摘要
目的探索改善女性小腿后侧肌肉健壮粗大外观,安全有效地瘦小腿的手术及护理方法。方法利用肌肉失神经萎缩后体积减少的原理,将小腿腓肠肌体积有效缩小。采取腘窝横皱襞小切口,沿胫神经追寻并区分腓肠肌内、外侧头肌支,用神经电刺激器对神经确认后离断,使内外侧腓肠肌失神经萎缩,观测小腿术前术后外形及周径变化。结果对48例腓肠肌肌性肥大女性108侧小腿行该术式,受术者术后早期可以行走、站立,随访3个月至2年,受术者下肢功能无影响,活动如常,小腿最大周径平均缩减（3.8±1.2）cm。小腿曲线变柔和,神经离断外观明显改善。结论行选择性胫神经腓肠肌肌支离断瘦小腿术,可改善小腿肌性健壮粗大外观,达到瘦小腿和改善小腿外形之目的 ;该术式安全,简便,痛苦小,恢复快,效果明显,符合微创美容手术的原则。
Objective To evaluate a safe method to reduce the volume of gastroenemius muscle for calf Reduction effeetively. Methods The volume of muscles wouhl be reduced when their trophie nerves were cut off. With the principle, the muscular branches of tibial nerves to medial and lateral the gastroenemius muscle were explored and cut off through a short＇incision atpopliteal crease. It would be confirm by the nerve electros-Timulator during the operation. The circunfferenee and the shape of the leg were measured and recorded. Results This surgery, was performed in 48 female patients （104 sides） suffering from hypertrophy gastrocnemius Muscles. After operation, the circumference of the leg was reduced （3.8-＋1.2）cm averagely. These cases were followed up for 3 -24 months. They were able to walk immediately after operation. The function of the leg was not obviously influenced. Conclusion Selective neurotomy of the tibial nerve innervating the gastroc-Nemus muscle will reduce the yo/mne of gastrocnemius muscle. It was a safe, simple, painless, effective and quickly recovery method for calf shaping.
作者
伍艳群
王笋娟
方雁君
杨滔玉
WU Yan-qun, WANG Sun-juan, FANG Yan-jun, YANG Tao-yu （Guangdong 2^nd People＇s Hospital, Guangzhou 510317, China）
出处
《医学信息》
2010年第14期2386-2387,共2页
Journal of Medical Information
关键词
腓肠肌
小腿塑形
护理
Calfshaping
Castrocnemius
Nursing
