Madelung病9例临床分析及文献回顾  

Aanlysis of 9 cases of Madelung's disease and literature review

作　　者：王鹏[1] 刘绪[1] 刘绍军[1] 

机构地区：[1]辽宁省鞍山市台安县中医院普通外科,114100

出　　处：《中国医疗前沿》2013年第1期29-30,共2页China Healthcare Innovation

摘　　要：目的探讨Madelung病的临床特点、诊断和治疗方法。方法回顾分析9例Madelung病的临床资料,结合文献进行探讨。结果 9例患者均有嗜酒史,15-30年不等,平均20年。9例患者均依次出现肩背部、锁骨上窝、颈部、颌下、腋下等部位对称性增大。其中1例患者出现呼吸困难,1例出现双手麻木。9例患者均有不同程度肝功能异常,均行颈部脂肪组织切除术,恢复顺利,效果满意,无切口感染发生。出院后戒酒,术后随访1-5年未见明显复发。结论 Madelung病是一种以颈部对称性脂肪增生为主要特征的疾病,发生与慢性酒精中毒有关,常合并肝功能异常,手术切除增生脂肪组织可达到改善外观解除压迫症状的目的,术后戒酒效果良好。[Abstract] Objective To discuss the clinical characteristics, diagnlosis and treatment of Madelung＇s disease. Methods Detailed clinical data of 9 cases of Madelung^s disease were reviewed and allalyzed. Results All the 9 cases appeared symmetric lipid hyperplasia on shoulder, superior clavicular, neck, mandible and axillary. All the patients had 15-30 years history of alcohol abuse. Dyspnea and hands numbness appeared in two cases respectively. All had hepatic function abnormality. All the patients accepted operation and were ,satisfied with the result of treatment. There were no relapse in 1-5 years follow-up due to the abstinence from alcohol in this group. Conclusion Madelung＇s disease is characterized with multiple symmetric lipid hyperplasia on neck. Most of the disease have relationship with chronic alcoholism and always have hepatic function abnormality. The purpose of operation is to improve Hie appearance and alleviate dyspnea. The result is satisfactary after operation and abstinence from alcohol.

关 键 词：脂肪瘤样病 多发性对称性 诊断 手术 

分 类 号：R653[医药卫生—外科学]