经阴道实时三维子宫输卵管超声造影检查对患者疼痛影响因素分析

Analysis of influencing factors of pain in patients with transvaginal real-time three-dimensional uterine tubal ultrasonography

目的探究经阴道实时三维子宫输卵管超声造影检查对患者疼痛影响因素。方法回顾性分析2019年5月至2021年5月本院收治的419例经阴道实时三维子宫输卵管超声造影检查患者的临床资料,按照输卵管狭窄程度分为输卵管通畅患者(n=172)、输卵管阻塞患者(n=122)和输卵管封闭患者(n=125),比较3类患者疼痛评分和剧烈疼痛发生率,并分析疼痛出现的影响因素。结果输卵管封闭患者的疼痛评分为(6.35±1.56)分,高于输卵管阻塞患者的(4.57±1.39)分和输卵管通畅患者的(3.22±1.07)分,且输卵管阻塞患者高于输卵管通畅患者,差异有统计学意义(P<0.05)。输卵管通畅患者中出现剧烈疼痛者35例(20.35%);输卵管阻塞患者中出现剧烈疼痛者59例(48.36%);输卵管封闭患者中出现剧烈疼痛者86例(68.80%)。3类患者出现剧烈疼痛的占比比较差异有统计学意义(P<0.05)。输卵管狭窄程度越高,疼痛发生率及疼痛程度越高。患者输卵管的狭窄程度、检查用的球囊尺寸、患者是否患有妇科疾病及造影剂的注入量比较差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,患者输卵管的狭窄程度、检查用的球囊尺寸、患者是否患有妇科疾病及造影剂的注入量等均为患者检查时出现疼痛的影响因素(P<0.05)。结论输卵管的狭窄程度会影响患者检查时的疼痛程度及疼痛发生率。球囊尺寸、妇科疾病及造影剂注入量均可影响患者的疼痛程度,临床检查中需对以上因素进行有针对性地干预,减轻患者疼痛。

Objective To investigate the influencing factors of of pain in patients with transvaginal real-time three-dimensional uterine tubal ultrasonography.Methods The clinical data of 419 patients admitted to our hospital from May 2019 to May 2021 were retrospective analyed,and they were divided into patients with tubal patency(n=172),tubal obstruction(n=122)and tubal occlusion(n=125)according to the degree of tubal stenosis,compared the pain score and incidence of severe pain in three types of patients,and analyzed the influencing factors of pain.Results The pain score of patients with tubal occlusion was(6.35±1.56)scores,which was higher than that of patients with tubal obstruction(4.57±1.39)scores and patients with tubal patency(3.22±1.07)scores,and the patients with tubal obstruction was higher thanpatients with tubal patency,and the difference was statistically significant(P<0.05).35 cases(20.35%)experienced severe pain among patients with tubal patency;59 cases(48.36%)experienced severe pain in patients with tubal obstruction;86 cases(68.80%)experienced severe among patients with tubal occlusion.There was a statistically significant difference in the number of patients with severe pain in the three types of patients with different degrees of tubal stenosis(P<0.05).The higher the degree of tubal stenosis,the higher the incidence and degree of pain.There were significant differences in the degree of tubal stenosis of the patients,the size of the balloon used for examination,whether the patients had gynecological diseases,and the amount of contrast injected(P<0.05).The results of multivariate logistic regression analysis showed that the stenosis of the fallopian tubes,the size of the balloon used for examination,whether the patient had gynecological diseases,and the amount of contrast injected were all influencing factors of pain during examination(P<0.05).Conclusion The degree of tubal stenosis affects the pain degree and pain incidence during examination.Balloon size,gynecological diseases,and contrast injection can all affect the pain level of patients,so targeted intervention of these factors is needed in future examinations to reduce pain.