Journal of International Reproductive Health/Family Planning

Journal of International Reproductive Health/Family Planning ›› 2016, Vol. 35 ›› Issue (3): 196-201.

• 论著 • Previous Articles     Next Articles

The Tubal Function Index Developed by Delphi Method was Used in Tubal Infertility

HOU Hai-yan，LAN Xiao-xia，CHEN Jun，SUN Yang，CHEN Ya-qiong，YANG Zhen-hua   

  1. Tianjin University of Traditional Chinese Medicine，Tianjin 300193，China（HOU Hai-yan，CHEN Jun，YANG Zhen-hua）；Department of Obstetrics and Gynecology，Affiliated Hospital of Logistics College of Chinese People′s Armed Police Forces，Tianjin 300162，China（HOU Hai-yan，CHEN Jun，SUN Yang，CHEN Ya-qiong，YANG Zhen-hua）；Chinese Academy of Medical Sciences & Peking Union Medical College，Beijing 100730，China（HOU Hai-yan）；Teaching and Research Section of Epidemiology and Statistics，Logistics College of Chinese People′s Armed Police Forces，Tianjin 300162，China（LAN Xiao-xia）；Tianjin Key Laboratory for Prevention and Control of Occupational and Environmental Hazard，Tianjin 300162，China（LAN Xiao-xia，CHEN Ya-qiong）
  • Received:1900-01-01 Revised:1900-01-01 Published:2016-05-15 Online:2016-05-15
  • Contact: CHEN Ya-qiong

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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 than tubal 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.

Key words: Infertility, female, Fallopian tubes, Reproductive techniques, assisted, Delphi method