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目的探讨Madelung病头颈部CT表现及其诊断价值。方法分析7例经临床证实的Madelung病患者的头颈部CT表现,7例均行CT平扫,其中3例同时行CT增强扫描。结果所有患者均表现为头颈部区域皮下和(或)颈阔肌深面及肌肉间隙弥漫性脂肪蓄积增厚,没有包膜,边界不清,左右对称,病变较多分布于颈前舌骨上区、颈前舌骨下区、颌下、项部皮下及双侧胸锁乳突肌深面。结论Madelung病具有特征性CT表现,CT在定性、定量诊断方面具有重要价值。
Objective To investigate the CT findings and the diagnostic value of Madelung’s head and neck disease. Methods The head and neck CT findings of 7 clinically confirmed patients with Madelung disease were analyzed. Seven cases underwent CT scan, of which 3 cases underwent CT enhanced scan at the same time. Results All patients showed diffuse fat accumulation in the subcutaneous and (or) platysma deep in the head and neck region and the muscle interstices. There was no capsule, the border was unclear, bilateral symmetry, and the lesions were more distributed in the anterior cervical hyoid bone On the area, the anterior hyoid area, submandibular, subcutaneous and bilateral sternocleidomastoid deep. Conclusion Madelung’s disease has characteristic CT manifestations. CT is of great value in qualitative and quantitative diagnosis.