Cluzan R, Miserey G, Barrey P, Alliot F
Unité de Lymphologie de l'Hôpital Cognacq-Jay, Paris.
Phlebologie. 1988 Apr-Jun;41(2):401-8.
The modern treatment of edemas in mechanical lymphatic insufficiency or lymphedema, combines the restarting of the remaining lymphatic system by manual lymphatic drainage, volumetric reduction by wrapping with bandages and exercise and maintaining the result by wearing a retention device. Intensive courses are necessary, followed by intercurrent course & sometimes a maintenance treatment. In view of the anatomico-functional deficit, all available armamentarium should be used in addition to the measures previously mentioned: hygiene measures, prescription of coumarin (Lysedem). Psychological care is of importance to motivate patients for long-term treatments, if good quality results are to be obtained. However, primary lymphedema seems to respond less favorably than secondary lymphedema.
机械性淋巴功能不全或淋巴水肿的现代治疗方法，包括通过手法淋巴引流重启剩余的淋巴系统、用绷带包扎进行容积缩减和锻炼，以及通过佩戴维持装置保持治疗效果。需要进行强化疗程，随后进行间插疗程，有时还需要维持治疗。鉴于解剖功能缺陷，除上述措施外，还应使用所有可用的治疗手段：卫生措施、香豆素（利赛多）的处方。如果要获得高质量的治疗效果，心理护理对于激励患者接受长期治疗非常重要。然而，原发性淋巴水肿的反应似乎不如继发性淋巴水肿那么理想。
