Clinical Analysis Of Madelung’ Disease

Objectives:Epidemiological studies Madelung, clinical manifestations, treatment and prognosis; deepen the understanding of the disease.Methods:Study was the clinical characteristics of the disease and the prognosis in-depth understanding. Methods A retrospective of the Tumor Hospital of Guangxi Medical University, February 1,2002-The clinical data between May 1,2015 date after surgery were treated 45 cases of pathologically diagnosed as benign symmetric lipomatosis of the neck. Analysis of the clinical characteristics, treatment and prognosis.Results:1.According to Enzi’s classification and 45 cases belong MD I type, three cases have MDⅡ type performance; male 44 cases,1 female; 95.55% of cases (42 cases) drinking history; 71.11% of cases of abnormal liver function; 58.33% of patients had dyslipidemia; 57.77% of cases have a history of smoking; 42.22% of patients had hyperuricemia; 35.55% of patients had liver disease; 25.00% of the patients had abnormal glucose metabolism; body mass index BMI≥25 accounted for 24.44%;2.Distribution of fat concentrated in the anterior region (35 cases), lateral neck region (25 cases).3.According to whether the packet after drinking, were x2 test, p=0.001.Conclusion:1. Based on a sample of 45 cases analyzed, MD occurs mainly in long-term heavy drinking middle-aged men; 2. The disease mostly associated with liver function abnormalities, liver diseases such as alcoholic hepatitis, fatty liver, cirrhosis of the liver; dyslipidemia, smoking, hyperuricemia and other performance;3.MD I type is the most common clinical type of fat deposited primarily in the cervical region, lateral neck area;4. Age, surgery or without alcohol, BMI is the length of time of recurrence risk factors;5. After drinking is an independent risk factor for recurrence.