肝移植超声临床实践指南(2023版)

Guideline for clinical practice of ultrasound examination in liver transplantation(2023 edition)

肝移植是目前治疗终末期肝病的唯一有效方法。超声检查具有无创、便捷、实时及可动态显示肝内血管血流动力学变化的优势,已经成为肝移植手术全程管理过程中首选的评估手段之一。为进一步规范肝移植手术前后的超声检查,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及上海市医学会超声医学分会等机构组织全国肝移植领域包括超声科、肝脏外科、介入科等多学科专家,结合目前肝移植超声诊治研究的最新实践,制定了《肝移植超声临床实践指南(2023版)》,内容涉及超声评估移植肝供体、受体,移植肝术中超声检查,术后并发症超声评估,超声在儿童肝移植中的应用以及超声引导下的移植肝穿刺活检及治疗,旨在推动中国肝移植超声检查实现规范、高质量发展的目标。

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.