Volume 19 Issue 4
Apr.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(4): 639-642
CHEN Xian-qiu, JIN Wei-wei. Analysis of high-risk factors of contrast agent reflux in 4D-hysterosalpingo contrast sonography[J]. Chinese Journal of General Practice, 2021, 19(4): 639-642. doi: 10.16766/j.cnki.issn.1674-4152.001882
Citation: CHEN Xian-qiu, JIN Wei-wei. Analysis of high-risk factors of contrast agent reflux in 4D-hysterosalpingo contrast sonography[J]. Chinese Journal of General Practice, 2021, 19(4): 639-642. doi: 10.16766/j.cnki.issn.1674-4152.001882
shu

Analysis of high-risk factors of contrast agent reflux in 4D-hysterosalpingo contrast sonography

doi: 10.16766/j.cnki.issn.1674-4152.001882
  • 1.

    Department of Ultrasound, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY923

 2019Y0282

  • Received Date: 2020-06-12
    Available Online: 2022-02-16
    Abstract
  •   Objective  This study aimed to analyse the main risk factors of contrast agent reflux in four-dimensional ultrasonography of vagina (4D HyCoSy) to provide reference basis for the prevention of contrast agent reflux.  Methods  Women who underwent 4D HyCoSy in our hospital from January 2018 to December 2019 were selected as the study objects. The differences of clinical data and tubal patency between the reflux group (n=248) and non-reflux group (n=410) were compared, and the risk factors of contrast agent reflux were analysed.  Results  Secondary infertility (77.82% vs. 69.51%), history of uterine cavity operation (59.68% vs. 37.07%), adenomyosis (14.52% vs. 9.27%), examination time < 5 days after menstruation (47.18% vs. 38.54%) and endometrial polyp (22.18% vs. 14.88%) were significantly different between the reflux group and non-reflux group (all P < 0.05). Statistically significant differences in the proportion of bilateral fallopian tube obstruction (6.05% vs. 2.44%) and bilateral fallopian tube patency (4.44% vs. 14.63%) were found between the reflux group and non-reflux group (all P < 0.001). The proportion of endometrial polyps (27.92% vs. 12.77%) was significantly different between the myometrium main reflux group and the parathyroid main reflux group (P < 0.05). History of uterine cavity operation, adenomyosis, endometrial polyps and bilateral fallopian tube obstruction were independent risk factors for contrast medium counter current (all P < 0.05).  Conclusion  The incidence of contrast agent reflux was high in 4D HyCoSy, which was related to endometrial injury and bilateral oviduct obstruction.

     

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