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硬皮病是一种伴有变形表现的全身性疾病,很少需要手术处理。然而,外科医师会遇到这一疾病的某些并发症,尤其是侵及食管和胃肠道者。在这里介绍了硬皮病的一般情况及其特殊的外科问题。【临床征候群】硬皮病(或全身性硬化)是一种胶原性血管疾病。它常见于30～40岁妇女。手和面部皮肤首见浮肿,后呈绷紧和刻板状,正常皮肤皱纹消失。90%患者出现雷诺氏现象,并可在皮肤改变以前数月或数年就出现。毛细管扩张多发生在面部和胸前侧。65%患者有食管的侵及。
Scleroderma is a systemic disease associated with deformity and rarely requires surgery. However, surgeons experience some of the complications of this condition, especially those that invade the esophagus and the gastrointestinal tract. Here are the general situation of scleroderma and its special surgical problems. [Clinical syndrome] scleroderma (or systemic sclerosis) is a collagen vascular disease. It is common in women 30 to 40 years old. Hand and face skin first see edema, was tense and rigid shape, the normal skin wrinkles disappear. Raynaud’s phenomenon occurs in 90% of patients and can occur months or years before skin changes. Capillary dilatation occurs more in the face and chest side. 65% of patients had esophageal invasion.