169例脑弥漫性轴索损伤的诊断和预后分析

目的 评价目前对弥漫性轴索损伤（DAI）患者的诊断和病人预后的关系。方法 以多中心研究的方法，回顾性分析169例DAI患者的影像学表现及其分型、GCS评分与预后的关系。结果 DAI病人影像学表现越单纯，病灶越靠近大脑半球周边，GCS评分越高，预后越好。结论 现行的DAI病人诊断性影像学表现及分型、GCS评分及分型对判断DAI病人的预后具有指导意义。

Diagnosis and Prognosis in 169 cases with diffuse axonat injury

Objective To assess the affect of current diagnostic and therapeutic methods on the prognosis of patients with cerebral diffuse axonal injury(DAI). Methods In a multi-center study, we retrospectively analyzed the correlations between imaging scan and its classification, GCS score, and therapeutic measures with the prognosis in 169 patients with DAI. Results The more simplex the imaging manifestations of DAI patients was, the closer to brain margin the pathological focus of the DAI was, the higher GCS scores the patients had, the better the prognosis was. Conclusion There is an obvious statistic correlation between the diagnostic imaging manifestations and its classification, the GCS scores, the therapeutic measures with the prognosis of DAI patients. The prognosis of DAI patients can be obviously improved through the pertinent and comprehensive treatment according to the different conditions of DAI patients.