国际生殖健康计划生育杂志2016，Vol.35Issue(3)：196-201,208,7.
Delphi法建立输卵管性不孕患者输卵管功能评价指标体系
The Tubal Function Index Developed by Delphi Method was Used in Tubal Infertility
摘要
Abstract
Objective:To develop the index system, an estimative system for tubal function in patients with tubal infertility, which provide scientific evidence for the prognosis follow-up visit and the postoperative pregnancy guidance. Methods: According to the literature retrieval and our clinical practice, we designed the expert questionnaire. With this expert questionnaire, the index system was developed to evaluate the tubal function after reproductive surgery by the three-round Delphi method and analytic hierarchy method. Results:The authoritative degree after the three-round expert questionnaire was 0.426, with the statistical significance (P<0.05). The Kendall coefficients of concordance of the first-dimension to the fifth-dimension were 0.625-0.630, 0.600-0.640, 0.595-0.630, 0.585-0.655 and 0.595-0.650. This index system was constituted with 2 first-dimension, 6 second-dimension, 19 third-dimension, 31 fourth-dimension and 33 fifth-dimension after three-round expert consultation. In all of the indices, the factor of tubal patency in tubal infertile patients after reproductive surgery had the highest weight (0.673). For the weight of tubal patency, it is higher in the bilateral than unilateral tubal patency, the original than recanalized patency, while it is the lowest in the bilateral obstruction. For the weight of tubal morphology, it is higher in the bilateral tubal patency with normal original morphology than others, the morphology and construction of fimbria than the relative location of tube and ovary, and the fimbria atresia than salpingostomy in hydrosalpinx, while it is higher in the peri-tubal adhesion thantubal angulation. For the weight of tubes with abnormal morphology after surgery, it is lower and lower from the fimbria without freedom, the continued abnormal fimbria after salpingostomy to the abnormal mucosa of hydrosalpinx. Conclusions: The index system developed by Delphi method for tubal function evaluation in tubal infertility is reliable and valid, which provide scientific suggestion for the reproductive surgical prognosis and guidance of postoperative pregnancy.关键词
不育,女(雌)性/输卵管/生殖技术,辅助/Delphi法Key words
Infertility,female/Fallopian tubes/Reproductive techniques,assisted/Delphi method引用本文复制引用
侯海燕,兰晓霞,陈俊,孙旸,陈亚琼,杨振华..Delphi法建立输卵管性不孕患者输卵管功能评价指标体系[J].国际生殖健康计划生育杂志,2016,35(3):196-201,208,7.基金项目
国家自然科学基金（81273977）；武警后勤学院创新团队子课题（WHTD201309-4）；武警后勤学院附属医院种子基金 （）
