Department of Surgical Research and Transplantology, Medical Research Center, Polish Academy of Sciences, Warsaw, Poland.
Lymphology. 2011 Jun;44(2):54-64.
Questions remain on the use of sequential pneumatic compression including where does the fluid flow to and whether fluid can be moved to the non-swollen tissues of the hypogastrium and gluteal region? During pneumatic massage of the limb, we studied pathways of lymph and mobile tissue fluid flow using lymphoscintigraphy: a) from the calf and thigh across the inguinal region to the healthy non-swollen tissues of the hypogastrium and b) in the hypogastrium to the lateral and upper abdominal quadrants. To examine if there was effective fluid flow during pneumatic massage, plethysmographic flow measurements were also carried out. We demonstrated that: (i) pneumatic compression moved isotope in lymph remaining in functioning lymphatics and in tissue fluid in the interstitial space toward the inguinal region and femoral channel, (ii) there was no isotope crossing the inguinal crease or moving to the gluteal area, and (iii) isotope injected intradermally in the hypogastrium did not spread during manual massage to the upper and contralateral abdominal quadrants. In conclusion, intermittent pneumatic compression is effective in pushing mobile tissue fluid and relocating large fluid volumes toward the groin. However, the question that still remains is how to facilitate further flow toward the non-swollen tissues and thereby increase local absorption of fluid.
关于连续气动压迫的应用仍存在一些问题，例如液体流向何处，以及液体是否可以转移到下腹部和臀部未肿胀的组织中？在肢体气动按摩期间，我们使用淋巴闪烁显像术研究了淋巴和移动组织液的流动途径：a）从小腿和大腿穿过腹股沟区域到下腹部健康未肿胀的组织，b）在下腹部到侧腹部和上腹部象限。为了检查在气动按摩期间是否存在有效的液体流动，我们还进行了体积描记流量测量。我们证明：（i）气动压迫可将仍在功能淋巴管中的同位素和间质空间中的组织液推向腹股沟区域和股道，（ii）没有同位素穿过腹股沟皱襞或转移到臀部区域，（iii）在下腹部皮内注射的同位素在手动按摩期间不会扩散到上腹部和对侧腹部象限。总之，间歇性气动压迫可有效推动移动组织液并将大量液体重新定位到腹股沟处。然而，目前仍存在一个问题，即如何促进进一步向未肿胀组织的流动，从而增加局部液体吸收。
