Study on the therapeutic value of repeated bolus injection of contrast agent on transvaginal four-dimensional hysterosalpingographic ultrasound on infertility
经阴道四维子宫输卵管超声造影重复推注造影剂对不孕症的治疗价值研究

摘要

目的 研究经阴道四维子宫输卵管超声造影（4D-HyCoSy）重复推注造影剂对不孕症的治疗价值。方法 选择我院收治的不孕症患者100例，将其按照随机分组方法，分为对照组（50例，使用常规4D-HyCoSy）和试验组（50例，使用4D-HyCoSy重复推注造影剂），对两组的干预效果进行收集和分析对比。结果 对两组患者实施干预后，相较于对照组而言，试验组患者在输卵管畅通性方面展现出更为显著的优势，其通畅率明显提升，此差异在统计学上呈现出高度显著性（P＜0.05）。然而，在评估疼痛感受及不良反应发生率时，试验组与对照组之间并未显示出统计学上的显著差异（P＞0.05）。结论 针对不孕症患者使用4D-HyCoSy重复推注造影剂，能够显著提高患者输卵管的通畅率，且安全性也较高，有较优的治疗价值。

Abstract

Objective: To investigate the therapeutic value of transvaginal four-dimensional hysterosalpingometric ultrasound (4D-HyCoSy) with repeated bolus injection of contrast agent for infertility.
Methods: A total of 100 infertility patients admitted to our hospital were divided into control group (50 cases, using conventional 4D-HyCoSy) and experimental group (50 cases, using 4D-HyCoSy repeated bolus injection of contrast agent) according to the randomization method, and the intervention effects of the two groups were collected, analyzed, and compared.
Results: After the intervention of the two groups, compared with the control group, the patients in the experimental group showed a more significant advantage in the patency of the fallopian tubes, and the patency rate was significantly improved, and the difference was statistically highly significant (P<0.05). However, there was no statistically significant difference between the experimental and control groups in assessing pain perception and the incidence of adverse reactions (P>0.05).
Conclusion  : The use of repeated bolus injection of 4D-HyCoSy contrast agent in patients with infertility can significantly improve the patency rate of the fallopian tubes, and the security is also high, which has better therapeutic value.