Objective:To investigate the ultrasonic diagnosis of abdominal ultra sonogram in patients with hepatic veno-occlusive disease (HVOD) who received he mopoietic stem cell transplantation (HSCT).Methods: We regularly practiced abdomi nal ultrasound examination weekly in 45 HSCT patients, and compared the ultrason ographic characte ristics in 9 HVOD patients with the other patients who did no t present HVOD. Results:The abdominal ul trasonic images of patients with HVOD were obviously characterized by hepatomegaly, hepatic vein tenuous, gallbladder wall thickening, increased spleen volume, and abdominal dropsy (P0.05).Conclusion:The conventional abdom inal ultrasound examination in HSCT patients could provide reliable diagnosis evidence of HVOD.

Objective To investigate the ultrasonic diagnosis of abdominal ultrasonogram in patients with acute graft versus host disease(aGVHD) who receive allogenic hemopoietic stem cell transplantation(Allo-HSCT). Methods We regularly practiced abdominal ultrasound examination weekly in 73 Allo-HSCT patients, and contrasted the ultrasonographic characteristics in 43 aGVHD patients with those in 30 patients who did not present aGVHD. Results As compared with those of the control group, the abdominal ultrasonic images of the aGVHD patients obviously changed (P0.05), including increased spleen volume, gallbladder wall thickening, cholestasis, liver diffuse parenchyma lesions,and abnormal enterokinesia. Conclusion The conventional abdominal ultrasound examination in Allo-HSCT patients provides reliable diagnosis evidence of aGVHD.

Objective To investigate the ultrasonic diagnosis of abdominal ultrasonography in patients with acute graft anti-host disease(AGAHD) who received allogenic hemopoietic stem cell transplantation(Allo-HSCT).Methods We regularly practiced abdominal ultrasound examination weekly in 43 Allo-HSCT patients,and contrasted ultrasonographic characteristics in 33 AGAHD patients with those in 10 patients who did not present AGAHD.Results As compared with those of the control group,the abdominal ultrasonic images of the AGAHD patients were obviously changed (P<0.05),including liver diffuse parenchyma lesions,gallbladder wall thickening,cholestasis,increased spleen volume,and abnormal enterokinesia.Conclusions The conventional abdominal ultrasound examination in Allo-HSCT patients provides reliable diagnosis evidence of AGAHD.

目的 探讨血液病患者造血干细胞移植治疗后腹部超声特点及相关临床意义.方法对51例接受造血干细胞移植患者进行常规腹部超声检查,观察腹腔脏器声像图变化.结果同移植前比较,患者在移植后发生弥漫性肝实质损害、肝静脉纤细、胆囊壁增厚、胆汁淤积、脾体积缩小、肠蠕动异常及腹水等一系列变化,差异有显著性意义(P 0.05).结论造血干细胞移植后患者常发生一系列腹腔脏器超声特征性变化,常规腹部超声检查能为移植相关并发症早期诊断提供及时、可靠的诊断依据。