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| Effects of 4-dimensional hysterosalpingo-contrast sonography for treating patients with tubal infertility on their natural pregnancy |
| Baise People's Hospital, Guangxi Zhuang Autonomous Region, 533000 |
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Abstract To investigate the results of 4-dimensional hysterosalpingo-contrast sonography(4D HyCoSy) for treating patients with tubal infertility, and to study the correlation between the treatment of 4D HyCoSy for the patients and their natural pregnancy. Methods: The clinical data of 120 patients aged 22-40 years old who were suspected tubal infertility and were at least one fallopian tube unobstructed or bilateral fallopian tube slightly obstructed from November 2021 to July 2023 were selected in this study. The general clinical data and the imaging data of the patients were collected, and the natural pregnancy of the patients within 6 months after 4D HyCoSy radiography was followed up. These patients were divided into group A(32 patients with natural pregnancy) and group B(88 patients without natural pregnancy) based on the situation of the natural pregnancy of the patients. The general data, the tubal patency status and the natural pregnancy situation of the patients were compared between the two groups. The influence factors of the natural pregnancy of the patients after 4D HyCoSy were analyzed by multivariate analysis. Results: There were 32(26.7%) patients with pregnancy within 6 months after 4D HyCoSy. The age and the infertility duration of the patients in group A were significantly less than those of the patients in group B. The fallopian tube patency of the patients in group A was significantly better than that of the patients in group B. Logistic regression analysis showed that the advanced age, the longer duration of infertility and the poor tubal patency of the patients were the influencing factors of their natural pregnancy within 6 months after 4D HyCoSy(all P<0.05). Conclusion: 4D-HyCoSy can improve the natural pregnancy in the short term after4D-HyCoSy of the patients with tubal infertility. The advanced age, the longer duration of infertility and the poor tubal patency of the patients can influence their natural pregnancy after 4D HyCoSy.
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