Zhonghua Yi Xue Za Zhi. 2023 Aug 22;103(31):2365-2388. doi: 10.3760/cma.j.cn112137-20230510-00768.
Liver transplantation is currently the only effective treatment for end-stage liver disease. Ultrasound examination has the advantages of non-invasive, convenient, and real-time display the intrahepatic vascular hemodynamic changes, and has become one of the preferred evaluation methods in the entire management process of liver transplantation. To further standardize the ultrasound examinations before and after liver transplantation, multiple-disciplinary experts in the field of liver transplantation, including specialists in ultrasound, liver surgery, and intervention medicine, were organized by the Chinese Medical Association Ultrasound Medicine Branch, the Chinese Medical Doctor Association Surgery Physician Branch, the Chinese Medical Doctor Association Interventional Physician Branch, and the Shanghai Medical Association Ultrasound Medicine Branch. Combined with the latest research practice in ultrasound diagnosis and treatment of liver transplantation, the ultrasound clinical practice guidelines for liver transplantation (2023 edition) was formulated. The contents of this guideline include ultrasound evaluation of liver transplantation donors and recipients, intraoperative and postoperative ultrasound examination of transplant livers, ultrasound applications in pediatric liver transplantation, and ultrasound-guided liver puncture biopsy and treatment, aiming to promote the standardized and high-quality development of liver transplantation ultrasound examination in China.
肝移植是目前终末期肝病唯一有效的治疗方法。超声检查具有无创、便捷、能实时显示肝内血管血流动力学变化等优点,已成为肝移植整个管理过程中的首选评估方法之一。为进一步规范肝移植前后的超声检查,中华医学会超声医学分会、中国医师协会外科医师分会、中国医师协会介入医师分会、上海市医学会超声医学分会组织了包括超声、肝脏外科、介入医学等领域的多学科肝移植专家,结合肝移植超声诊断与治疗的最新研究实践,制定了《肝移植超声临床实践指南(2023版)》。本指南内容包括肝移植供受者的超声评估、移植肝的术中及术后超声检查、小儿肝移植中的超声应用以及超声引导下肝穿刺活检与治疗,旨在推动我国肝移植超声检查的规范化、高质量发展。