Rohrer T E, Leslie B, Grande D J
Department of Dermatology, University of Pennsylvania, Philadelphia.
J Dermatol Surg Oncol. 1994 Jan;20(1):19-34; quiz 36-7. doi: 10.1111/j.1524-4725.1994.tb03745.x.
Dermatologists and dermatologic surgeons are frequently presented with significant pathology of the hand. Because the hand plays such a unique and important role in man's everyday life, preservation and restoration of its form and function is critical. The hand is both powerful and extremely delicate. Before performing any procedures in this area, dermatologists and dermatologic surgeons must have a clear understanding of the cutaneous and deep anatomy of the hand and digits, as well as a thorough knowledge of the disease process being treated and the modality being used. This article reviews the intricate anatomy, the proper hemostasis and anesthesia, and many of the complications seen in dermatologic surgery and procedures of the hand, digits, and nails. With appropriate preoperative evaluation and precautions, many dermatologic procedures may be safely performed on the hand.
皮肤科医生和皮肤科外科医生经常会遇到手部的严重病变。由于手在人类日常生活中扮演着如此独特而重要的角色，因此保持和恢复其形态与功能至关重要。手既有力又极其精细。在该区域进行任何手术之前，皮肤科医生和皮肤科外科医生必须对手部和手指的皮肤及深部解剖结构有清晰的了解，同时要全面掌握所治疗的疾病过程及所采用的治疗方式。本文回顾了手部、手指和指甲的皮肤科手术及操作中复杂的解剖结构、适当的止血和麻醉方法，以及常见的许多并发症。通过适当的术前评估和预防措施，许多皮肤科手术可以在手部安全地进行。
