儿童面颈部脂肪瘤的诊断及外科治疗

马静; 娄凡; 陆涛; 郭亚丽; 高映勤; 张铁松

doi:10.13201/j.issn.1001-1781.2014.24.015

儿童面颈部脂肪瘤的诊断及外科治疗

- 昆明市儿童医院(昆明医科大学附属儿童医院)耳鼻咽喉头颈外科(昆明, 650228)

详细信息

通讯作者: 张铁松,E-mail:zts68420@sina.com

中图分类号: R730.262

收稿日期: 2014-07-16

Diagnosis and surgical resection of faciocervical lipomas in children

- Department of Otolaryngology Head and Neck Surgery, Kunming Children's Hospital, Kunming, 650228, China

More Information

Corresponding author: ZHANG Tiesong, E-mail: zts68420@sina.com

Received Date: 16 July 2014

摘要

摘要: 目的:探讨儿童面颈部脂肪瘤的临床特征、影像学表现、手术方法及效果。方法:20例儿童面颈部脂肪瘤患儿,其中面部3例,颈部17例。8例行CT检查,6例行MRI检查,6例同时行CT和MRI检查。均在全身麻醉气管插管下行面颈部脂肪瘤切除术。结果:CT扫描呈类圆形15例,分叶状5例,瘤体密度不均匀。磁共振图像上表现脂肪信号不均匀,在T₁WI、T₂WI上呈高信号,在脂肪抑制序列上,肿瘤信号与周围脂肪组织信号同步下降呈低信号。所有脂肪瘤均全部手术切除,术后切口Ⅰ期愈合,无声嘶、呛咳、呼吸困难等并发症发生,随访6个月~2年未见瘤体复发。结论:儿童脂肪瘤以单发为主,手术是目前唯一的治疗方法。影像学检查可做出较好的诊断与鉴别诊断。
- 脂肪瘤 /
- 诊断 /
- 外科手术 /
- 儿童
Abstract: Objective:To discuss the clinical characteristics, imaging findings, surgical treatment and effectiveness of faciocervical lipomas in children. Method:Twenty children with lipomas who were performed surgical resection under the tracheal intubation anesthesia, of which 3 cases located in face and 17 cases located in neck were retrospectively analyzed. Computed tomography (CT) was used in 8 cases and magnetic resonance imaging (MRI) in 6 cases for differential diagnosis. CT and MRI were used to diagnose 6 patients pre-operatively. Result:The image of computed tomography (CT) revealed that 15 cases showed oval and flat circular area and 5 cases showed lobulated lesion. The CT value was negative typically. The signal was inhomogeneous in MRI. The patients' magnetic resonance imaging (MRI) presented a high signal intensity on T₁ and T₂WI. The hyperintense signal can be suppressed in fat-suppression T₂WI sequence. The hypointense of tumor signals fell in tandem surrounding adipose tissue. All the patients got satisfied curative effect after operation. There were no complications such as trachyphonia, bucking and dyspnea. Following up for 6 months to 2 years,no recurrence case occurred. Conclusion:Lipomas generally occur in adult patients, quite rare in children. Imaging examination is helpful in the differential diagnosis of lipoma. Surgical resection is the only effective treatment for lipomas at present.
- lipoma /
- diagnosis /
- surgical procedures /
- operative

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