抽脂结合腓肠神经内侧头离断术在小腿塑形中的应用  

Application of liposuction combined with the amputation of sural nerve medial head in calf shaping

作　　者：常文超[1] 孙肇晟 张敬德 

机构地区：[1]解放军第一五二医院整形科,河南平顶山467000 [2]上海市长海医院整形科

出　　处：《中国美容医学》2013年第15期1571-1573,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索抽脂结合腓肠神经内侧头离断在改善小腿外形的临床疗效。方法:通过腘窝皮肤皱襞处取3～5cm横切口,抽取脂肪结合离断腓肠神经内侧头,使皮下脂肪容积减少和腓肠肌内侧头失神经萎缩,达到小腿塑形的目的。测量并记录小腿周径和外形的变化。结果:本组14例患者行皮下抽脂结合离断腓肠神经内侧支术后,小腿最大周径缩小(3.5±1.5)cm。小腿内径曲线变得平缓。抽脂结合离断腓肠神经内侧头术后,患者休息2～3天后可下床行走,早期有轻度不适,适应2天后症状基本消失。随访半年,站立、行走等日常活动未受影响。结论:抽脂结合离断腓肠神经内侧头术,可缩小小腿容积,改善小腿外形,方法简便、安全,效果明显,同时不影响患者的日常功能活动。Objective Explore the curative clinical effect about liposuction combined with dividing the caput mediale of the sural nerve to improve the appearance of the crus. Methods Take the 3N5cm transverse incision on the skin folds of popliteal fossa,extract fat combined with dividing the caput mediale of the sural nerve to reach the goal of the reduction of subcutaneous fat and caput mediale of gastrocnemius nerve atrophy.Measure and record changes in circumference and shape of the calf. Result This group of 14 patients who underwent subcutaneous liposuction combined with medial branch away from the sural nerve, postoperative the largest circumference of calf reduces （3.5＋1.5） cm.The inside diameter curve of the calf flattens.Patients can walk normally after the rest for 2N3days after surgery,when they underwent liposuction combining with medial branch away from the sural nerve,they will have mild discomfort in the early stage,the symptoms will disappear after 2days. Follow-up for six months,standing,walking and other daily activities were not affected. Conclusion Liposuction and medial branch being away from the sural nerve can cause the reduction of calf＇s volume and improve the shape of the calf,the method is convenient,safe and effective,at the same time it doesn＇t affect the patients＂ daily activities.

关 键 词：抽脂术 小腿塑形 腓肠肌 神经离断术 

分 类 号：R622[医药卫生—整形外科]