Meltzer Donna I
State University of New York at Stony Brook School of Medicine, Stony Brook, New York, USA.
Am Fam Physician. 2005 Nov 15;72(10):2029-34.
The trend of body piercing at sites other than the earlobe has grown in popularity in the past decade. The tongue, lips, nose, eyebrows, nipples, navel, and genitals may be pierced. Complications of body piercing include local and systemic infections, poor cosmesis, and foreign body rejection. Swelling and tooth fracture are common problems after tongue piercing. Minor infections, allergic contact dermatitis, keloid formation, and traumatic tearing may occur after piercing of the earlobe. "High" ear piercing through the ear cartilage is associated with more serious infections and disfigurement. Fluoroquinolone antibiotics are advised for treatment of auricular perichondritis because of their antipseudomonal activity. Many complications from piercing are body-site-specific or related to the piercing technique used. Navel, nipple, and genital piercings often have prolonged healing times. Family physicians should be prepared to address complications of body piercing and provide accurate information to patients.
在过去十年中，除耳垂以外部位的身体穿刺趋势越来越流行。舌头、嘴唇、鼻子、眉毛、乳头、肚脐和生殖器都可能被穿刺。身体穿刺的并发症包括局部和全身感染、美容效果不佳以及异物排斥反应。舌头穿刺后常见肿胀和牙齿折断问题。耳垂穿刺后可能会出现轻微感染、过敏性接触性皮炎、瘢痕疙瘩形成和外伤性撕裂。穿过耳软骨的“高位”耳洞与更严重的感染和毁容有关。由于氟喹诺酮类抗生素具有抗假单胞菌活性，因此建议用于治疗耳廓软骨膜炎。许多穿刺引起的并发症是特定身体部位的，或与所使用的穿刺技术有关。肚脐、乳头和生殖器穿刺的愈合时间通常较长。家庭医生应准备好处理身体穿刺的并发症，并向患者提供准确信息。
