105例不孕症患者子宫输卵管造影结果影响因素的Logistic回归分析OACSTPCD

Objective To explore the influencing factors of the abnormal results of hysterosalpingography in patients with infertility.Methods A total of 105 infertile patients who underwent X-ray hysterosalpingography(X-HSG)at the gynecology outpatient clinic of the Second Hospital of Hunan University of Chinese Medicine from January 2021 to May 2023 were selected.Clinical data of the patients were collected,including age,menstrual cycle,infertility type,as well as medical histories of mycoplasma infection,chlamydia infection,gonococcal infection,and pelvic inflammatory-related and tubal-related diseases.Additionally,a Chinese Medicine Constitution Questionnaire was filled out by the participants.Logistic regression equation was used to analyze the influencing factors of X-HSG results in patients with infertility.Results The abnormal X-HSG results were positively correlated with the medical histories of pelvic inflammatory-related and tubal-related diseases,age,and qi stagnation and damp-heat constitutions(P<0.05),and it had no significant correlation with the type of infertility and the regularity of menstrual cycle(P＞0.05).Multifactorial Logistic regression analysis showed that the infertility type,menstrual cycle,and qi stagnation and damp-heat constitutions were risk factors for abnormal X-HSG results(OR＞1),while age and medical histories of pelvic inflammatory-related and tubal-related diseases were protective factors for them(OR<1).Conclusion Age-appropriate childbearing,reductions of medical histories of pelvic inflammatory-related and tubal-related disease,regulation of emotions,and avoidance of fatty,sweet,and greasy foods are essential for reducing infertility caused by tubal pathological damage.