[Multicollector lymphography and phlebography in lower limb edema following radiation and combination therapy].
A multimodality x-ray study of the lymphatic and venous vessels was performed in 50 patients with secondary edema of the lower limbs. A complete block of the limb superficial lymphatic collectors was observed in 44% of the patients, a partial block in 26%. In 80% of the cases the level of partial or complete occlusion of the lymphatic vessels was noted in the ilioinguinal region and in 20% on the femur and leg. Distrubed permeability of the deep vessels of the femur and ilioinguinal region in the form of a complete or partial block was noted in 46% of the cases. In disturbed peripheral lymphodynamics different compensatory adaptation mechanisms like the functioning of the collateral tracts, lymphovenous anastomoses, the overflow of a radiographic contrast agent from the superficial vessels into the deep ones were observed in 60% of the patients. Indications for multicollector lymphography were defined. In secondary edema of the lower limbs, combined injuries of the lymphatic and venous systems were marked in 62%, an isolated disorder of the outflow of the peripheral lymph through the collector vessels was marked in 38%.
D003131:Combined Modality Therapy; D005260:Female; D005833:Genital Neoplasms, Female / Q000532:radiotherapy / Q000601:surgery; D006689:Hodgkin Disease / Q000532:radiotherapy / Q000601:surgery; D006801:Humans; D007866:Leg / Q000098:blood supply; D008209:Lymphedema / Q000000981:diagnostic imaging*; D008220:Lymphography; D010690:Phlebography; D011183:Postoperative Complications; D011878:Radiotherapy / Q000009:adverse effects*
Mnogokollektornaia limfografiia i flebografiia pri otekakh nizhnikh konechnosteĭ posle luchevogo i kombinirovannogo lecheniia.