This paper presents a novel fuzzy region-based active contour model for image segmentation. By incorporating local patch-energy functional along each pixel of the evolving curve into the fuzziness of the energy, we construct a patch-based energy function without the regurgitation term. Its purpose is not only to make the active contour evolve very stably without the periodical initialization during the evolution but also to reduce the effect of noise. In particular, in order to reject local minimal of the energy functional, we utilize a direct method to calculate the energy alterations instead of solving the Euler-Lagrange equation of the underlying problem. Compared with other fuzzy active contour models, experimental results on synthetic and real images show the advantages of the proposed method in terms of computational efficiency and accuracy.