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[静脉曲张患者小腿皮肤、皮下组织及浅筋膜层的血液淋巴运输]

[Hematolymphatic transport in skin, subcutaneous tissue and superficial lamina of the fascia of the lower leg in varicose veins].

作者信息

Satjukowa G S, Kurgusow O P, Bulanowa G W, Rybakowa L I

出版信息

Acta Anat (Basel). 1979;104(3):279-86.

PMID:484191
Abstract

The lymphatic bed of the skin and subcutaneous tissues of the lower leg from 20 operated patients was studied by light and electron microscopy and by phlebographic methods. Three stages of development of the disease were examined: without complicated form of varicose veins, complicated form, and postthrombophlebitic syndrome. Morphological features of the state of the lymphatic bed of the skin, subcutaneous connective tissue and fascia of the lower leg in the initial stage of disease show the fine structure changes of lymphatic vessels and capillary walls interpreted as a compensation phenomenon. It seems that the structure alterations of endotheliocytes of lymphatic capillaries and the connective tissue surrounding them found in this study in the complicated form of the disease and the postthrombophlebitic syndrome are the basis of the mechanism of transport-resorption insufficiency of the lymph vessels' terminal flow paths.

摘要

通过光学显微镜、电子显微镜及静脉造影方法,对20例接受手术患者小腿皮肤和皮下组织的淋巴床进行了研究。研究了疾病发展的三个阶段:无复杂形式的静脉曲张、复杂形式以及血栓后综合征。疾病初期小腿皮肤、皮下结缔组织和筋膜淋巴床状态的形态学特征显示,淋巴管和毛细血管壁的细微结构变化被解释为一种代偿现象。本研究发现在疾病的复杂形式和血栓后综合征中,淋巴管末端流动路径的内皮细胞及其周围结缔组织的结构改变似乎是淋巴管运输-吸收功能不全机制的基础。

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