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同位素淋巴造影术在评估淋巴水肿治疗效果中的可能性与局限性

Possibilities and restriction of isotopic lymphography for the assessment of therapeutic effects in lymphedema.

作者信息

Pecking A P

机构信息

Department of Nuclear Medicine, Centre René Huguenin, Saint-Cloud, France.

出版信息

Wien Med Wochenschr. 1999;149(2-4):105-6.

PMID:10378340
Abstract

Whatever the results are, we must keep in mind that the method used must be safe, simple, reproductive, quite physiological. The RNL with distal registration during 40 min give more precise and reliable informations particularly in transient or permanent lymphatic dysfunctions. This should be the protocol used for the assessment of the lymphatic function and the treatment efficacy. The RNL with nodal uptake registration is totally related to the lymphatic transport from the extremities and the exercise applied. When performed by well trained physicians concerned with the lymphatic physiology and informed of all factors interfering with the results, the quantitative functional lymphoscintigraphy is really giving objective and reproductive parameters to evaluate a treatment efficacy (decongestive physiotherapy, surgery, drugs) in lymphedemas useful to assess new lymphotonic treatments.

摘要

无论结果如何,我们必须牢记所使用的方法必须安全、简单、可重复且非常符合生理情况。在40分钟内进行远端定位的放射性核素淋巴造影术能提供更精确和可靠的信息,特别是在短暂性或永久性淋巴功能障碍方面。这应该是用于评估淋巴功能和治疗效果的方案。进行淋巴结摄取定位的放射性核素淋巴造影术完全与来自四肢的淋巴运输及所施加的运动有关。当由熟悉淋巴生理学并知晓所有干扰结果因素的训练有素的医生进行时,定量功能性淋巴闪烁造影术确实能给出客观且可重复的参数,以评估淋巴水肿治疗效果(减压物理治疗、手术、药物治疗),这有助于评估新的淋巴张力调节治疗方法。

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