经阴道实时三维子宫输卵管超声造影检查时疼痛影响因素分析

目的 探讨经阴道实时三维子宫输卵管超声造影检查疼痛程度,并分析影响因素.方法 选取2018年9月—2020年3月在医院进行3D HyCoSy检查的316例患者,根据患者检查期间是否出现疼痛,将患者分为疼痛组及无痛组,比较两组患者基础情况及检查情况,采用单因素和多因素logistic回归分析导致经阴道实时三维子宫输卵管超...

Analysis of factors affecting the pain during transvaginal real-time three-dimensional hysterosalpingocontrast sonography

Objective To explore the pain degree patients undergoing transvaginal real-time three-dimensional hysterosalpingo-contrast sonography(3D-HyCoSy),and analyze the influencing factors were set as the study subjects.Methods A total of 316 patients who underwent 3D HyCoSy examination in hospital from September 2018 to March 2020 were selected,and according to whether the patients experienced pain during the examination,the patients were divided into a pain group and a painless group,and the basic conditions and examinations of the two groups were compared.According to the situation,single factor and multivariate logistic regression were used to analyze the factors leading to pain in patients undergoing transvaginal real-time threedimensional hysterosalpingography.Results In 3D HyCoSy patients,the VAS score was 5.19±2.07,and the proportion of patients with moderate pain was the highest.The patients'fallopian tube patency,the amount of contrast medium,the larger balloon,the nervousness and the complicated gynecological infl ammation were all the influencing factors for pain of 3D HyCoSy patients.Conclusion The risk factors for pain in patients with 3D HyCoSy examination mainly included the degree of patency of the fallopian tube,the amount of contrast medium,the larger the balloon,the nervousness and the complicated gynecological infl ammation,etc.The patient’s cervical caliber should be effectively assessed,and the patient’s cervical caliber should be effectively evaluated and injected at a constant rate to adjust the inspection method,provide health guidance and psychological intervention to the patient before and during the inspection,calm the mood of the patient and actively treat the infl ammation of the patient,reduce the pain during the inspection,ensure the smooth progress of the inspection,and improve the accuracy of the inspection degree.