目的　介绍一种修复阴道直肠瘘的新方法。方法　在解剖学研究的基础上 ,设计并应用以闭孔动、静脉前皮支为蒂的阴股沟岛状皮瓣修复阴道直肠瘘。结果　本组 4例 ,皮瓣全部成活 ,手术成功。结论　该岛状皮瓣具有血运可靠、薄而无毛、供区隐蔽等优点 ,是一种较好的阴道直肠瘘修复术式。 Objective To introduce a new method of repairing vaginal fistula. Methods Based on the anatomic study, vaginal rectovaginal fistula was designed and applied to the vaginal island flaps pedicled with the closed anterior and posterior vena cava branches. Results The group of 4 cases, all flaps survived, the operation was successful. Conclusion The island flap has the advantages of reliable blood supply, thin and glabrous, and concealed area. It is a good method for repair of vaginal fistula.