Lee Jiunn-Tat, Wang Chien-Hsing, Cheng Li-Fu, Lin Chih-Ming, Huang Chieh-Chi, Chien Sou-Hsin
Hualien, Taiwan From the Division of Plastic Surgery, Department of Surgery, Buddhist Tzu Chi General Hospital, Tzu Chi University, and Division of Plastic Surgery, Department of Surgery, Buddhist Dalin Tzu Chi General Hospital.
Plast Reconstr Surg. 2006 Nov;118(6):1472-1483. doi: 10.1097/01.prs.0000239611.00011.ac.
Many Asian women are bothered by plump calves, which they consider to be unsightly. In the past, liposuction was frequently performed to treat oversized legs, but little effect could be obtained if the condition was caused by hypertrophy of calf muscles.
Gastrocnemius muscle resection for hypertrophic muscular calves was performed in 20 patients at Buddhist Tzu Chi General Hospital from May of 2001 through September of 2004. One patient underwent resection of the medial head only, two underwent total resection of both medial and lateral heads, and the other 17 patients underwent subtotal resection with preservation of the proximal 4 to 6 cm of muscle of both heads.
The resected gastrocnemius muscle weighed from 250 to 430 g per calf (mean, 343 g). The maximal calf circumference was between 32 and 41 cm (average, 35.2 cm) preoperatively and 26 and 35 cm (average, 30.5 cm) postoperatively. Calf reduction was 3.5 to 7 cm (average, 4.7 cm), or 10.1 to 21.2 percent (average, 13.3 percent). Two patients developed seroma and three developed late hematoma. One patient had dragging of one foot because of incidental severance of the nerve to the soleus muscle that lasted for 6 months, until complete recovery occurred. No patient complained of functional deficits during gait or sports activities after 3 to 6 months.
Subtotal resection of both heads of the gastrocnemius muscle can result in satisfactory calf reduction without impairment of leg function and avoid hollow deformity in the popliteal fossa. Five patients still had scar problems during the short-term follow-up period, but all were rather satisfied with their reduced calf sizes.
许多亚洲女性因小腿粗壮而烦恼，她们认为这样不美观。过去，抽脂术常用于治疗腿部粗大，但如果是小腿肌肉肥大所致，则效果甚微。
2001年5月至2004年9月，佛教慈济综合医院对20例小腿肌肉肥厚患者实施了腓肠肌切除术。1例患者仅切除内侧头，2例患者切除内侧头和外侧头，其余17例患者行次全切除，保留两头近端4至6厘米的肌肉。
切除的腓肠肌每侧重250至430克（平均343克）。术前小腿最大周长在32至41厘米之间（平均35.2厘米），术后为26至35厘米（平均30.5厘米）。小腿围度减小3.5至7厘米（平均4.7厘米），即10.1%至21.2%（平均13.3%）。2例患者出现血清肿，3例患者出现迟发性血肿。1例患者因比目鱼肌神经意外切断导致单足拖地，持续6个月，直至完全恢复。3至6个月后，无患者在步态或体育活动中抱怨功能缺陷。
腓肠肌两头次全切除可使小腿围度减小令人满意，且不损害腿部功能，避免腘窝出现凹陷畸形。5例患者在短期随访期间仍有瘢痕问题，但均对小腿围度减小相当满意。
