Kinmonth J B, Eustace P W
Ann R Coll Surg Engl. 1976 Jul;58(4):278-84.
The classification of lymphoedemas is reviewed and the various primary lymphoedemas distinguished from the secondary. The early lymphographic studies of primary lymphoedemas (many of which arise from genetic factors) probably laid undue emphasis on changes in the lymphatic vessels. Oil contrast media in leter use in lymphography have given much information onchanges in the nodes. In 89% of patients reviewed both nodes and vessels were diseased and in the majority the changes were worse in the nodes. This suggests that in many patients with primary hypoplastic lymphoedema the pathological process has arisen first in the nodes.
本文回顾了淋巴水肿的分类，并区分了各种原发性淋巴水肿和继发性淋巴水肿。原发性淋巴水肿（其中许多由遗传因素引起）的早期淋巴造影研究可能过度强调了淋巴管的变化。后来淋巴造影中使用的油性造影剂提供了许多关于淋巴结变化的信息。在接受检查的患者中，89%的患者淋巴结和淋巴管都有病变，而且大多数患者淋巴结的变化更严重。这表明，在许多原发性发育不全性淋巴水肿患者中，病理过程首先发生在淋巴结。
