Total Resection of Gastrocnemius Muscles for Hypertrophic Muscular Calves

很多東方女性因為小腿粗大而苦惱，較為嚴重者被戲謔地稱為蘿蔔腿。她們往往不願意穿短裙或短褲，她們希望有模特兒般修長的雙腿。過去治療小腿粗大，往往用抽脂術，但這對於小腿肌肉肥大的病人是無效的。從民國九十年五月到九十三年四月間，共有十位病人在慈濟醫院接受腓腸肌全部切除手術來治療肌肉型的小腿粗大；其中二例男性，八例女性。四例過去曾接受抽脂手術。切除的肌肉重量為250至430公克，平均343公克。小腿圍減少3.5至6公分，平均4.5公分。病人四至六週可平順地走路及上下樓梯，三至六個月可快跑及運動。一個病人術後有血清腫，三個病人有血腫。一個病人一腳拖地，半年才完全恢複。雖然有三位病人仍抱怨疤痕問題，但所有病人都很滿意腿圍縮小的結果。

關鍵字

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並列摘要

Many Oriental women are bothered by unsightly plump calves. In severe cases, the conditions are ridiculously described as radish-like legs. They usually are unwilling to wear short skirt and pants. They admire long and slender legs of fashion models. In the past, liposuction was frequently performed to treat oversized legs. Unfortunately, little effect could be obtained by liposuction if the conditions were due to hypertrophy of calf muscles. Total gastrocnemius muscles resection for hypertrophic muscular calves were performed in 10 patients at Buddhist Tzu-Chi General Hospital from May 2001 through April 2004. There were two males and eight females. Four cases had previous ineffective liposuction of lower legs. Weight of the resected gastrocnemius muscle ranged from 250 to 430 g per calf (mean, 343 g). Reduction of the circumference of the calves was 3.5 to 6.0 cm (mean, 4.5 cm). All patients could walk and go upstair or downstair smoothly within 4 to 6 weeks, and could run and do exercise without difficulty within 3 to 6 months. Seroma developed in one patient and late hematoma in 3 patients postoperatively. One patient had dragging of one foot for 6 months. Although three patients still complained of scar problems during the follow-up period, all patients were rather satisfied with the reduction of their calf sizes.

並列關鍵字

hypertrophic muscular calves ； radish-like legs ； gastrocnemius muscle resection ； liposuction ； calf reduction

國際替代計量

Total Resection of Gastrocnemius Muscles for Hypertrophic Muscular Calves

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