目的：报道改良带掌长肌腱静脉动脉化皮瓣修复指背肌腱、皮肤复合组织缺损方法和效果。方法：在同侧前臂远端以掌长肌腱为中心寻找到两条并行的静脉，以此设计皮瓣，切断结扎静脉之间交通支，保护腱周血管网。复合组织皮瓣均采用顺行移植。结果：术后6例皮瓣均成活，经4~14个月平均8．5个月的随访，按TAM法疗效评定，5指均达优良。皮瓣柔软，弹性好。结论：改良带掌长肌腱静脉动脉化皮瓣移植，成活稳定，肌腱有血液供应，愈合良好，粘连轻。

　　Objective: To report the curative effects of modified arterialized venoous flap of palmaris longus on dorsal skin and tendon defects in fingers. Methods: Two parallel veins of palmaris longus identified at the distal end of the ipsilateral forearm were taken as the blood supply of the flap. The anastomosis between arteries and veins were ligated, accompanied with the protecting of peritendinous vascular net. Antrorse transplantation of the flap was performed.  Results: All flaps of 6 cases survived well. The results of follow-up of 4 to 14 months, averagely 8.5 months, proved that, the transplanted flaps was soft and elastic, which fitted to the level of fine, according to TAM standard. Conclusions: Modified arterialized venoous flap of palmaris longus is valuable for treating finger defects, for its satisfied blood supply and repair effects.