Heldenberg Eitan, Bass Arie
Department of Vascular Surgery, Assaf Harofeh Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Israel.
Harefuah. 2013 Mar;152(3):172-4, 181.
Lymphedema is the "neglected vascular disease". A lot has been written about arterial and venous pathologies but our knowledge, as physicians, about the pathophysiology on the one hand and about the treatment, on the other hand, is scarce. Lymphedema is subdivided into primary and secondary disease. The primary lymphedema is further subdivided to congenital, praecox and tarda. Conservative treatment is the first line of therapy. Surgery has not been proven as a good solution for this disease, and furthermore, even when operations are being conducted, conservative treatment should be continued on a daily basis. It seems that further research about this "forgotten disease" should be designed in order to improve the treatment of these complicated patients.
淋巴水肿是一种“被忽视的血管疾病”。关于动脉和静脉疾病已经有很多著述，但作为医生，我们一方面对其病理生理学的了解，另一方面对其治疗方法的了解都很匮乏。淋巴水肿可分为原发性和继发性疾病。原发性淋巴水肿又进一步细分为先天性、早发性和迟发性。保守治疗是一线治疗方法。手术尚未被证明是治疗这种疾病的好方法，此外，即使进行了手术，也应每天继续进行保守治疗。似乎应该针对这种“被遗忘的疾病”开展进一步研究，以改善对这些复杂患者的治疗。
