Vyrenkov Iu E, Kungurtsev V V, Shimanko A I, Shishlo V K, Zaznov O V
Grud Serdechnososudistaia Khir. 1993(2):27-32.
The paper deals with the results of X-ray lymphographic and morphological studies of the peripheral lymphatic system in 82 patients with various stages of chronic lower extremity arterial insufficiency. Destructive and sclerotic changes in lymphatic vessels, inguinal lymph nodes, and impairments in lymph flow whose severity was in proportion to the stage of chronic ischemia were detected. The associated immune, barrier-filtration and transport dysfunctions called for their adequate correction. In patients with Stages II and III ischemia, direct controlled endolymphatic therapy promotes the improvement of tissue lymphatic drainage and hemocirculation in the diseased extremity and recovery of immune homeostasis in the region.
本文探讨了82例不同阶段慢性下肢动脉供血不足患者外周淋巴系统的X线淋巴造影和形态学研究结果。检测到淋巴管、腹股沟淋巴结的破坏性和硬化性改变，以及淋巴流动障碍，其严重程度与慢性缺血阶段成正比。相关的免疫、屏障过滤和运输功能障碍需要得到适当纠正。在II期和III期缺血患者中，直接可控的内淋巴治疗可促进患肢组织淋巴引流和血液循环的改善，以及该区域免疫稳态的恢复。
