彩色多普勒超声评价2型糖尿病患者并发原发性肝癌的特点及其相关因素的分析

Analysis of Features and Related Factors of Color Doppler Ultrasound in Evaluating the Primary Liver Cancer of Patients with Type 2 Diabetes

目的对彩色多普勒超声评价2型糖尿病患者并发原发性肝癌的特点及其相关因素进行分析。方法选取2015年1月—2017年12月在该院接受治疗的2型糖尿病并发原发性肝癌的患者100例,对其进行彩色多普勒超声诊断,并分析超声的特点,同时对相关因素进行分析。结果原发性肝癌中单发病灶93例,多发病灶25例,共计118个病灶;病灶主要为单发,单发患者占总人数的93.00%(93/100),并且以肝脏右叶为主,占49.00%(49/100),呈现较为规则的形态,多为圆形或类似圆形的形状,边界较为清晰,病灶内部回声较低,其次为高回声,混合回声较少,病灶大约在4 cm左右;2型糖尿病患者并发原发性肝癌的危险因素主要与性别、饮酒、抽烟、肥胖以及糖化血红蛋白有关。结论2型糖尿病患者并发原发性肝癌在诊断时采用彩色多普勒超声具有较高的诊断意义,并且给予早期及时的诊断并制定相应的治疗方法有利于对病情的控制。

Objective To analyze the features and related factors of color Doppler ultrasound in evaluating the primary liver cancer of patients with type 2 diabetes. Methods 100 cases of patients with type 2 diabetes combined with primary cancer admitted and treated in our hospital from January 2015 to December 2017 were selected and diagnosed with color Doppler ultrasound, and the ultrasound features and related factors were analyzed. Results 93 cases with single lesions were in the primary liver cancer, and there were 25 cases with multiple lesions, 118 lesions in total; and the lesion was mainly single,and the ratio of single lesion patients was 93.00%（93/100）, dominated by right lobe of the liver, accounting for 49.00%（49/100）, showing the regular shape, and the boundary was clear, and the internal echo of lesions was lower, the high echo was the second and the mixed echo was the least, and the lesion was about 4 cm, and the major risk factors of patients with type 2 patients combined with primary liver cancer were related to the gender, alcohol, smoking, obesity and glycosylated hemoglobin. Conclusion The color Doppler ultrasound is of higher diagnosis significance to the patients with type 2 diabetes combined with primary liver cancer, and the early and timely diagnosis and making the corresponding treatment method is conductive to the control of the diseases.