Strössenreuther R H K
Fachbereichsleitung Lymphangiologie, Krankenhaus Freising.
MMW Fortschr Med. 2004 Jan 22;146(3-4):24-6.
Lymphedema is a protein-rich edema that develops as a result of diseased or traumatized lymphatic vessels and/or lymph nodes. Four stages of the disease are recognized. In primary lymphedema, congenital obstruction of lymphatic flow presents, and this can manifest at anytime during the course of a person's lifetime. Secondary lymphedema is a sequela of a malignant tumor, inflammatory processes, injuries, surgery or irradiation. The diagnosis is established on the basis of careful history-taking, inspection, and physical examination including measurements of circumference, which are of importance in particular for follow-up purposes, and a comparison of skinfold thickness between the healthy and afflicted sides. The use of diagnostic equipment is rarely required, with indirect lymphography and lymphoscintigraphy heading the list of options.
淋巴水肿是一种富含蛋白质的水肿，它是由患病或受创伤的淋巴管和/或淋巴结引起的。该疾病分为四个阶段。原发性淋巴水肿表现为先天性淋巴液流动阻塞，可在人的一生中任何时候出现。继发性淋巴水肿是恶性肿瘤、炎症过程、损伤、手术或放疗的后遗症。诊断基于仔细的病史采集、检查和体格检查，包括周长测量（这对随访尤为重要）以及患侧与健侧皮肤褶皱厚度的比较。很少需要使用诊断设备，间接淋巴造影和淋巴闪烁造影是首选的检查方法。
