【摘要】 肝移植现已成为治疗终末期肝病唯一有效的手段。由于供肝数量短缺和等候移植终末期肝病患者不断增多，越来越多的边缘性供肝逐渐被应用，以缓解当前供需不平衡的矛盾。与正常肝脏相比，脂肪变性供肝更容易受到冷缺血损伤，对缺血再灌注损伤也更为敏感，导致移植术后相关并发症增多。如何提高脂肪变性供肝的使用率和安全性至关重要，目前评价供肝脂肪变性的技术包括超声、CT、磁共振成像等。移植术前及术后准确评估供肝脂肪变性程度决定了供肝能否合理应用，并可为临床诊疗提供参考。

    【关键词】 肝移植；脂肪变性；超声；病理

    中图分类号 R617 文献标识码 A 文章编号 1671-0223(2024)19--04

    Research progress on evaluation techniques for hepatic steatosis in donors Hu Xu. Zhejiang University of Traditional Chinese Medicine， Hangzhou 310053， China

    【Abstract】 Liver transplantation has become the only effective treatment for end-stage liver disease. Due to the shortage of donor livers and the increasing number of patients waiting for transplantation for end-stage liver disease， more and more marginal livers are being used to alleviate the imbalance between supply and demand. Compared to normal liver， fatty liver is more susceptible to cold ischemic injury and is more sensitive to ischemia-reperfusion injury， leading to an increase in post-transplant complications. How to improve the utilization rate and safety of the steatosis donor liver is very important. At present ......