Mendelson B C, Linscheid R L, Dobyns J H, Muller S A
J Hand Surg Am. 1977 Jul;2(4):318-24. doi: 10.1016/s0363-5023(77)80136-6.
Recent surgical experience with 11 cases of calcinosis cutis has given the authors an opportunity to define the role of surgery in the management of this condition. In scleroderma associated with dermatomyositis, when complications or disability arise from one or more areas of calcinosis, surgery may give significant palliation. Wound healing, although a potential problem, does not constitute a contraindication to operative treatment. Damage to deep structures usually is avoidable, but in some instances is a reasonable trade-off for the benefits obtained. Follow-up has confirmed that surgery is beneficial to patient comfort and function, even in the few patients in whom some calcinosis recurred.
近期对11例皮肤钙化症的手术经验使作者有机会明确手术在该病症治疗中的作用。在与皮肌炎相关的硬皮病中，当钙化症的一个或多个部位引发并发症或导致残疾时，手术可能会带来显著的缓解效果。伤口愈合虽是一个潜在问题，但并不构成手术治疗的禁忌证。对深层结构的损伤通常是可以避免的，但在某些情况下，与所获得的益处相比，这种损伤是合理的权衡。随访证实，手术对患者的舒适度和功能有益，即使在少数钙化症复发的患者中也是如此。
