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第46卷第5期
              ·632 ·                             南 京    医 科 大 学 学         报                        2026年5月


                                                    表1  临床特征单因素分析
                                         Table 1 Univariable analysis of clinical characteristics
                                       No adhesion   Mild adhesion  Moderate adhesion  Severe adhesion
                     Indicator                                                                    F/χ 2    P
                                       (n=31)         (n=64)         (n=129)         (n=58)
               Age(years,x ± s)        32.5 ± 0.7     32.4 ± 0.5     33.0 ± 0.4      32.0 ± 0.6   0.722   0.539
               BMI[kg/m ,M(P25,P75)]  22.7(20.4,24.6) 22.2(20.3,25.0)  23.0(20.7,24.9)  22.1(20.5,24.8)  2.061  0.560
                      2
               Prior abortion[n(%)]
                 ≥1 time              22(71.0)000    45(70.3)000   108(83.7)0000    53(91.4)000  11.386   0.010
                 ≥2 times             12(38.7)000    24(37.5)000    63(48.8)000     30(51.7)000   3.704   0.295
                 ≥3 times              5(16.1)00     11(17.2)000    25(19.4)000     12(20.7)000   0.418   0.936
               Uterine procedure[n(%)]
                 Polypectomy           6(19.4)00     14(21.9)000    16(12.4)000      9(15.5)00    3.161   0.367
                 Other uterine surgery  3(9.7)000     6(9.5)000      7(5.4)000       3(5.2)000    1.778   0.620
               Obstetric history[n(%)]
                 Nulliparity          20(64.5)000    42(65.6)000    70(54.3)000     33(56.9)000   2.816   0.421
                 Vaginal delivery      7(22.6)00     12(18.8)000    38(29.5)000     18(31.0)000   3.400   0.334
                 Cesarean section      4(12.9)00     10(15.6)000    21(16.3)000      7(12.1)00    0.684   0.877
               Clinical symptom[n(%)]
                 Hypomenorrhea         9(29.0)00     21(32.8)000    71(55.0)000     35(60.3)000  16.473  <0.001
                 Infertility           5(16.1)00     35(54.7)000    46(35.7)000     16(27.6)000  16.764  <0.001
                 Pelvic pain           2(6.5)000      4(6.3)000      7(5.4)000       4(6.9)000    3.726   0.293
                                                    表2  影像特征单因素分析
                                         Table 2 Univariable analysis of imaging characteristics
                                          No adhesion  Mild adhesion  Moderate adhesion  Severe adhesion
                        Indicator                                                                 F/χ 2    P
                                          (n=31)       (n=64)        (n=129)         (n=58)
               Irregular uterine contour[n(%)]  08(25.8)  37(57.8)   76(58.9)        25(43.1)    13.687   0.003
               Irregular contrast pooling[n(%)]  10(32.3)  25(39.1)  66(51.2)        22(37.9)     5.915   0.116
               Abnormal uterine shape[n(%)]  04(12.9)   6(9.4)       21(16.3)        13(22.4)     4.145   0.246
               Number of filling defects[n(%)]
                 Single                    11(35.5)    40(62.5)      64(49.6)        24(41.4)     8.290   0.040
                 Multiple                  1(3.2)      13(20.3)      58(45.0)        34(58.6)    37.671  <0.001
               Location of defects[n(%)]
                 Peripheral                06(19.4)    36(56.3)      79(61.2)        24(41.4)    20.678  <0.001
                 Central                   04(12.9)    17(26.6)      43(33.3)        34(58.6)    23.107  <0.001
               Tubal occlusion[n(%)]
                 None                      26(83.9)    38(59.4)      85(65.9)        28(48.3)    11.973   0.007
                 Unilateral                04(12.9)    24(37.5)      40(31.0)        19(32.8)     6.108   0.106
                 Bilateral                 1(3.2)       2(3.1)        4(3.1)         11(19.0)    19.346  <0.001

                                                  表3   多因素有序Logistic分析
                                        Table 3  Multivariable ordinal logistic regression analysis

                        Indicator          B         SE       Wald χ 2      P         OR           95%CI
                  Hypomenorrhea           1.330     0.359     13.767      <0.001      3.782     1.874-7.637
                  Infertility             1.133     0.368     09.472       0.002      3.105     1.508-6.383
                  Multiple filling defects  1.337   0.635     04.429       0.035      3.807     1.096-13.236
                  Bilateral tubal occlusion  1.635  0.546     08.971       0.003      5.128     1.759-14.974
                  Peripheral filling defect  1.887  0.602     09.840       0.002      6.606     2.029-21.462
                  Central filling defect  2.497     0.629     15.784      <0.001     12.147     3.544-41.677
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