Abe R
Tohoku J Exp Med. 1976 Feb;118(2):163-71. doi: 10.1620/tjem.118.163.
In order to study the causes of postmastectomy lymphedema, venography, lymphangiography and RISA absorption test were performed on the patients following radical mastectomy. Venous obstruction was a rare cause of postmastectomy lymphedema. Edema patterns in arm lymphangiography were observed in the patients with lymphedema and even in some of the non-edematous upper extremities. The finding of axillary lymphangiography was correlated with the degree of edema of the upper extremity. The absence of adequate lymphatic pathway across the axilla (type 2, collateral and type 3, blocking) was thought to provide the pathologic base for the postmastectomy lymphedema. RISA absorption test also provided precise information of the lymphatic flow in the extremity. It was lower in the patients with edema, as compared with the patients without edema.
为了研究乳房切除术后淋巴水肿的病因，对行根治性乳房切除术后的患者进行了静脉造影、淋巴管造影和放射性核素淋巴管造影吸收试验。静脉阻塞是乳房切除术后淋巴水肿的罕见病因。在有淋巴水肿的患者甚至一些无水肿的上肢中观察到了手臂淋巴管造影的水肿模式。腋窝淋巴管造影的结果与上肢水肿程度相关。认为腋窝处缺乏足够的淋巴通路（2型，侧支型和3型，阻塞型）为乳房切除术后淋巴水肿提供了病理基础。放射性核素淋巴管造影吸收试验也提供了肢体淋巴流动的精确信息。与无水肿患者相比，水肿患者的该指标较低。
