Coget J
Phlebologie. 1988 Apr-Jun;41(2):359-69.
The treatment of lymphedema, medical or surgical, remains a difficult one. Often seen at an advanced stage of the disease, the medical treatment can only stabilize the lesions. Among them, the coumarins, rutins, Centella asiatica extracts, procyanoside oligomers are the most prescribed. But prophylaxis of superimposed infections by antibiotics should not be omitted. As for diuretics, they must be prohibited. Hygienic and dietetic measures should be recommended. As for surgical treatments, they are numerous and rarely applied, whether it consists of the tacking technique or Degni's lymphovenous anastomosis. The latter may be considered in case of high lymphatic obstruction, especially at the inguinal level. Servelle's lymphangiectomy, very traumatic, is only exceptionally indicated.
淋巴水肿的治疗，无论是药物治疗还是手术治疗，仍然是一项难题。该病常于疾病晚期出现，药物治疗只能稳定病情。其中，香豆素、芦丁、积雪草提取物、原花青素低聚物是最常被处方使用的。但不应忽视使用抗生素预防叠加感染。至于利尿剂，则必须禁用。应推荐卫生和饮食措施。至于手术治疗，种类繁多但很少应用，无论是固定技术还是德尼氏淋巴静脉吻合术。后者可在高淋巴管梗阻的情况下考虑，尤其是在腹股沟水平。塞尔韦氏淋巴管切除术创伤极大，仅在极少数情况下适用。
