Horikoshi T, Nukui H, Mitsuka S, Kaneko M
Department of Neurosurgery, Yamanashi Medical College, Japan.
Neurol Med Chir (Tokyo). 1992 Mar;32(3):136-9. doi: 10.2176/nmc.32.136.
The effect of partial resection of the gyrus rectus during the unilateral pterional approach on surgical outcome was evaluated in 194 consecutive patients with ruptured anterior communicating artery aneurysms. Resection was performed more frequently in cases with poor clinical grade, in the acute stage, with superiorly directed aneurysms, and with high-positioned aneurysms. The surgical results were graded into three stages, and the follow-up results into five stages using the Glasgow Outcome Scale. Outcomes for 52 patients receiving gyrus rectus resection were compared with those for 142 patients without resection. There were no apparent effects caused by gyrus rectus resection on outcome.
在194例前交通动脉破裂动脉瘤患者中，评估了单侧翼点入路期间直回部分切除术对手术结果的影响。在临床分级差、急性期、动脉瘤向上指向以及动脉瘤位置较高的病例中，更频繁地进行切除术。手术结果分为三个阶段，随访结果使用格拉斯哥预后量表分为五个阶段。将52例行直回切除术患者的结果与142例未行切除术患者的结果进行比较。直回切除术对结果没有明显影响。
