【摘要】 目的 :报道远端为蒂的腓肠神经伴行血管蒂逆行岛状皮瓣修复下肢软组织缺损的效果及其扩大切取。方法 :对 15例下肢软组织缺损的病例 ,采用远端为蒂的腓肠神经伴行血管岛状皮瓣进行修复 ,皮瓣面积最大 13cm×8cm ,最小 4cm× 5 cm。结果 :15例皮瓣完全成活 ,其中 5例行扩大切取 ,随访 6～ 30个月 ,皮瓣质地优良 ,外观及功能满意。结论 :远端为蒂的腓肠神经伴行血管蒂岛状皮瓣为一可靠的皮瓣 ,此皮瓣切取方便 ,血供丰富且不牺牲主要动脉 ,为修复小腿远 1/3胫前、踝关节及足跟部软组织缺损的一种良好方法。且能行扩大切取 ,扩大了该皮瓣适应证更多还原

【Abstract】 Objective:To report the results of distally based s ural flap for the leg reconstruction.Methods:fifteen patients with soft tissue defects in the distal one third of anterior tibia,ankle and heel were treated with distally based sural flap.Results:The flaps survived in all 15 patients.Five of them were dissected expansively.The color and texture of the flaps were nearly normal.Their appearance and function were satisfactory after 6 to 30 menths follow-up.Conclusion:distally based sural flap is a rellable flap.The dissection is easy.This flap has a rich blood supply without sacrifice of major arteries.It can be used reliably for distal one third anterior tibial region,ankle and heel recontruction,and it can be dissected expansively.更多还原