Madelung病头颈部CT表现

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。

CT findings of Madelung's disease in the head and neck region

Objective To investigate the CT findings of Madelung's disease in the head and neck region,and to evaluate the value of CT in demonstrating the Madelung's disease in the head and neck region.Methods CT findings of Madelung's disease in the head and neck region in 7 cases were analyzed retrospectively.All were males,with the age from 36 to 60 years,mean 51 years.All patients were underwent CT native scan,and enhanced CT scan was performed on 3 of them.Results CT images in the neck of all patients showed accumulation of nonencapsulated fat within the subcutaneous tissue and(or) deep to the platysma,and(or)within the spaces between the muscles.The fat deposits were ill-defined and symmetrical.In most cases the fat deposits involved the anterior part of the neck(infrahyoid and suprahyoid),submandibular region,the subcutaneous tissue of the nape and deep to the stenomastoid muscles.Conclusions Madelung's disease in the head and neck region have characteristic CT findings,and CT has great value in qualitative and quantitative diagnosis in Madelung's disease.