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| Influencing factors of hysterosalpingo-contrast sonography on pain degree of infertility women |
| The 7th People's Hospital of Zhengzhou, Henan Province, 450000 |
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Abstract To compare the difference of 4-dimensional hysterosalpingo-contrast sonography (4D-HyCoSy) and X-ray hysterosalpingography(X-HSG) on the pain degree of infertility women. Methods: 190 infertility women who wanted hysterosalpingo-contrast examination were selected as study objects from March 2014 to December 2018. According to the principle of random numbers, these women were divided into X-HSG group and 4D-HyCoSy group. The scores of NRS pain and Stacey scales of women were compared between two groups, and the influencing factors of 4D-HyCoSy on the pain degree of infertility women were analyzed. Results: The NRS pain score and the proportion of pain grade 2 of women in 4D-HyCoSy group were 4.7±1.4 points and 51.6%, which were significant higher than those (4.2±1.5 and 39.0%) of women in X-HSG group (P<0.05). In 4D-HyCoSy group, time of contrast imaging, catheterization time, proportion of unilateral and bilateral obstruction, catheterization depth/intimal line length, and balloon infusion volume of women with score of NRS > 5 points were significant more than those of women with score of NRS ≤4 points (P<0.05). There were no statistical difference in age, infertility time, BMI, rates of history of delivery, dysmenorrheal and history of pelvic inflammatory disease, and proportion of uterine with different position between women with score of NRS > 5 points and women with score of NRS ≤4 points (P>0.05). The contrast imaging time, unilateral obstruction, bilateral obstruction, and balloon infusion volume were independent risk factors for NRS score > 5 points (P<0.05). Conclusion: The pain degree of women undergone 4D-HyCoSy is slightly heavier than that of women undergone X-HSG. The longer contrast imaging time, the higher rate of unilateral or bilateral obstruction of fallopian tube, and larger balloon injection volume are the risk factors of pain of women undergone 4D-HyCoSy.
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