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目的分析艾滋病病毒(HIV)感染者颈背部脂肪聚积的临床特点及手术治疗效果,结合复习文献,以提高对此类疾患的诊治能力。方法回顾性分析7例HIV感染者颈背部脂肪聚积进行手术切除的病例,综合分析其临床表现、治疗方法以及治疗效果,并通过复习文献,探讨该病的外科治疗方法。结果 7例患者均经手术切除颈背部聚积脂肪组织,术后无重大并发症,3例术后出现伤口并发症(2例血清肿,1例伤口感染)。术后所有患者外形整复满意,颈部活动范围恢复正常,随访8-52个月均无局部复发。复习相关文献,国外有相关手术治疗的少数病例报道,国内尚无相关报道。吸脂及抽吸辅助的脂肪切除也是脂肪聚积症的外科治疗方法。结论脂肪聚积症是长期HIV感染和高强度抗病毒治疗的并发症。局部聚积脂肪切除能有效地恢复患者外形,改善患者的生活质量。
Objective To analyze the clinical features and surgical treatment effects of adipose accumulation in the neck and back of patients with HIV infection and to review the literature to improve the diagnosis and treatment of such diseases. Methods Retrospective analysis of seven cases of HIV infection in patients with adipose accumulation of the neck back surgery cases, a comprehensive analysis of its clinical manifestations, treatment methods and treatment effect, and review the literature to explore the surgical treatment of the disease. Results All 7 patients underwent surgical resection of adipose tissue in the back of the neck. There were no major complications after surgery. Three cases developed wound complications (2 cases of seroma and 1 case of wound infection). All patients were satisfied with the shape restoration, the range of motion of the neck returned to normal, followed up for 8-52 months without local recurrence. Review the relevant literature, a small number of cases related to surgical treatment abroad, there is no relevant report. Liposuction and suction assisted fat removal is also a surgical treatment of fatty juvenile disease. Conclusion Lipid accumulation syndrome is a complication of long-term HIV infection and intensive antiviral therapy. Local accumulation of fat can effectively restore the patient’s shape and improve the quality of life of patients.