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皮肤穿刺打孔移除技术分步指南:一项手术技巧

Step-by-Step Guide to the Punch Removal Technique for Dermal Piercing: A Surgical Pearl.

作者信息

Elder Adam J, Deirawan Hany, Adlam Taylor, Moossavi Meena

机构信息

Department of Medical Education, Wayne State University, Detroit, USA.

Department of Dermatology, Wayne State University, Detroit, USA.

出版信息

Cureus. 2023 Aug 15;15(8):e43516. doi: 10.7759/cureus.43516. eCollection 2023 Aug.

DOI:10.7759/cureus.43516
PMID:37719601
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10501172/
Abstract

While dermal piercings have become increasingly popular, there is limited dermatologic literature detailing a standard removal technique. Dermal piercings are often removed in the emergency department using non-serrated hemostats and a rocking motion until the anchor can be pulled through the skin. Removal by these means may lead to unnecessary damage to the skin, infections, and scarring. This article describes a straightforward technique for extracting dermal piercings that does not require the patient to know the size or type of dermal anchor. A detailed description, with corresponding images, is provided as a step-by-step guide on implementing a punch removal technique for dermal piercings. Dermatologists can implement this technique to remove piercings without knowing the underlying anchor type. This punch removal technique offers a solution for removing a variety of dermal piercings and subsequent scar tissue while minimizing scar formation and leaving patients with more cosmetically appealing skin.

摘要

虽然皮肤穿刺越来越流行,但详细描述标准移除技术的皮肤科文献却很有限。在急诊科,皮肤穿刺通常使用无锯齿止血钳并通过摇晃动作来移除,直到锚钉能够被拉出皮肤。通过这些方法移除可能会对皮肤造成不必要的损伤、感染和瘢痕形成。本文介绍了一种简单的皮肤穿刺移除技术,该技术无需患者了解皮肤锚钉的尺寸或类型。文中提供了详细描述及相应图片,作为实施皮肤穿刺打孔移除技术的分步指南。皮肤科医生无需了解潜在的锚钉类型即可实施该技术来移除穿刺物。这种打孔移除技术为移除各种皮肤穿刺物及后续瘢痕组织提供了一种解决方案,同时可将瘢痕形成降至最低,使患者拥有更美观的皮肤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/214fc3a37f78/cureus-0015-00000043516-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/690210f461f1/cureus-0015-00000043516-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/0f5b873ce16e/cureus-0015-00000043516-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/9b368f116c7c/cureus-0015-00000043516-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/214fc3a37f78/cureus-0015-00000043516-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/690210f461f1/cureus-0015-00000043516-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/0f5b873ce16e/cureus-0015-00000043516-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/9b368f116c7c/cureus-0015-00000043516-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee36/10501172/214fc3a37f78/cureus-0015-00000043516-i04.jpg

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本文引用的文献

1
Dermal Piercing Removal: Searching for an Optimal Technique.皮肤穿刺移除:探寻最佳技术
Dermatol Surg. 2017 Dec;43(12):1507-1508. doi: 10.1097/DSS.0000000000001119.
2
Caring for Surgical Patients With Piercings.
AORN J. 2016 Jun;103(6):583-96. doi: 10.1016/j.aorn.2016.04.005.
3
Dermal piercings: unregulated high street surgery?皮肤穿刺:不受监管的街边手术?
Br J Dermatol. 2014 Nov;171(5):1273-4. doi: 10.1111/bjd.12968. Epub 2014 Sep 24.
4
A Dermal Piercing Complicated by Mycobacterium fortuitum.一例因偶然分枝杆菌感染导致的皮肤穿刺并发症
Case Rep Dermatol Med. 2013;2013:149829. doi: 10.1155/2013/149829. Epub 2013 Aug 29.
5
Yet another piercing to play with: removal of surface anchors.还有另一种可供玩味的穿刺方式:去除表面锚定物。
J Emerg Nurs. 2013 Jan;39(1):e7-14. doi: 10.1016/j.jen.2012.08.009. Epub 2012 Nov 9.
6
Body piercing: complications and prevention of health risks.身体穿孔:并发症及健康风险的预防。
Am J Clin Dermatol. 2012 Feb 1;13(1):1-17. doi: 10.2165/11593220-000000000-00000.