目的探讨根据解剖部位的不同合理选用邻近皮瓣Ⅰ期修复颜面部皮肤缺损的方法和疗效。方法 163例患者颜面部皮肤肿瘤在切除后,采用邻近皮瓣Ⅰ期修复皮肤缺损。有8种皮瓣被成功的设计和应用。结果在所有患者中,有155例患者切口Ⅰ期愈合,缺损愈合满意,瘢痕隐匿,无明显面部畸形及色差。5例患者术后皮瓣远端表皮出现坏死。应用最多的是旋转皮瓣,其次是滑行推进皮瓣。结论合理设计的邻近皮瓣修复面部较大皮肤缺损可获满意疗效和美容效果。 Objective To investigate the method and effect of repairing the skin defect of face and face according to the different rational use of adjacent flaps in anatomical sites. Methods One hundred and sixty-three patients with facial skin tumors were treated with adjacent skin flap to repair the skin defect. Eight kinds of flaps have been successfully designed and applied. Results In all patients, 155 cases of incision healed at first intention, satisfactory healing of defects, concealed scar, no obvious facial deformity and color difference. Five patients had necrosis of the distal epidermis of the flap. The most widely used rotary flap, followed by gliding push flap. Conclusion Adjacent flaps with reasonable design can achieve satisfactory curative effect and cosmetic effect in repairing the large facial skin defect.