目的     探讨带腓肠肌肌腱的腓肠神经营养血管复合皮瓣修复跟腱并皮肤缺损的效果。 方法    复合皮瓣修复跟腱并皮肤缺损6例，其中3例跟腱背侧部分缺损，2例跟腱内侧部分缺损，1例跟腱完全缺损。切取带腓肠肌肌腱的腓肠神经营养血管复合皮瓣时，保持肌腱与皮瓣深筋膜的联系。皮瓣大小7 cm×5 cm~11 cm×10 cm, 腓肠肌肌腱大小为5 cm×3 cm~9 cm×4 cm。  结果     6例皮瓣均完全成活，感染控制；6例术后随访3~50个月，皮瓣外观满意，无跟腱再断裂者。患侧踝关节屈伸范围基本正常，功能评定，优5例，良1例。 结论    带腓肠肌肌腱的腓肠神经营养血管复合皮瓣修复跟腱并皮肤缺损具有手术操作简单，术后跟腱粘连轻，功能恢复好的优点。

Objective　To report the clinical effects of sural neurofsciocutaneous composite flap with gastrocnemius tendon on repairing defect of Achilles tendon and overlying skin.  Methods　Six cases of defects of Achilles tendon and overlying soft tissue were reconstructed by the sural neurofasciocutaneous composite flap with gastrocnemius tendon. Be sure to keep the connection between gastrocnemius tendon and deep fascia of the composite flap during the surgery. The smallest and the largest areas of transfered skin flaps were 7cm× 5cm  and 11cm×10cm respectively. The size of gastrocnemius tendon were about 5cm×3cm to 9cm×4cm. Results　All of the six flaps survived well, without obvious infection. The 3-50 months' of follow-up showed that the functions of Achilles tendon and the appearance of the flaps of 6 patients were satisfactory, with no Achilles tendon disruption appeared. Conclusions　Sural neurofsciocutaneous composite flap with gastrocnemius tendon is easy to operate in repairing defect of Achilles tendon and overlying skin, with only slight syncretio of Achilles tendon, and excellent function recovery of ankle joint.