Lindemayr H, Santler R, Jurecka W
MMW Munch Med Wochenschr. 1980 May 30;122(22):825-8.
In spite of the development of micro-surgical techniques which enable functioning lymphovenous anastomoses to be formed, surgical interventions are not usually indicated in extremities with lymphedema which are for the most part already irreparably damaged. For want of an effective medicinal alternative compression therapy is still the method of choice. Its mode of action, indication and performance are dealt with. The "manual lymph drainage" which has received much propaganda in recent years shows good results only in the initial stages which are still reversible. In pronounced indurative scleredermas a considerable reduction in volume can be achieved by wrapping the extremity in non-elastic or tubular bandages which must be consistently preserved by compression stockings of class 3 and 4.
尽管显微外科技术不断发展，能够形成功能性的淋巴管静脉吻合，但对于大多数已遭受不可修复损伤的肢体淋巴水肿患者，通常并不建议进行手术干预。由于缺乏有效的药物替代疗法，压迫疗法仍是首选方法。文中论述了其作用方式、适应症及操作方法。近年来备受宣传的“手法淋巴引流”仅在仍可逆转的初始阶段显示出良好效果。对于明显的硬结性硬皮病，通过用非弹性或管状绷带包裹肢体，可使肢体体积显著减小，之后必须持续使用3级和4级压力袜进行压迫。
