Brunner U
Phlebologie. 1986 Jul-Sep;39(3):629-47.
The parameters of familial anamnesis, of personal anamnesis, epidemiology and the clinical modifications of details are now so well established that a diagnosis of primary lymphedema can be given with fair certainty, without the aid of complementary examinations. The blue test is not conclusive except when carried out and evaluated by an extremely experienced practitioner; there is no point in using ascendant lymphography, especially as it leads to no particular confirmation of therapy. Microlymphography makes it possible to differentiate hereditary lymphedema better. In the fairly rare descendant forms lymphography is still indicated at the current level of research for iconographical as well as therapeutic reasons.
家族史、个人史、流行病学参数以及细节方面的临床改变现在已经非常明确，以至于在无需辅助检查的情况下，就可以较为肯定地做出原发性淋巴水肿的诊断。除了由经验极其丰富的医生进行并评估外，蓝色试验并无定论；进行上行淋巴管造影毫无意义，尤其是因为它并不能特别证实治疗效果。微淋巴管造影能够更好地鉴别遗传性淋巴水肿。在目前的研究水平上，出于影像学以及治疗方面的原因，对于相当罕见的下行性淋巴水肿形式，淋巴管造影仍然是必要的。
