山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (1): 75-77.doi: 10.6040/j.issn.1673-3770.0.2014.238

• 论著 • 上一篇    下一篇

酗酒患者良性对称性脂肪瘤5例

汪晓锋, 高兴强, 骆献阳   

  1. 厦门大学附属第一医院耳鼻咽喉头颈外科, 福建 厦门 361000
  • 收稿日期:2014-07-18 出版日期:2015-02-16 发布日期:2015-02-16
  • 作者简介:汪晓锋。E-mail:05wxf@163.com

Alcoholism in patients with benign symmetric lipomatosis (5 cases report)

WANG Xiao-feng, GAO Xing-qiang, LUO Xian-yang   

  1. Department of Otolaryngology & Head and Neck Surgery, the First Affiliated Hospital of Xiamen University, Xiamen 361000, Fujian, China
  • Received:2014-07-18 Online:2015-02-16 Published:2015-02-16

PDF (PC)

281

摘要： 目的 探讨酗酒患者良性对称性脂肪瘤病(Madelung's disease) 的临床特点,提高其诊断和治疗水平。方法 对5例患者在全身麻醉下行颈部脂肪瘤切除术,采用低位领口颈部皮肤大弧形切口,在保护颈部重要组织结构的前提下,尽量将脂肪组织完整切除。结果 患者术后外形及功能均恢复满意,无并发症,术后禁酒并随访3～5年未见复发。结论 Madelung 病多见于中年男性,病因可能与酗酒有关,手术是最有效的治疗方法,术后禁酒可有效防止复发。

关键词: 良性对称性脂肪瘤病, 诊断, 治疗

Abstract: Objective To investigate the clinical characteristics of alcoholic patients with benign symmetric lipomatosis and improve the diagnosis and treatment. Method 5 patients underwent resection of neck lipomatous tumor with low collar incision under general anesthesia. While important tissue and organs were kept intact, fatty tissue were removed as much as possible. Result All patients were satisfactory with appearance and improved function without any complication. 5 patients were followed up for 3-5 years and no recurreence happened. Conclusion Madelung's disease is very rare. It's usually present in middle-aged men. The cause of this disease is attributed to excessive drinking and surgery is the most effective treatment. Abstinence from alcohol can effectively prevent the recurrence after operation.

Key words: Madelung's disease, Treatment, Diagnosis

中图分类号: 

  • R739.5
[1] 顾玲,步荣发,梁立民,等. 多发性对称性脂肪瘤病的诊断与治疗[J]. 口腔医学研究, 2007, 23(1):76-78. GU ling, BU Rongfa, LIANG Limin, et al.Diagnosis and treatment of multiple symmetrical lipomatosis[J]. Oral Med, 2007, 23(1):76-78.
[2] Enzi G, Busetto L, Ceschin E, et al. Multiple symmetric lipomatosis;Clinical aspects and outcome in a long-term longitudinal study[J]. Int J Obes Relat Metab Disord, 2002, 26(2):253-261.
[3] Josephson G D, Sclafani A P, stern J. Benign symmetric lipomatosis (Madelung's disease)[J]. Otolaryngology Head Neck Surg, 1996, 115(1):170-171.
[4] Iglesias L, Pérez-Llantada E, Saro G, et al. Benign symmetric lipomatosis(Madelung's disease) [J].Eur Jintern Med, 2000, 11(3):171-173.
[5] 吴文源,陈翊民,林荣志,等.良性对称性脂肪瘤病4 例[J]. 山东大学耳鼻喉眼学报,2012,26(1):66-67. WU Wenyuan, CHEN Yimin, LIN Rongzhi, et al. Benign symmetric lipomatosis (a 4 case report)[J].J Otolaryngol Ophthalmol Shandong Univ, 2012, 26(1):66-67.
[6] Parmar C, Blackburn C. Madelung's disease: an uncommon disorder of unknown aetiology[J]. Br J Oral Maxillofacial Surg, 1996, 34(5):467-470.
[7] 李宁虎, 程道宾, 赵伟佳, 等.伴神经系统损害的Madelung病1例报告[J]. 临床神经病学杂志, 2011, 24(5):383-384. LI Ninghu, CHENG Daobin, ZHAO Weijia, et al.With the nervous system damage report of Madelung's disease(1 case report)[J]. J Clin Neurol, 2011, 24(5):383-384.
[8] 刘玉品,凌毅泰,胡亚涛. 良性对称性脂肪增多症的CT 影像分析[J]. 医学影像学杂志, 2008, 18(3):316-318. LI Yupin, LING Yitai, HU Yatao.The CT image analysis of benign symmetric lipomatosis[J]. J Med Imag, 2008, 18(3):316-318.
[1] 吴静,刘业海. 头颈部鳞状细胞癌的靶向治疗研究进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 97-102.
[2] 沈勤峰,沈小燕,朱荣强,蒋斐斐,郎军添. 鼻内镜下中鼻甲功能性部分切除治疗慢性鼻窦炎76例分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 82-85.
[3] 朱明娟,邢凯,亢泽峰,刘健. 甲状腺相关性眼病的诊断及治疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 110-113.
[4] 王坛,武珂,李连庆,宫丽丽. 皮下免疫治疗注射后出现全身不良反应的伴发因素及处理[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 71-74.
[5] 代亚错,李靖,万保罗,臧艳姿,黄颖铭. 个体化治疗咽喉部海绵状血管瘤二例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 110-112.
[6] 刘义平,林远超. 负压引流防治腮腺术后涎瘘112例[J]. 山东大学耳鼻喉眼学报, 2018, 32(4): 65-67.
[7] 陈鸣,俞雪飞. 浅谈伴有变应性鼻炎的慢性鼻窦炎的治疗[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 18-22.
[8] 张桂敏,林鹏. 慢性鼻-鼻窦炎的内在型:从基础到临床[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 14-17.
[9] 覃纲,梁灼萍. 变应性真菌性鼻-鼻窦炎免疫治疗现状[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 23-26.
[10] 吴湘萍. 患者管理方式对变应性鼻炎舌下含服粉尘螨滴剂疗效的影响[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 68-72.
[11] 王仙,李颖,赵博军. 息肉样脉络膜血管病变诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 103-106.
[12] 钟建文,刘大波,罗向前,黄振云,仇书要,程超,杨李强,易新华,曾锦鸿. 可穿戴设备在儿童阻塞性睡眠呼吸暂停诊断中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 30-33.
[13] 高进良,年婉清,李烁. 鼻内镜手术联合鼻用糖皮质激素治疗腺样体肥大性[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 38-42.
[14] 吕丹,李明霞,马兰枝,张馨元,肖浩,陈飞,刘均,李珍. 累及纵膈的头颈部丛状I型神经纤维瘤病两例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 82-86.
[15] 李俏丽,李超,王薇,蔡永聪,孙荣昊,周雨秋,税春燕, 黄璐,涂静. 术后放化疗后复发并侵及侧颅底的原发性腮腺鳞状细胞癌一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 87-88.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
网站版权所有 © 2018 《山东大学耳鼻喉眼学报》编辑部　
地址：山东省济南市山大南路27号（250100）电话：+86-0531-88366912 E-mail: ebhxb@sdu.edu.cn
本系统由北京玛格泰克科技发展有限公司设计开发