リンパ系疾患の診断と治療に関する研究
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Purpose and method Since KlNMONTH presented the paper reporting the original method for lymphangiography in 1952, the roentgenologic visualization by intralymphatic injection has been widely popularized. Morphologic observation of malignant metastasis of lymphtic nodes, primary malignant lymphomas and lymphedema have been done by this method. However, the study on the lymphatics itself following arterial or venous obstruction was seldom carried out. This paper airns to dissolve lymphangiographic aberration of maligant lymphatic tumor and arterial or venous disorder. This study has been continued between April 1963 and June 1967, 244 cases being underwent lymphangiography in our Surgical Department. Result I) Lymphangiographic findings following circulatory diseases. a) In the ischemic disease such as arteriosclerosis, thromboangiotitis obliterans or arterial embolism, etc., the femoral lymphatics are usually reduced the caliber and number of tributaries into the femoral glands. It will means that reduction of the arterial blood flow induce the decrease of lymphatic flow as well as the decrease of venous flow. b) The lymphangiographic findings in the venous stagnant diseases such as phlebothrombosis, thrombophlebitis or varicose vein showed individually different findings of lymphatics in the stage of the each disease. In the stage of the phlebothrombosis, the subcutaneous edema and discoloration of skin were appeared, and lymphatics were not always increased the number. In the stage of acute thrombophlebitis, lymphatics showed special findings so that dilatation, kinking, spindlar form and decrease number of lymphatics. Furthermore, in the chronic stage, Iymphedema was clinically demonstrated and very fine network of the lymphatics was illustrated by lymphangiography. However, when collateral veins were finally increased, edema was disappeared clinically and only partial varicose network was lymphangiographically remained. Consequently it seems to us that the lymphatics take place while the venous return is disturbed. However in the thrombophlebitis, subcutaneous edema was no longer disappeared and then shifted to lym phedema.
- 社団法人日本循環器学会の論文
- 1967-09-15
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- リンパ系疾患の診断と治療に関する研究