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目的探讨经尿道前列腺电切术后精神障碍的临床表现及治疗方法。方法回顾性分析本院2004年7月至2009年04月133例行经尿道前列腺电切术患者中出现精神障碍的10例患者的特征、临床表现及治疗经过。结果本组10例,占同期患者7.5%;患者术前均无明显精神障碍表现,术后出现急性精神障碍时间为1～5d,平均(3.1±1.8)d,经心理干预及止痛、镇静、催眠等对症治疗后症状缓解,症状持续1～3d,平均(1.8±0.9)d;随访2～24个月未见明显复发病例。结论经尿道前列腺电切术后出现精神障碍并发症早期较为隐蔽,发作后症状较重,给术后治疗及护理带来困难,因此提高临床医生对该并发症的认识,确立正确的临床思维,及时预防和治疗该并发症有重要意义。
Objective To investigate the clinical manifestations and treatment of mental disorders after transurethral resection of the prostate. Methods A retrospective analysis was performed on the characteristics, clinical manifestation and treatment of 10 patients with mental disorders who underwent transurethral resection of prostate in our hospital from July 2004 to April 2009. Results The group of 10 patients, accounting for 7.5% of patients in the same period; patients showed no significant mental disorders before surgery, the time after onset of acute mental disorders for 1 ~ 5d, an average of (3.1 ± 1.8) d, by psychological intervention and analgesia, Hypnosis and other symptomatic treatment of symptomatic relief, symptoms continued 1 ~ 3d, mean (1.8 ± 0.9) d; 2-24 months follow-up no significant recurrence of cases. Conclusions The complications of transurethral resection of prostate after surgery are more subtle in the early stage and severe after the onset of symptoms. This poses difficulties for postoperative treatment and nursing. Therefore, clinicians should be aware of the complications and establish correct clinical thinking. Prompt prevention and treatment of the complications have important implications.