Physical Survey Of Patients With Hysteromyoma Before And After Hysterectomy

Hysteromyoma is the most common benign genital tumor in female, commonly found in women aged between 30-50 years. Patients with hysteromyoma account for a large proportion in outpatient and inpatient gynecological surgery patients. The women who have already given birth and are over 40 year-old, with severe clinical symptoms, or multiple recurrence, or the number and location of hysteromyoma cause difficulties in myomectomy often choose total hysterectomy. However, uterus is an important reproductive organ where conceived embryo, fetus, and the sauce of period. For women, total hysterectomy does not only mean losing their physical function of the uterus, but also have an psychological impact on women. Coupled with surgery and anesthesia on the human body itself is a kind of stimulation, so that in the integrated effect of many factors, Is there any physical changes in patients with hysteromyoma after hysterectomy? What corresponding changes will appear? How can we make such patients better recovery of health as soon as possible after surgery? Physical scale of this issue for Chinese medicine, myoma patients from Zhongshan District, part of Guangdong Province, were classificated by survey conducted before and after hysterectomy. Constitution summarized some characteristics of patients after hysterectomy. According to the result, post-hysterectomy patients were given guidance (Chinese Herbs, diet guidance, psychological counseling, etc.) to adjust its pathological constitution, so as to achieve the purpose of helping postoperative recovery.Purpose:To learn the changes in the constitution of patients with hysteromyoma after hysterectomy, then propose the guidance for postoperative recovery, to better promote the rehabilitation of patients after hysterectomy. Methods:All patients are from gynecological ward and clinics of Zhongshan Hospital of Chinese medicine, affiliated to Guangzhou University of Traditional Chinese Medicine. Selected from June 2008 to April 2010.455 cases are diagnosed by ultrasound, MRI examination and clinical diagnosis and chose hysterectomy, met the criteria. Refer to results of Wangqi team of the Constitution of Standard TCM research and consolidated several senior clinical medical advice TCM constitution amendments developed survey, questionnaires or phone surveys in face-to-face way. The survey were given during the preoperative preparation; after the next day the same face to face surveys, investigations targeted to specific body type guide postoperative recovery (Chinese Herbs, diet, exercise, psychological counseling, etc.); after a month, do the survey again, by face-to-face or telephone interviews, some patients who conduct follow-up investigation are samples of the survey from graduated student in 2009. Results: Preoperative physical survey showed patients with mild physical accounted for 38.65%, faint physical accounted for 21.69%, stasis accounted for 30.68%. The findings were almost consistent to results of gynecological Master's Thesis "Chinese constitution in patients with Hysteromyoma Survey" in 2009. The next day appearance of Patients with Hysteromyoma after hysterectomy are found mild physical (30.68%), faint physical (44.44%) more common. However, after specific guidance according to the result, it showed that most patients resume mild physical (76.32%). Conclusion:Patients with hysteromyoma most are mild physical quality,congestion quality,quality deficiency before surgery, and the surgery and anesthesia on the human body itself is a stimulus, in addition, The willing to maintain the integrity of female genital organs, as a result, patients of hysteromyoma with total hysterectomy main are faint physical deficiency, many moderate physical as well, compared to patients before and after surgery the physical changes in patients after hysterectomy showed physical changes in the original constitution of bias increased, such as preoperative faint physical quality even worse after operation, so clinical doctors based on the results of this survey, can do more effective guidance to patients and get specific postoperative rehabilitation, most patients can resume moderate physical because the lesions caused by the disease has been eliminated, the effective postoperative rehabilitation guidance are conducive to the physical recovery of patients balance. Formation and development of physical performance not only depends on the genetic factors, but also affected by acquired environmental factors, it is the joint outcome of innate talent and acquired environment. Although hysteromyoma are the most common female genital benign tumors, but not every woman has that, the reason for hysteromyoma, largely based on personal constitution, due to congenital and acquired living environment, diet, personality characteristics of the interaction, resulting in a personal physical bias, and then the emergence of the disease is easily infected. The patients whose choose hysteromyoma, as surgery, anesthesia, removal of vital organs as well, are factors impact patients, then, their physical changes were as a result. After hysterectomy physical performance showed bias increased, but did not completely be changed, and through targeted rehabilitation after the survey, patients return moderate physical condition in 1 month after the operation. The findings not only demonstrated physical concepts and also provided clinic theoretical basis of the postoperative rehabilitation.