Lu Xiao, Ma Jiao-Jiao, 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.
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2024 Aug;46(4):575-580. doi: 10.3881/j.issn.1000-503X.15784.
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.
肝窦阻塞综合征(HSOS)是一种中毒性肝损伤,严重时可导致多器官功能衰竭,甚至危及生命。早期诊断对于治疗方案的选择和预后具有重要意义。目前,超声作为肝脏疾病的首选诊断方法,已被纳入HSOS诊断的专家共识和标准中。然而,尚无明确的影像学诊断标准。本文总结了超声及新型超声技术在HSOS研究中的超声特征。分析疾病不同阶段的灰阶超声、多普勒超声、超声弹性成像及超声造影的特征性超声图像,有助于建立和完善相应的影像学诊断标准,为HSOS的早期诊断和鉴别诊断提供有效的辅助检查方法。