妊娠与皮肤科手术

Pregnancy and dermatologic surgery.

作者信息

Sweeney Susan M, Maloney Mary E

机构信息

Division of Dermatology, University of Massachusetts Medical School, and Dermatologic Surgery, University of Massachusetts Memorial Health Care, Worcester, MA 01655, USA.

出版信息

Dermatol Clin. 2006 Apr;24(2):205-14, vi. doi: 10.1016/j.det.2006.01.011.

DOI:10.1016/j.det.2006.01.011

PMID:16677967

Abstract

The physiologic changes of pregnancy and risks to the fetus require attention during dermatologic surgery. Elective surgery should be performed in the second trimester or the postpartum period. Cosmetic work should occur after delivery to avoid hypertrophic or hyperpigmented scars. Skin preparatory agents and anesthetics may have fetal implications and should be chosen with care. Antibiotic selection for any infections must take into account possible maternal and fetal risks. Attention to detail and awareness of the changes in pregnancy should lead to safe surgery in the pregnant patient.

摘要

孕期的生理变化以及对胎儿的风险在皮肤科手术期间需要引起关注。择期手术应在孕中期或产后进行。美容手术应在分娩后进行，以避免形成增生性或色素沉着性瘢痕。皮肤准备剂和麻醉剂可能对胎儿有影响，应谨慎选择。针对任何感染选择抗生素时必须考虑到对母体和胎儿可能的风险。注重细节并了解孕期的变化应能使孕妇安全地接受手术。