| Objective: In recent years,the rate of infertility was significantly increased,while the proportion of tubal factor infertility caused by the highest,so check tubal patency is particularly important.Transvaginal ultrasound tubal angiography and X-ray salpingography Two ways are different in most domestic hospitals have carried out.This study was to compare the detection rate of transvaginal ultrasound tubal angiography and X-ray salpingography two kinds of methods,adverse reactions,postoperative pregnancy rate,which analyzed and discussed X-ray salpingography is more suitable as tubal infertility patients line clinical screening.This provides for the future clinical method to choose a more suitable contrast data and theoretical support,thereby enabling more patients to benefit,to achieve good social benefits.Methods: Select the First Hospital of Shijiazhuang(Shijiazhuang City People's Hospital)January 2014-December 2014 60 cases of infertility,the infertility patients were randomly divided into control group and observation group(30 cases),with statistical software SPSS15.0 statistical analysis of research data,research data in this study is classified information,classified information,as the information in an orderly or disorderly,respectively,chi-square test and rank sum test,the observation group transvaginal ultrasound hysterosalpingography(B ultra)salpingography using SF6 injection sulfur hexafluoride microbubbles contrast agent in ultrasound diagnostic equipment downstream salpingography control group underwent conventional X-ray salpingography,with 40% of iodized oil contrast agents,X-ray downlink salpingography to determine tubal patency,unilateral or bilateral obstruction and passable case,two sets of results with statistical software SPSS15.0 statistical studies,using ?~2 test,P value less than 0.05 wasconsidered statistically significant.At the same time were observed by transvaginal ultrasound hysterosalpingography(B Ultra)salpingography and two X-ray salpingography nausea,vomiting,rash,pain and other adverse reactions to statistical software SPSS15.0 statistical studies,using ?~2 test,in P value less than 0.05 was considered statistically significant.Comparison between the two groups according to pain scores after mild pain,moderate pain and severe pain conditions,statistical software SPSS15.0 to statistical studies,rank sum test,P value less than 0.05 was considered statistically significant.Transvaginal ultrasound hysterosalpingography angiography and X-ray salpingography postoperative follow-up in March,June,September pregnancy rate,pregnancy situation infertile patients were compared to statistical software SPSS15.0 statistical studies using ?~2 test,P value less than0.05 was considered statistically significant.Results: Select the more general case,select transvaginal ultrasound tubal angiography and X-ray salpingography of two groups of randomly assigned 60 patients transvaginal ultrasound tubal angiography median age was 29.60±5.026 years,infertility duration(years)It was 2.23±2.063.X-ray salpingography median age was 29.27±4.628 years,infertility duration(years)was 2.33±2.006.Two sets of data to meet the normality,F value of 0.216,P value of 0.644 homogeneity of variance is greater than 0.1,using two-sample T-test,comparison of means between the two groups,T value of 0.378,P value of 0.706 is greater than 0.05,that the two groups There was no significant difference statistically.And therefore it can be considered no statistical difference between the two groups of information.Angiography analysis,transvaginal ultrasound fallopian tubal angiography detected cases:35 cases of bilateral patency(58.3%),one side smooth,one side of the obstruction 18 cases(30.0%),one side smooth,one side of the four cases passable(6.7%),3 cases of bilateral occlusion(5.0%);X-ray salpingography detect tubal situation: bilateral unobstructed 32 cases(53.3%),one side smooth,one side of the obstruction 20 cases(33.3%),one side smooth,and poor in 6 patients(10%),bilateral obstruction in 2 cases(3.3%)side of thepass.Comparison of the above information,the cell number of theoretical frequency less than 5 more than 20%,so consider using fisher exact test,P=0.821 between groups,greater than 0.05,that the two groups no significant difference statistically.Contrast postoperative follow-up of patients,transvaginal ultrasound contrast tubal pregnancy after 3 months in 12 patients(20%),six months pregnant 19 cases(31.7%),nine months pregnant 14 cases(23.3%),not 9 months pregnancy 15 cases(25%);X-ray salpingography 3months after pregnancy 3 cases(5.0%),six months pregnant 11 cases(18.3%),nine months pregnant 10 cases(16.7%),9 months 36 cases did not become pregnant(60%).The above information,the cell theoretical frequency greater than 5,so consider using the chi-square test,P value is much less than 0.05,between the two groups was significant difference statistically.Adverse reactions after contrast,the transvaginal ultrasound contrast tubal adverse reactions after 39 cases(73.3%);53 cases of adverse reactions(88.3%)after X-ray salpingography.Between the two groups P value of less than 0.05,the above information,the cell theoretical frequency greater than 5,so consider using the chi-square test,P value of 0.002,less than 0.05,the difference between the two groups was statistically significant.Transvaginal ultrasound contrast tubal three cases of postoperative nausea and vomiting(5.0%),X-ray salpingography postoperative nausea and vomiting in 12 cases(20.0%).The above information,the cell theoretical frequency greater than 5,so consider using chi-square test,P value of 0.001,less than 0.05,the difference between the two groups was statistically significant.Transvaginal ultrasound contrast tubal surgery rashes 2 cases(3.3%),After rash X-ray salpingography 10 cases(16.7%).The above information,the cell theoretical frequency greater than 5,so consider using chi-square test,P value of 0.033,less than 0.05,the difference between the two groups was statistically significant.Transvaginal ultrasound tubal surgery postoperative angiographic no-pain 21 cases(35.0%),mild pain in 22 cases(36.7%),moderate pain in 16 cases(26.7%),severe pain in 1 case(1.7%),under X ray tube contrast postoperative pain in 7 cases(11.7%),mild pain in 19 cases(31.7%),moderate pain in 28 cases(46.7%),severe pain in 6 cases(10%),the above information is classified information and material for ordinal data,so a rank sum test,Z value of 3.991,P value of0.0001 is much less than 0.05,so you can think of pain between the two groups was significant difference gradeConclusions:1 Transvaginal ultrasound fallopian tube and X-ray angiography salpingography,no statistical difference between the two detected cases of fallopian tube,indicating similar accuracy of lesion detection of both.2 Transvaginal ultrasound tubal angiography main adverse reactions were mild pain,accounting for 36.7%;X-ray salpingography adverse reactions higher proportion of moderate pain,46.7%,indicating that patients with transvaginal ultrasound tubal angiography tolerated.3 Transvaginal ultrasound contrast tubal surgery rashes 2 cases(3.3%);X-ray salpingography after rash 10 cases(16.7%),low incidence of rash ultrasound group,less damage to the human body.4 Transvaginal ultrasound contrast tubal three cases of postoperative nausea and vomiting(5.0%);X-ray salpingography postoperative nausea and vomiting in 12 cases(20.0%),side effects of ultrasound group less easily tolerated.5 Transvaginal ultrasound contrast tubal surgery within nine months of pregnancy rate 75%;X-ray salpingography after nine months of pregnancy was 40%,indicating transvaginal ultrasound acontrast fallopian tubes have a therapeutic effect,can significantly improve patient surgery after the pregnancy rate.This study was obtained by comparing transvaginal ultrasound tubal angiography is more suitable for clinical examination of choice for tubal infertility,or even replace the conventional X-ray salpingography screening as a first-line clinical tubal infertility patients. |
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