超声新技术在肝窦阻塞综合征诊断中的应用价值  

Application Values of New Ultrasound Technologies in the Diagnosis of Hepatic Sinusoidal Obstruction Syndrome

作　　者：卢潇 马姣姣[1] 孙脉 张波[1,2,3] LU Xiao;MA Jiaojiao;SUN Mai;ZHANG Bo(Department of Ultrasound Medicine,China-Japan Friendship Hospital,Beijing 100029,China;National Center for Respiratory Medicine,State Key Laboratory of Respiratory Health and Multimorbidity,National Clinical Research Center for Respiratory Diseases,Institute of Respiratory Medicine,Chinese Academy of Medical Sciences,Center of Respiratory Medicine,China-Japan Friendship Hospital,Beijing 100029,China;Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China)

机构地区：[1]中日友好医院超声医学科,北京100029 [2]国家呼吸医学中心呼吸和共病全国重点实验室、国家呼吸疾病临床研究中心、中国医学科学院呼吸病学研究院、中日友好医院呼吸中心,北京100029 [3]中国医学科学院、北京协和医学院,北京100730

出　　处：《中国医学科学院学报》2024年第4期575-580,共6页Acta Academiae Medicinae Sinicae

基　　金：北京协和医学院专项建设项目(201920102305)。

摘　　要：肝窦阻塞综合征(HSOS)是一种中毒性肝损伤,严重者可出现多器官衰竭,存在致死的可能性,HSOS的早期诊断对于治疗方案的选择和预后有着重大意义。目前在临床诊断应用中,超声作为肝脏疾病的首选检查手段,已经在专家共识和相关诊断标准中被指定可用于HSOS的诊断,但尚无明确的影像学诊断标准。本文归纳总结了超声和超声新技术在HSOS研究中的声像图特征,通过分析灰阶超声、多普勒超声、超声弹性成像及超声造影在疾病不同发展阶段出现的不同特征性声像图,可制订并完善相应影像学诊断标准,为早期诊断HSOS及鉴别诊断HSOS提供行之有效的辅助检查方法。Hepatic sinusoidal obstruction syndrome(HSOS),a toxic liver injury,can lead to multiple organ failure in severe cases and is even fatal.Early diagnosis is of great significance for the selection of treatment regimens and prognosis.Currently,ultrasound,as the preferred diagnostic method for liver diseases,has been recommended in expert consensus and criteria for the diagnosis of HSOS.However,there are no definitive imaging diagnostic standards.This paper summarizes the sonographic features of ultrasound and new ultrasound technologies in HSOS research.Analyzing the characteristic sonographic images from gray-scale ultrasonography,Doppler ultrasonography,ultrasound elastography,and contrast-enhanced ultrasonography at different stages of the disease enables the establishment and refining of the corresponding imaging diagnostic standards and provides effective auxiliary examination methods for the early diagnosis and differential diagnosis of HSOS.

关 键 词：肝窦阻塞综合征 超声 弹性成像 超声造影 

分 类 号：R445.1[医药卫生—影像医学与核医学]