Objective To study the cellular biocompatibility, adhesion and proliferation of endothelial outgrowth cells (EOCs) isolated and expanded from rabbit peripheral blood cultured with aligned poly-L-lactic acid (PLLA) nanofibrous scaffolds in vitro so as to provide a basis for the applications of scaffolds biomaterials in tissue repair. Methods Nanofibrous scaffolds of PLLA by electrostatic spinning were modified by hypothermal plasmas body and type Ⅰ collagen was coated onto the materials physically. In vitro, EOCs were cultured on the modified PLLA scaffold. Adhesion and proliferation were surveyed and morphological changes and biocompatibility of seeding cells on PLLA scaffold were observed by growth curves of the cells, fluorescent microscope and scanning electron microscope respectively. Results Fibers with diameters ranging from 300 nm to 400 nm were included in the nanofibrous scaffolds, whose porosities were more than 90%. Absorbance (A) of each scaffold increased gradually after EOCs grew in the absence or presence of random, aligned, or super-aligned PLLA nanofibrous scaffold. Although there was no detectable effect of the random PLLA scaffold on the growth EOCs (Pgt;0.05), both aligned and super-aligned PLLA nanofibrous scaffold had significantly enhanced their growth since the 5th day (P＜0.05). The rates of adhesion in both aligned and super-aligned PLLA nanofibrous scaffold were significantly higher than those of random PLLA scaffold after 12 h and 24 h incubation (P＜0.01). The rates of proliferation after 1 d, 3 d and 7 d incubation in aligned and super-aligned PLLA nanofibrous scaffold were significantly higher than those of random PLLA nanofibrous scaffold (P＜0.05, P＜0.01). EOCs grew well with PLLA scaffold, yet confused and disorderly in random nanofibers. EOCs could attach, extend and proliferate following fibrous orientation in aligned and super-aligned PLLA nanofibrous scaffold, in majority of the fibers were oriented along the longitudinal axis so that a unique aligned topography was formed. Especially super-aligned PLLA nanofibrous had advantageous to keep well on cell morphology. Conclusion EOCs are ideal seeding cells for tissue engineering. EOCs can be adhered well to aligned and super-aligned PLLA nanofibrous scaffold and proliferate, keep well on cell morphology. So this type of PLLA nanofibrous scallfold is proposed to be an optimal candidate material for EOCs transplantation in tissue repair.