中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
2期
21-23
,共3页
Madelung病%脂肪过多症%多发对称性
Madelung病%脂肪過多癥%多髮對稱性
Madelung병%지방과다증%다발대칭성
Madelung’s disease%Lipomatosis%Multiple symmetry
目的：分析Madelung病的临床特征并探讨其治疗方法。方法结合文献分析1例Madelung病患者的临床表现、CT影像检查、诊断、治疗及预后情况。结果患者主要表现为身体上半部脂肪弥漫性沉积，颈部畸形和活动受限，有饮酒嗜好，并伴有多种内科疾病，如酒精性肝病、高血压病、高尿酸血症、甲状腺功能减退等。经手术治疗和内科治疗后，现恢复良好，无复发及恶变倾向。结论Madelung病具有特征性CT 表现，即颈项部、下枕部、上背部皮下有大量脂肪组织蓄积增厚，其密度和信号强度与正常脂肪相同。本病可采用综合治疗的方法，除戒酒外，可将吸脂术与外科手术相结合，同时积极治疗内科疾病，这样有利于美观、减少复发及并发症，且改善预后。
目的：分析Madelung病的臨床特徵併探討其治療方法。方法結閤文獻分析1例Madelung病患者的臨床錶現、CT影像檢查、診斷、治療及預後情況。結果患者主要錶現為身體上半部脂肪瀰漫性沉積，頸部畸形和活動受限，有飲酒嗜好，併伴有多種內科疾病，如酒精性肝病、高血壓病、高尿痠血癥、甲狀腺功能減退等。經手術治療和內科治療後，現恢複良好，無複髮及噁變傾嚮。結論Madelung病具有特徵性CT 錶現，即頸項部、下枕部、上揹部皮下有大量脂肪組織蓄積增厚，其密度和信號彊度與正常脂肪相同。本病可採用綜閤治療的方法，除戒酒外，可將吸脂術與外科手術相結閤，同時積極治療內科疾病，這樣有利于美觀、減少複髮及併髮癥，且改善預後。
목적：분석Madelung병적림상특정병탐토기치료방법。방법결합문헌분석1례Madelung병환자적림상표현、CT영상검사、진단、치료급예후정황。결과환자주요표현위신체상반부지방미만성침적，경부기형화활동수한，유음주기호，병반유다충내과질병，여주정성간병、고혈압병、고뇨산혈증、갑상선공능감퇴등。경수술치료화내과치료후，현회복량호，무복발급악변경향。결론Madelung병구유특정성CT 표현，즉경항부、하침부、상배부피하유대량지방조직축적증후，기밀도화신호강도여정상지방상동。본병가채용종합치료적방법，제계주외，가장흡지술여외과수술상결합，동시적겁치료내과질병，저양유리우미관、감소복발급병발증，차개선예후。
Objective To analyze the clinical characteristics and explore the treatment method of Madelung’s disease.Methods The analysis was made on the clinical manifestations, CT imaging examination, diagnosis, treatment, and prognosis of 1 patient with Madelung’s disease, along with literature review. Results The manifestations of the patient were diffuse fatty mass in the upper body, neck deformity, restricted motion, drinking habit, and several internal medicine diseases, such as alcoholic liver disease, hypertension, hyperuricemia, and hypothyroidism. After surgery and medical treatment, the patient recovered well without recurrence and malignant transformation. Conclusion The CT imaging of Madelung disease shows the feature of accumulated fat deposited at subcutaneous sites of the anterior or posterior of the neck, the lower occipitalia and the upper back. The density and signal intensity of the excess fat are similar as normal fat. Comprehensive treatments can be applied for the treatment including temperance, combination liposuction and lipectomy, and active medical therapy. That can benefit patient’s outlook, decrease the recurrence and complications, and get favourable prognosis.
