Naimer Sody A
From the Department of Family Medicine, Siaal Research Center for Family Medicine and Primary Care, Division of Community Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel; and the Eilon Moreh Clinic, Clalit Health Services, Shomron District, Lev Shomron, Israel.
J Am Board Fam Med. 2017 May-Jun;30(3):374-376. doi: 10.3122/jabfm.2017.03.160365.
Foreign bodies are occasionally seen by family physicians. Plantar foreign bodies in particular pose a special challenge because they involve weight-bearing regions that are difficult to access. If left undetected long enough, these may lead to hospitalization, surgery, or even longstanding complications such as tumors, contractures, infections, and chronic ulcers. Dermoscopy of the cutaneous surface allows early detection of indwelling foreign bodies with a far greater degree of accuracy than with the naked eye. Furthermore, use of a polarized dermatoscope provides ideal illumination and 3-dimensional visualization of the involved site, and facilitates extraction of the penetrating object. This technique could be used for similar injuries involving other body surfaces.
家庭医生偶尔会遇到异物。尤其是足底异物带来了特殊挑战，因为它们涉及难以触及的负重区域。如果长时间未被发现，这些异物可能导致住院、手术，甚至引发诸如肿瘤、挛缩、感染和慢性溃疡等长期并发症。对皮肤表面进行皮肤镜检查能够比肉眼更准确地早期发现体内异物。此外，使用偏振皮肤镜可为相关部位提供理想的照明和三维可视化效果，并便于取出刺入的物体。这项技术可用于涉及身体其他表面的类似损伤。
