Leduc A, Lievens P
Acta Chir Belg. 1979 May-Jun;78(3):189-93.
The authors distinguish three modalities of lymphtransport in lymphoedema. 1. Enhanced evacuation by existing lymphatics. 2. Enhanced evacuation by regenerated lymphatics. 3. Enhanced evacuation by lympho-lymphatic anastomoses. Experiments with 500 white mice indicate that the resorption of lymphoedema is increased by guided compression, although some manipulations must be performed with care, especially when regenerated lymphatics are present. The lymphatic flow in a limb is also enhanced by a special drainage technique at the proximal part of it. Likewise the lymph can be manipulated into the opposite limb by anastomotic channels after unilateral lymphadenectomy.
作者区分了淋巴水肿中淋巴转运的三种方式。1. 现有淋巴管增强引流。2. 再生淋巴管增强引流。3. 淋巴管 - 淋巴管吻合增强引流。对500只白鼠进行的实验表明,通过引导性压迫可增加淋巴水肿的吸收,不过有些操作必须小心进行,尤其是在存在再生淋巴管时。肢体近端的一种特殊引流技术也可增强其淋巴流动。同样,单侧淋巴结切除术后,淋巴可通过吻合通道引流至对侧肢体。