中国全科医学2016，Vol.19Issue(20)：2410-2415,6.DOI:10.3969/j.issn.1007-9572.2016.20.010
子宫输卵管超声造影卵巢周边环状增强与自然妊娠结局的相关性研究
Correlation Between Ovarian Surrounding Circular Enhancement of Hysterosalpingo - contrast Sonography and Natural Pregnancy Outcomes
摘要
Abstract
Objective To analyse the correlation between ovarian surrounding circular enhancement of hysterosalpingo- contrast sonography( HyCoSy) and natural pregnancy outcomes,and investigate the clinical value of ovarian surrounding circular enhancement in the evaluation of the function of fallopian tube. Methods From January 2013 to December 2014,we enrolled 139 patients who received treatment in the Reproductive Assisted Reproduction Center and the outpatient Department of Gynecology and Infertility of the Third Affiliated Hospital of Guangzhou Medical University. HyCoSy was conducted using SonoVue contrast agent,and the ultrasonography features of contrast agent at the end of the fallopian tube were observed. According to whether or not contrast agent form circular enhancement sorrounding ovary,the patients were divided into the group of bilateral fallopian tube ultrasound contrast circular enhancement,the group of bilateral fallopian tube without ultrasound contrast circular enhancement,and the group of unilateral fallopian tube with ultrasound contrast circular enhancement,and circular enhancement was further divided into grade 0,1,2 and 3. Follow - up was conducted on the patients,and the correlation between the ultrasonography features of ovarian surrounding circular enhancement and natural pregnancy outcomes was analyzed. Results 268 fallopian tubes were involved in the 139 patients,including 10 unilateral fallopian tubes(10 patients),258 bilateral fallopian tubes(129 patients),133 left fallopian tubes(133 patients),and 135 right fallopian tubes(135 patient). 54 patients had successful pregnancy,and 85 patients had failed natural pregnancy. After the exclusion of patients with unilateral fallopian tube,there were 57 patients in the group of bilateral fallopian tube ultrasound contrast circular enhancement,among which 41(71. 9% ) patients had successful natural pregnancy;there were 49 patients in the group of bilateral fallopian tube without ultrasound contrast circular enhancement,among which 7(14. 3% )patients had successful pregnancy;there were 23 patients in the group of unilateral fallopian tube with ultrasound contrast circular enhancement,among which 4(17. 4% ) patients had successful natural pregnancy. The groups with different status of fallopian tube ultrasound contrast circular enhancement were significantly different in the rate of successful natural pregnancy(χ2 = 42. 499,P < 0. 001). There were 22, 40,42 and 29 patients with left fallopian tube ultrasound contrast circular enhancement who were grade 0,1,2 and 3 respectively,and there were 2(9. 1% ),5(12. 5% ),21(50. 0% )and 24(82. 8% )patients who had successful natural pregnancy among them respectively. There were 28,41,35 and 31 patients with right fallopian tube ultrasound contrast circular enhancement who were grade 0,1,2 and 3 respectively,and there were 6(21. 4% ),5(12. 2% ),16(45. 7% )and 27 (87. 1% )patients who had successful natural pregnancy among them respectively. Patients with left or right fallopian tube ultrasound contrast circular enhancement of different grades were significantly different in the rate of successful natural pregnancy (χ2 = 45. 516,46. 358;P < 0. 001). Multivariate Logistic regression analysis showed that left fallopian tube ultrasound contrast circular enhancement grade and right fallopian tube ultrasound contrast circular enhancement grade were influencing factors for natural pregnancy outcomes(P < 0. 05). Logistic regression equation predicted that the AUC of natural pregnancy outcome was 0. 845〔95% CI(0. 770,0. 920)〕. Conclusion Ovarian surrounding circular enhancement of HyCoSy has close correlation with natural pregnancy outcomes, and the grade of circular enhancement can effectively predict natural pregnancy outcomes. Obvious circular enhancement is associated with higher grade and higher successful rate of natural pregnancy.关键词
子宫输卵管造影术/妊娠/不育,女(雌)性Key words
Hysterosalpingography/Pregnancy/Infertility,female分类
医药卫生引用本文复制引用
江岚,谢亦农,梁伟翔,王伟群..子宫输卵管超声造影卵巢周边环状增强与自然妊娠结局的相关性研究[J].中国全科医学,2016,19(20):2410-2415,6.基金项目
广州医科大学青年科研项目 （）
