Madelung病伴阴囊脂肪堆积1例并文献复习  

A case of Madelung's disease with scrotal fat accumulation

作　　者：彭薪燃 李永团[1] PENG Xinran;LI Yongtuan(Department of Otorhinolaryngology&Head and Neck Surgery,Qingdao Municipal Hospital,Qingdao 266071,Shandong,China;Graduate School,Dalian Medical University,Dalian 116000,Liaoning,China)

机构地区：[1]青岛市市立医院耳鼻咽喉头颈外科,山东青岛266071 [2]大连医科大学研究生院,辽宁大连116000

出　　处：《山东大学耳鼻喉眼学报》2023年第3期67-71,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨Madelung病的临床特点及诊断和治疗方法。方法回顾性分析1例经外科手术治疗的Madelung病伴阴囊脂肪堆积患者的临床资料,并结合相关文献进行分析。结果采取外科手术切除患者脂肪组织,术后随访半年,随访期间无复发。结论Madelung病主要发生在有长期饮酒史的中年男性,其特点是存在进展性、过度和多发性脂肪瘤,呈对称分布,查体时要注意患者其他部位的异常脂肪团块蓄积,并及时联系相应科室干预;为了避免复发,外科手术切除是目前首选的治疗方法,手术的主要目的是改变患者外观形象并改善功能障碍,伴阴囊脂肪堆积的患者应避免出现隐匿阴茎综合征、性功能障碍或睾丸萎缩等并发症。Objective To investigate the clinical features and the selection of diagnosis and treatment methods for Madelung's disease.Methods Clinical data of a patient with Madelung's disease with scrotal fat accumulation treated surgically in the author's hospital and the related literature were analyzed.Results The patient underwent surgical resection of the adipose tissue and was followed up for half a year.There was no recurrence during the follow-up period.Conclusion Madelung's disease mainly occurs in middle-aged men with a long-term drinking history.It is characterized by the presence of multiple,progressive,excessive lipomas with a symmetrical distribution.During physical examination,the accumulation of abnormal fat mass in other parts may be observed.Timely referral to the corresponding department for intervention is important.To avoid recurrence,surgical resection is currently the preferred treatment.Surgery also aims to improve the patient's appearance and any functional impairment.Complications such as occult penile syndrome,sexual dysfunction,or testicular atrophy should be avoided in patients with scrotal fat accumulation.

关 键 词：马德龙病 脂肪瘤样病 头颈部疾病 外科手术 阴囊 

分 类 号：R653[医药卫生—外科学] R589.2[医药卫生—临床医学] R697.21