François A, Richaud C, Bouchet J Y, Franco A, Comet M
Vasa. 1989;18(4):281-6.
The lymphatic origin of chronic edema of the lower limbs was identified by lymphoscintigraphic exploration. Patients underwent therapy involving 8 days of manual lymph drainage combined with elevation of the limbs during rest periods and double compression bandaging. Manual drainage increased lymph flow in 16 limbs, implying that the edema resulted from a functional lymphatic anomaly. In contrast, manual drainage did not increase lymph flow in 9 limbs, suggesting a structural anomaly of the lymphatics. Hence, the same clinical picture corresponded to two different lymphatic anomalies, distinguished by lymphoscintigraphy. However, the therapeutic results were independent of the lymphoscintigraphic results. Increased lymph flow is therefore not the only explanation for the decrease in edema during therapy.
通过淋巴闪烁造影探查确定了下肢慢性水肿的淋巴起源。患者接受了为期8天的手法淋巴引流治疗，同时在休息期间抬高肢体并进行双重加压包扎。手法引流使16条肢体的淋巴流量增加，这意味着水肿是由功能性淋巴异常引起的。相比之下，手法引流并未使9条肢体的淋巴流量增加，提示存在淋巴管结构异常。因此，相同的临床表现对应于两种不同的淋巴异常，可通过淋巴闪烁造影加以区分。然而，治疗结果与淋巴闪烁造影结果无关。因此，淋巴流量增加并非治疗期间水肿减轻的唯一解释。
