经尿道前列腺等离子电切术后认知功能障碍临床分析  

The clinical analysis of postoperative cognitive dysfunction after TUPKVP for BPH

作　　者：张星[1] 孙玉炎[1] 李晟玮[1] 王鹏[1] 杨长赴[1] 

机构地区：[1]扬州市中医院泌尿外科(南京中医药大学扬州附属医院、扬州大学中医临床医学院),江苏扬州225002

出　　处：《国际泌尿系统杂志》2017年第5期717-719,共3页International Journal of Urology and Nephrology

摘　　要：目的 探讨良性前列腺增生（benigh prostatic hyperplasia,BPH）患者行经尿道前列腺等离子电切术后发生认知功能障碍的原因和治疗方法.方法 对本院2004年至2015年的628例60 ～ 87岁BPH患者手术进行回顾性分析,其中16例术后6～72 h内出现认知功能障碍,患者的年龄69 ～ 87岁,既往无明确神经系统疾病病史,其主要表现为记忆力障碍、定向障碍、语言障碍等.结果 所有患者均未发现神经系统定位体征.11例行头颅CT或者MRI检查,未发现新发颅内病变,在予以加强心理疏导、营养神经等治疗后症状消失.结论 术后认知功能可能是多种因素导致的结果,与年龄、性格、疼痛、缺氧、药物等有关,对患者康复具有一定的影响,但目前对其认识仍有较多不足.Objective To investigate the causes and therapeutic methods of postoperative cognitive dysfunction （POCD） after transurethral plasmakentic vaporization of prostate （TUPKVP） for benigh prostatic hyperplasia （BPH）.Methods Clinical data of 628 patients who underwent TUPKVP from 2004 to 2015 were reviewed retrospectively.Sixteen cases occurred POCD within 6 to 72 hours after operation,the age of the patients was from 69 ～87 years old without nervous system diseases previously.The main symptoms of the patients were impaired memory,disorientation,language disorders and so on.Results No located signs of nervous system lesions were found in all patients.Eleven cases underwent head CT or MR examination emergently,and no obvious brain lesions were found.The symptoms were disappeared in all patients after treatment by psychotherapy and neurotrophic drug.Conclusions The cause of POCD after TURP is not clear.Age,personality,pain,lack of oxygen,drugs and other factors are related with POCD,and it has certain effects on patient rehabilitation.

关 键 词：前列腺增生 经尿道前列腺切除术 电外科手术 认知障碍 

分 类 号：R699.8[医药卫生—泌尿科学]