Madelung病头颈部CT表现  

CT findings of Madelung's disease in the head and neck region

作　　者：吴任国[1] 唐秉航[1] 何亚奇[1] 李良才[1] 黄德成[1] 孙世珺[2] 鲜军舫[3] 王振常[3] 

机构地区：[1]中山市人民医院CT室,广东省528403 [2]中山市人民医院病理科,广东省528403 [3]首都医科大学附属北京同仁医院影像中心

出　　处：《中华放射学杂志》2006年第8期841-842,共2页Chinese Journal of Radiology

摘　　要：目的探讨Madelung病头颈部CT表现及其诊断价值。方法分析7例经临床证实的Madelung病患者的头颈部CT表现,7例均行CT平扫,其中3例同时行CT增强扫描。结果所有患者均表现为头颈部区域皮下和(或)颈阔肌深面及肌肉间隙弥漫性脂肪蓄积增厚,没有包膜,边界不清,左右对称,病变较多分布于颈前舌骨上区、颈前舌骨下区、颌下、项部皮下及双侧胸锁乳突肌深面。结论Madelung病具有特征性CT表现,CT在定性、定量诊断方面具有重要价值。Objective To investigate the CT findings of Madelung＇s disease in the head and neck region, and to evaluate the value of CT in demonstrating the Madelung＇s disease in the head and neck region. Methods CT findings of Madelung＇s disease in the head and neck region in 7 cases were analyzed retrospectively. All were males, with the age from 36 to 60 years , mean 51 years. All patients were underwent CT native scan, and enhanced CT scan was performed on 3 of them. Results CT images in the neck of all patients showed accumulation of nonencapsulated fat within the subcutaneous tissue and （or） deep to the platysma ,and （or） within the spaces between the muscles. The fat deposits were ill-defined and symmetrical. In most cases the fat deposits involved the anterior part of the neck （infrahyoid and suprahyoid）,submandibular region , the subcutaneous tissue of the nape and deep to the stenomastoid muscles. Conclusions Madelung＇s disease in the head and neck region have characteristic CT findings,and CT has great value in qualitative and quantitative diagnosis in Madelung＇s disease.

关 键 词：脂肪瘤样病 多发性对称性 体层摄影术 X线计算机 

分 类 号：R816[医药卫生—放射医学]