Evaluation Of Color Doppler Ultrasonographic About Characteristics In Type 2 Diabetes Mellitus Patients With Primary Hepatic Carcinoma And Analysis Of It's Associated Factors

Objective: Using ultrasonic methods to evaluate the characteristics of type 2 diabetes mellitus patients with primary hepatic carcinoma and analyse the associated risk factors of type 2 diabetes mellitus patients with liver cancer to achieve the early prevention,diagnosis and treatment in type2 diabetes mellitus diabetes patients with liver cancer.Methods: Ananalysis review of results and associated materials of 608 type 2 diabetes mellitus patients with malignant tumor who did ultrasonography examine in our hospital during Jan 1st,2013 to Jul 31 st,2016,to observe the position and quantities of the malignant neoplasm,take a further study about the color Doppler characteristics of 85 type 2 diabetes mellitus patients with primary hepatic carcinoma of these patients.As comparative terms,selecting 87 type 2diabetes mellitus patients without cancer who did the same examine at the same period.Analyzing the associated factors of type 2 diabetes mellitus patients with primary hepatic carcinoma,comparing the differences of two terms in gender,age,smoking or not,drinking or not,body mass index(BMI),glycosylated hemoglobin,fasting blood-glucose(FBG),2 hour postprandial blood glucose(2hBG),serum triglyceride(TG),serum total cholesterol(TC),hepatitis B virus surface antigen(HBsAg),combining gallbladder diseases or not,etc.Finally,the logisitic regression analysis was performed on the related factors of type 2 diabetes mellitus patients with primary hepatic carcinoma,and the independent risking factors were identified.Results: 1.The first part we researched the 608 patients with malignant tumor,the statistical results as above: the seven malignant tumor that the type 2 diabetes mellitus patients might erupt simultaneouslyare long cancer,colon cancer,liver cancer,stomach cancer,urinary cancer,thyroid cancer and pancreas cancer.The analysis shows that the digestive system(including liver,gallbladder,esophagus,stomach,pancreas,and colon)are most accessibleto malignant neoplasm according to the origin of cancer,about 51.81%(315/608).The second would be the respiratorysystem(lung),account for 17.27%(105/608).The rest are the uropoietic system(double kidneys and urinary bladder)about 12.8%(78/608)and the endocrinium system(thyroid)about 6.74%(41/608).Apart from some sex dependent cancer like brest carcinoma and some urogenital system's cancer,the incidence rate of colon cancer,lung cancer,liver cancer and stomach cancer are higher in male and only the rate of thyroid cancer is lower than female.2.The second part we choose the 85 of these patients who got type 2 diabetes mellitus with primary hepatic carcinoma,11 of them got multiple lesions and the rest are individual.We counted104 lesions and their planar ultrasonic features are as above: most of these lesions are monotonous,about 71.16%(74/104)and they are prone to attack the right hepatic lobes,about 45.19%(47/104).Most of these lesions grow regularly,mostly round or elliptic,about 75.96%(79/104),have clear boundary,about 63.46%(66/104).The echo image inside of then are mostly low,about 42.31%(44/104),than the high echo image,about 31.73%(33/104),the equal echo image and the mixture echo image are rarely seen.The size of these lesions are between 3 to 5 centimetre,about 50.96%(53/104).Doppler ultrasonic shows that the blood stream in or around the lesions are mostly third class,take each account of 34.62%(3)/104 and 41.3%(43/104).3.The third part we analyzed the differences between the relevant factors in the case group and the control group.The results showed that there were significant differences in gender,age,smoking,drinking,body mass index(BMI),glycosylated hemoglobin(HbA1C)and HBsAg(+)in the two groups(P <0.05).And the logisitic regression analysis shows that male,old age,smoking,glycosylated hemoglobin and HbsAg(+)are individual risking factors.Conclusion: 1.The most possible cancer the type 2 diabetes mellitus patients might erupt simultaneously are long cancer,than the colon cancer,liver cancer,stomach cancer,urinary cancer,thyroid cancer and pancreas cancer and breast cancer.The incidence rate are higher among male part from breast cancer and thyroid cancer.2.The planar and Doppler ultrasonic characteristics are valuable for diagnose of the type 2diabetes mellitus patients with primary hepatic carcinoma.It will raise the timeliness and accuracy to diagnose to combine the imaging characteristics.3.Male,old age,drinking,glycosylated hemoglobin and chronic hepatitis B are independent risking factors that might lead to the type 2 diabetes mellitus patients with primary hepatic carcinoma.