Zalla M J
Department of Dermatology, Mayo Clinic Scottsdale, Arizona 85259.
Cutis. 1994 Apr;53(4):172-86.
Basic surgical procedures are an integral part of the practice of dermatology. Instruction in basic cutaneous surgery is required of dermatology residency programs, and surgical procedures occupy a significant portion of the practicing dermatologist's time. This paper reviews the basic surgical techniques of fusiform excision, electrosurgery, cryosurgery, and curettage and briefly mentions the use of chemical destruction as it relates to these modalities. These techniques provide the basis for treatment of a multitude of benign and malignant lesions. Familiarity with the use, indications, and contraindications of each technique allows the appropriate choice of treatment for a given lesion, to ensure optimal outcome and minimize the chance of complications.
基本外科手术是皮肤科实践中不可或缺的一部分。皮肤科住院医师培训项目要求进行基本皮肤外科手术的教学,而且手术操作占据了执业皮肤科医生相当一部分时间。本文回顾了梭形切除术、电外科手术、冷冻手术和刮除术等基本外科技术,并简要提及了与这些方法相关的化学毁损的应用。这些技术为多种良性和恶性病变的治疗提供了基础。熟悉每种技术的使用方法、适应证和禁忌证,有助于针对特定病变做出合适的治疗选择,以确保获得最佳疗效并将并发症的发生几率降至最低。