对 4 8例皮肤癌病灶切除不能直接缝合的创面 ,选择较大创缘潜行分离拉拢缝合、植皮、皮瓣等三种方式闭合创面 ,均取得创面愈合 ,且无明显并发症发生。提示拉拢缝合是一种较好的方式 ;对老年头皮创面 ,首选植皮 ;深部组织裸露 ,用皮瓣覆盖 ;邻近下腹部的创面选用轴型皮瓣闭合。 Forty-eight cases of skin cancer lesions that could not be directly sutured were selected and the wounds were closed with three methods such as separation, sewing, skin grafting, and flaps. The wounds were healed and no significant complications occurred. Tips to draw sutures is a good way; for the elderly scalp, skin grafting is preferred; bare tissue is exposed and covered with skin flaps; the adjacent lower abdomen wound is closed with an axial flap.