摘要
目的探讨弥漫性轴索损伤的影像学及临床特点,为诊断和治疗提供参考。方法对47例弥漫性轴索损伤患者的临床资料及影像学进行回顾性分析。结果随访3～12个月,根据格拉斯哥预后评分(GOS):恢复良好12例,中残14例,重残8例,植物生存3例,死亡10例。不同影像学分级组的预后无显著差异。结论弥漫性轴索损伤是临床上常见的颅脑损伤类型,其诊断主要根据临床和影像学表现;目前CT和常规MRI尚不能作为诊断的必要条件,也不能作为准确评估患者预后的独立依据。
Objective To study the imaging and clinical characteristics of diffuse axonal injury（DAI） for providing a good reference for diagnosis and treatment. Method 47 cases with diffuse axonal injury were analyzed retrospectively. Results The prognosis of the patients was evaluated according to Glasgow Outcome Scale （GOS） 3 - 12 months after injury, among the 47 cases, 12 were good recovery, 14 moderate disability, 8 severe disability, 3 persistent vegetative state, 10 dead, no correlation between imaging classification and prognosis. Conclusion DAI is a very common kind of head injury, the diagnosis of DAI is mainly based on clinical manifestation and imaging characteristics, however, routine CT and MRI scanning can neither be a prerequisite for the diagnosis of DAI, nor a independent foundation for accurately evaluating the prognosis of DAI patients.
出处
《临床神经外科杂志》
CAS
2008年第3期131-133,共3页
Journal of Clinical Neurosurgery
关键词
弥漫性轴索损伤
诊断
治疗
diffuse axonal injury
diagnosis
treatment
