肝病超声诊断指南(2021版)

中华肝脏病杂志2021年5月第29卷第5期Chin J Hepatol,.May2021,Vol.29,No.5·385··指南与规范·肝病超声诊断指南中华医学会超声医学分会中国研究型医院学会肿瘤介入专业委员会国家卫生和健康委员会能力建设和继续教育中心超声医学专家委员会通信作者：梁萍，解放军总医院肿瘤医学部，北京100853，Email:1 liangping301@126.com;于杰，解放军，总医院肿瘤医学部，北京100853，Email:jiemi301@163.com【摘要】超声检查无创、实时、价廉，无辐射、便于反复进行，是最常用的肝脏影像学检查方法。近年来，超声检查新技术如超声造影、弹性成像发展迅速，可有效鉴别肝内占位性病变性质、评估肝纤维化和门静脉高压程度以及监测肝病治疗效果，在临床肝病及其介入治疗中发挥重要诊断价值。本指南规范了肝病多模态超声技术（灰阶超声、彩色多普勒超声、超声造影、弹性超声）检查的仪器调置、患者准备及医生检查方法，对肝脏弥漫性病变（炎性病变、纤维化、硬化）、多种占位性病变及肝病介人操作的多模态超声技术诊断标准进行了定义和规范，同时推荐了超声监测周期及肝脏疾病超声诊断报告书写规范。【关键词】肝，肝纤维化：肝硬化，诊断，超声：肝占位性病变基金项目：国家自然科学基金项目(81627803、82030047、91859201)D0I:10.3760/cma.j.cm501113-20210219-00087Guideline for ultrasonie diagnosis of liver diseases Chinese Society of Ultrasound in Medicine:OncologyIntervention Committee of Chinese Research Hospital Society;National Health Commission Capacity BuildingAnd Continuing Education Expert Committee on Ultrasonic DiagnosisCorresponding author:Liang Ping.Department of Tumor Medicine,PLA General Hospital.Beijing 100853.China,Email:liangping301@126.comCo-corresponding author:Yu Jie,Department of Tumor Medicine,PLA General Hospital,Beijing 100853,China,Email:jiemi301@163.com[Abstract]Ultrasound is a non-invasive,real-time,inexpensive,radiation-free and casily repeatablemethod,usually used for liver imaging.In recent years,new ultrasound examination techniques for liver diseasessuch as contrast-enhanced ultrasound and elastography have been rapidly developed,which can effectivelyidentify intrahepatic space-occupying lesions,assess the degree of liver fibrosis and portal hypertension,andmonitor the effects of treatment.Therefore,these technologies play an important diagnostic role in clinicalliver diseases and have therapeutic interventional value.This guideline classifies the instrument set-up,patientpreparation,and physician examination methods through multimodal ultrasound examinations(gray-scaleultrasound,color Doppler ultrasound,contrast-enhanced ultrasound,elastic ultrasound)for liver diseases.In addition,liver diseases multimodal ultrasound technology diagnostic criteria for diffuse hepatic lesions(inflammatory lesions,fibrosis,and sclerosis),multiple space-occupying lesions,and interventional procedureshave been defined and standardized.Concurrently,we also recommend the ultrasound monitoring time intervaland diagnostic report writing standard for liver diseases.[Key words]Liver;Liver fibrosis;Liver cimhosis;Diagnosis;Ultrasound;Liver space oocupying lesionFund program:National Natural Science Foundation of China (81627803.82030047,91859201)D01:10.3760/cmaj.cm501113-20210219-00087超声检查无创、实时显像、价廉，无辐射、便于反复进目前最常用的肝脏影像学检查方法。超声可以观察肝脏的大行，我国各种肝脏疾病发病率高，超声是我国不同层级医院小、形态、实质回声、占位特征及肝内血管、胆管情况，对●中手个世留资02xvdWRWZXJzaW9uLOo?