良性对称性脂肪瘤病28例报告

Benign symmetric lipomatosis

目的:探讨良性对称性脂肪瘤病的临床特点,提高诊断和治疗水平。方法:对经治的28例良性对称性脂肪瘤病的临床资料,结合文献进行分析。28例均行手术治疗。结果:28例术后无一例出现手术并发症或死亡,功能和外形均恢复正常。随访2～15年,平均6年5个月,5例复发。结论:良性对称性脂肪瘤多见于中年男性,具有典型的颈部肿块弥漫性对称性分布和“驼峰背”样外形。病因可能与嗜酒有关;手术是最有效的治疗方法,但以美容整形为主。故不宜过于强调手术彻底性,以免损伤颈部重要结构。

Objective:To explore the clinical feature of benign symmetric lipomatosis (BSD so as to improve its diagnosis and treatment. Method: 28 patients of BSL treated in our hospital were analyzed and literature was reviewed. Surgical management is used in all patients. Result: There were no patients died. All patients were satisfactory with their appearance and function improved. 28 patients were followed up for 2 -15 years (average 6 years and 5 months), only 5 cases recurred. Conclusion: BSL usually occurs in middle age men. Patients have a striking appearance 'hump back' because of a diffuse, symmetric distribution of the lipomatous tissue in the cervical region. The etiology is related to alcohol abuse. Operation is the most effective treatment. The radical surgical therapy should not be emphasized because the important anatomic structures may be damaged. Abstaining from alcohol may help to reduce the rate of recurrence.