Department of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
Department of Radiology, Ajou University Hospital, Suwon, Korea.
Korean J Radiol. 2023 Feb;24(2):109-132. doi: 10.3348/kjr.2022.0689.
Lymphatic disorders encompass a broad spectrum of diseases involving the lymphatic system, ranging from traumatic lymphatic leaks to lymphatic malformations. Lymphatic disorders can be categorized into traumatic and non-traumatic disorders according to their etiology. These two categories may be further divided into subgroups depending on the anatomical location of the lymphatic pathology and their association with clinical syndromes. Thoracic duct embolization was a milestone in the field of lymphatic intervention that encouraged the application of percutaneous embolization techniques to treat leaks and reflux disorders in the lymphatic system. Additional access routes for embolization, including retrograde thoracic duct and transhepatic lymphatic access, have also been developed. This article comprehensively reviews a variety of options for the treatment of lymphatic disorders, from conservative management to the most recent embolization techniques.
淋巴系统疾病包括广泛的疾病谱，涉及淋巴系统，从创伤性淋巴漏到淋巴管畸形。根据病因，淋巴系统疾病可分为创伤性和非创伤性疾病。这两类可根据淋巴病理学的解剖位置及其与临床综合征的关系进一步分为亚组。胸导管栓塞是淋巴介入领域的一个里程碑，它鼓励应用经皮栓塞技术治疗淋巴系统的渗漏和反流疾病。还开发了其他栓塞入路，包括逆行胸导管和经肝淋巴入路。本文全面回顾了治疗淋巴系统疾病的各种选择，从保守治疗到最新的栓塞技术。
