACKGROUND
In 60% of sterile couples a female factor is present, with these being tubal factors in 30-50% of cases. A tubal patency test is also required in women without a male partner undergoing fertility treatment. Thus, an accurate, safe and tolerable technique should be available. The aim of this study is to determine and to compare hysterosalpingo-foam sonography (HyFoSy) and hysterosalpingography (HSG) tolerability in terms of pain and anxiety.
METHODS
This is a prospective real-world setting multicentre study conducted in two tertiary hospitals in Madrid. 210 infertile women/women without a male partner looking to get pregnant were recruited; 111 for the HyFoSy group and 99 for the HSG group. Tolerability was measured in terms of anxiety by the State Trait Anxiety Inventory (STAI) and pain by the Visual Analogue Scale (VAS).
RESULTS
Median VAS score in HyFoSy group was 2 (P25; P75: 1; 3) versus 5 (4; 8) in HSG group, p < 0.001. The median State-STAI score in the HSG group was 18 points (10; 26) versus 10 (7; 16) in the HyFoSy group (p < 0.001); the median Trait-STAI score in the HSG group was 15 (11; 21) versus 13 (9; 17) in the HyFoSy group (p = 0.044).
CONCLUSIONS
HyFoSy shows higher tolerability to both: pain and anxiety. It is related to less pain and less post-test anxiety than HSG.
背景
在 60%的不育夫妇中，存在女性因素，其中 30-50%的病例是输卵管因素。在没有男性伴侣接受生育治疗的女性中，也需要进行输卵管通畅性测试。因此，应该有准确、安全和耐受良好的技术。本研究的目的是确定和比较子宫输卵管泡沫超声（HyFoSy）和子宫输卵管造影术（HSG）在疼痛和焦虑方面的耐受性。
方法
这是一项在马德里两家三级医院进行的前瞻性真实环境多中心研究。共招募了 210 名不孕或无男性伴侣的女性/希望怀孕的女性；111 名接受 HyFoSy 组，99 名接受 HSG 组。通过状态特质焦虑量表（STAI）评估焦虑，通过视觉模拟量表（VAS）评估疼痛来衡量耐受性。
结果
HyFoSy 组的中位数 VAS 评分为 2（P25；P75：1；3），而 HSG 组为 5（4；8），p<0.001。HSG 组的中位数状态 STAI 评分为 18 分（10；26），而 HyFoSy 组为 10（7；16）（p<0.001）；HSG 组的中位数特质 STAI 评分为 15（11；21），而 HyFoSy 组为 13（9；17）（p=0.044）。
结论
HyFoSy 在疼痛和焦虑两方面都具有更高的耐受性。它与 HSG 相比，疼痛更小，测试后焦虑更小。
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