目的　介绍股前内侧易位筋膜皮瓣修复儿童腹股沟区烧伤愈合后瘢痕挛缩畸形。方法　 1989年8月～ 1999年 8月 ,收治 33例腹股沟区瘢痕挛缩病人 ,年龄 3～ 11岁。手术在股前内侧设计一个由大的舌形主皮瓣和蒂在对侧的三角皮瓣 ,缺损缘与主皮瓣的夹角三部分组成的易位筋膜皮瓣修复腹股沟区缺损 ,切取皮瓣最大为18cm× 10 cm,最小为 13cm× 8cm,易位夹角 6 0°～ 80°,主皮瓣修复腹股沟缺损区 ,三角形皮瓣修复供瓣区 ,手术一期完成。结果　 33例 5 1个移位皮瓣均成活 ,术后下肢、会阴部功能及外观满意。结论　股前内侧易位筋膜皮瓣适用于儿童腹股沟烧伤瘢痕挛缩畸形的修复 ,且不需植皮修复供瓣区 Objective To introduce the anterolateral medial metacarpophalamic fasciocutaneous flap for the repair of scar contracture after burns healing in the groin area of ​​children. Methods From August 1989 to August 1999, 33 cases of scar contracture in the groin area were treated, ranging in age from 3 to 11 years. Surgery in the anterolateral design of a large tongue-shaped main flap and pedicle in the contralateral flap, the defect margin and the main flap angle of three parts of the transplantion fascia flap repair groin defect, cut The largest flap is 18cm × 10cm, the smallest is 13cm × 8cm, the angle of transposition is 60 ° ~ 80 °. The main flaps repair inguinal defect area and triangle flaps for the flap area. The operation is completed in one stage. Results 33 cases of 5 1 displacement flap were alive, postoperative function of the lower extremities and perineum and appearance satisfactory. Conclusion The anterolateral medial metacarpophalangeal fascia flap is suitable for the repair of scar contracture in children with groin burns and does not require skin graft to repair the flap area