【摘要】 目的 探讨远端蒂腓肠神经营养血管皮瓣修复足跟部软组织缺损的临床疗效。方法 采用远端蒂腓肠神经营养血管皮瓣修复25例足跟部软组织缺损患者，均经明道转移皮瓣至受区。缺损面积4.2 cm×3.6 cm～9.5 cm×7.0 cm;皮瓣设计面积5.0 cm×4.2 cm～11.5 cm×8.4 cm。结果 患者均获得随访，时间11～38个月。皮瓣均成活，供区一期愈合。术后3个月皮瓣外观色泽良好，质地柔软，对正常穿鞋无影响，未出现磨损溃疡，患者满意度较高。结论 远端蒂腓肠神经营养血管皮瓣修复足跟部软组织缺损，具有解剖相对恒定、手术操作简单、不牺牲主要动脉、皮瓣易成活的优势。更多还原

【Abstract】 Objective To investigate the clinical efficacy of the distal pedicle sural neurotrophic vascular flap in repairing soft tissue defects of the heel.Methods The twenty-five cases with heel soft tissue defects were repaired with distal pedicled sural neurocutaneous vascular flaps, the flaps were transferred to the recipient area through open channel.The defect area ranged from 4.2 cm×3.6 cm to 9.5 cm×7.0 cm, the flaps designed size was 5.0 cm ×4.2 cm～11.5 cm ×8.4 cm.Results All patients were followed up for 11～38 months.All flaps survived and the donor site healed in one-stage.At 3 months postoperation, the colour was good, and the texture was soft, no effect on normal shoe wearing, no friction ulcer, with satisfactory appearances.Conclusions The distal pedical sural neurotrophic vascular flaps are used to repair the soft tissue defect of the heel, which have the advantages of relatively constant anatomy, simple surgical operation, no sacrifice of the main artery and easy survival of the flap.更多还原