酗酒患者良性对称性脂肪瘤5例

• 作 者: 汪晓锋 高兴强 骆献阳
• 机 构: 厦门大学附属第一医院耳鼻咽喉头颈外科,
• 出 处: 山东大学耳鼻喉眼学报
• 发表日期: 2015年01期
• 关键词: 脂肪瘤 颈部 颈部皮肤 全身麻醉 脂肪组织 切除术 弧形切口 并发症 对称性 中年男性

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。

Objective To investigate the clinical features of Madelung’s disease in alcoholism patients and to improve its diagnosis and treatment. Methods Five patients underwent neck lipoma resection under general anesthesia, and a large arc-shaped incision was made on the neck of the lower neck to preserve the vital structure of the neck. The complete resection of the adipose tissue was as possible. Results The postoperative appearance and function of the patients recovered satisfactorily, no complication, no alcohol after operation and no recurrence after 3 to 5 years follow-up. Conclusion Madelung disease is more common in middle-aged men, the cause may be related to alcohol abuse, surgery is the most effective treatment, postoperative alcohol prohibition can effectively prevent recurrence.