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目的 报道远端为蒂的腓肠神经伴行血管岛状皮瓣修复下肢软组织缺损的效果.方法对19 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5 cm *6cm ,最小3cm *4 cm .结果 19 例皮瓣完全存活,随访1~24 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岛状皮瓣为一可靠的皮瓣,该皮瓣切取方便,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“,”Objective To report the results of distally based sural flap for the leg reconstruction Methods Nineteen 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 19 patients The color and texture of the flaps were nearly normal Their appearance and function were satisfactory after 1 to 24 months follow up Conclusion Distally based sural flap is a reliable 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 reconstruction