目的 对局部晚期的男性外生殖器恶性肿瘤大块切除后缺损区的修复.方法 对本组11例患者行病灶广泛切除及淋巴结清扫后,运用筋膜皮瓣、腹直肌岛状肌皮瓣、臀大肌及阔筋膜张肌复合肌皮瓣进行缺损区修复,重点介绍了腹直肌岛状肌皮瓣的切除方法.结果 11例患者中10例患者修复区Ⅰ期愈合,1例延期愈合.结论 根据缺损程度选择合适的皮瓣是手术成功的关键. Objective To repair the defect area after massive excision of locally advanced male external genital cancer. Methods After extensive resection of the lesion and lymph node dissection in 11 patients in this group, the flaps, rectus abdominis myocutaneous flaps and hips were used. The repair of the defect area was performed using the musculoskeletal and tensor fasciae tensor myocutaneous flaps. The resection of the rectus abdominis myocutaneous flap was highlighted. Results Of the 11 patients, 10 cases were healed in the repaired area, and 1 case was delayed healing. Conclusion Selecting the right skin flap based on the degree of defect is the key to successful operation.