罕少疾病杂志
罕少疾病雜誌
한소질병잡지
JOURNAL OF RARE AND UNCOMMON DISEASES
2014年
6期
34-37
,共4页
田芳玲%陈硕飞%王海峰%曲尔青%郭晓丽%田锦林
田芳玲%陳碩飛%王海峰%麯爾青%郭曉麗%田錦林
전방령%진석비%왕해봉%곡이청%곽효려%전금림
不孕%原发性%继发性%子宫输卵管造影术
不孕%原髮性%繼髮性%子宮輸卵管造影術
불잉%원발성%계발성%자궁수란관조영술
Infertility%Primary%Secondary%Hysterosalpingography
目的：探讨原发性不孕（PI）与继发性不孕（SI）患者子宫输卵管造影（HSG）的特点及导致输卵管不通畅的危险因素。方法回顾性分析1369例不孕患者的水溶性造影剂DSA下HSG造影资料，根据不孕的原因为PI及SI两组，对两组一般情况及造影结果进行比较；再以双侧输卵管通畅与否为因变量，以年龄、生育史、是否有宫外孕史、盆腔手术史、输卵管结核病史、流产史、原发或继发性不孕、合并其它疾病与否、子宫形态异常与否为自变量，进行多因素二分类logistic回归分析，探讨输卵管不通畅的危险因素。结果 PI组年龄比SI组小[（27.27±3.82）岁vs（29.97±4.80）岁]，双侧输卵管通畅率较SI组高（45.50%vs 34.74%），两组比较有统计学差异（P<0.05）；Logistic回归分析显示年龄、宫外孕史、流产史及子宫形态异常是输卵不通畅的危险因素(OR值=0.903、0.198、1.542、0.120；95%的可信区间：0.903～0.958、0.120～0.352、1.002～2.375、0.036～0.399)。结论 PI和SI在年龄及输卵管通畅率方面存在差异，大龄、宫外孕史、流产史及子宫形态异常是输卵不通畅的危险因素。
目的：探討原髮性不孕（PI）與繼髮性不孕（SI）患者子宮輸卵管造影（HSG）的特點及導緻輸卵管不通暢的危險因素。方法迴顧性分析1369例不孕患者的水溶性造影劑DSA下HSG造影資料，根據不孕的原因為PI及SI兩組，對兩組一般情況及造影結果進行比較；再以雙側輸卵管通暢與否為因變量，以年齡、生育史、是否有宮外孕史、盆腔手術史、輸卵管結覈病史、流產史、原髮或繼髮性不孕、閤併其它疾病與否、子宮形態異常與否為自變量，進行多因素二分類logistic迴歸分析，探討輸卵管不通暢的危險因素。結果 PI組年齡比SI組小[（27.27±3.82）歲vs（29.97±4.80）歲]，雙側輸卵管通暢率較SI組高（45.50%vs 34.74%），兩組比較有統計學差異（P<0.05）；Logistic迴歸分析顯示年齡、宮外孕史、流產史及子宮形態異常是輸卵不通暢的危險因素(OR值=0.903、0.198、1.542、0.120；95%的可信區間：0.903～0.958、0.120～0.352、1.002～2.375、0.036～0.399)。結論 PI和SI在年齡及輸卵管通暢率方麵存在差異，大齡、宮外孕史、流產史及子宮形態異常是輸卵不通暢的危險因素。
목적：탐토원발성불잉（PI）여계발성불잉（SI）환자자궁수란관조영（HSG）적특점급도치수란관불통창적위험인소。방법회고성분석1369례불잉환자적수용성조영제DSA하HSG조영자료，근거불잉적원인위PI급SI량조，대량조일반정황급조영결과진행비교；재이쌍측수란관통창여부위인변량，이년령、생육사、시부유궁외잉사、분강수술사、수란관결핵병사、유산사、원발혹계발성불잉、합병기타질병여부、자궁형태이상여부위자변량，진행다인소이분류logistic회귀분석，탐토수란관불통창적위험인소。결과 PI조년령비SI조소[（27.27±3.82）세vs（29.97±4.80）세]，쌍측수란관통창솔교SI조고（45.50%vs 34.74%），량조비교유통계학차이（P<0.05）；Logistic회귀분석현시년령、궁외잉사、유산사급자궁형태이상시수란불통창적위험인소(OR치=0.903、0.198、1.542、0.120；95%적가신구간：0.903～0.958、0.120～0.352、1.002～2.375、0.036～0.399)。결론 PI화SI재년령급수란관통창솔방면존재차이，대령、궁외잉사、유산사급자궁형태이상시수란불통창적위험인소。
Objective To analysis the hysterosalpingography(HSG) features of primary infertile(PI) and secondary infertile(SI) patients and related risk factors of Fallopian tubal blockage and incomplete patency. Methods Digital subtraction angiography(DSA) imaging data of HSG with water soluble contrast medium in 1369 infertile patients were retrospectively analyzed. Patients were divided into two groups according to etiopathogenisis of infertility, including PI group and SI group. The general states and appearance of HSG were compared between the two groups. And then, with bilateral tubal patency or not as a dependent, and with age,childbearing history or not, ectopic pregnancy(EP) history or not, pelvic surgery history or not, tubal tuberculosis history or not, abortion history or not, PI or SI, complicating of other disease or not, paramorphia of uterus or not as covariates, multivariate binary logistic regression analysis was used to estimate the risk factors of tubal blockage or incomplete patency. Results Age in PI group was significantly smaller than in SI group[(27.27±3.82) y vs(29.97±4.80)y, P<0.05], and bilateral tubal patency rate in PI group was significantly higher than in SI group(45.50% vs 34.74%, P<0.05). Logistic regression analysis showed that age, EP history, abortion history and paramorphia of uterus were risk factors of tubal blockage or incomplete patency (OR=0.903、0.198、1.542、0.120;95% CI: 0.903~0.958、0.120~0.352、1.002~2.375、0.036~0.399). Conclusion There are differences in age and tubal patency rate between PI and SI patients. Elder age, EP history, abortion history and paramorphia of uterus are risk factors of tubal blockage or incomplete patency.
