应用彩色多普勒超声检测胸肩峰动脉胸肌支辅助设计胸大肌肌皮瓣

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1、授予单位代码10089学号或申请号20153579中国图书分类号R782.24HebeiMedicalUniversity硕士学位论文专业学位应用彩色多普勒超声检测胸肩峰动脉胸肌支辅助设计胸大肌肌皮瓣研究生：曹建蕾导师：陈彦平教授专业：口腔医学二级学院：第四医院2018年3月目录中文摘要······························································································1英文摘要································

2、······························································3英文缩写······························································································6研究论文应用彩色多普勒超声检测胸肩峰动脉胸肌支辅助设计胸大肌肌皮瓣前言··············································································

3、················7材料与方法····················································································8结果······························································································9附图·····································································

4、························11附表·····························································································15讨论·····························································································16结论·····················································

5、········································18参考文献······················································································18综述胸大肌肌皮瓣的解剖及临床研究进展··········································23致谢·············································································

6、·······················33个人简历·····························································································34中文摘要应用彩色多普勒超声检测胸肩峰动脉胸肌支辅助设计胸大肌肌皮瓣摘要目的：探讨术前应用彩色多普勒超声检测胸肩峰动脉胸肌支辅助设计胸大肌肌皮瓣的临床意义。方法：术前应用彩色多普勒超声检测26例拟移植胸大肌肌皮瓣患者的胸肩峰动脉胸肌支(共52支)的起始点、入肌点的位置及血管内径、血管走行、血流动力学参数

7、，将胸肩峰血管束体表标志与术中探查血管解剖情况及超声检测结果进行对比分析。结果：1.左侧胸肩峰动脉胸肌支的血流动力学参数：起始点PSV（29.183.93）cm/s、起始点EDV（7.412.07）cm/s、入肌点PSV（20.302.72）cm/s、入肌点EDV（2.390.42）cm/s、RI（0.800.03），右侧胸肩峰动脉胸肌支血流动力学参数：起始点PSV（30.383.53）cm/s、起始点EDV（7.401.92）cm/s、入肌点PSV（19.602.94）cm/s、入肌点EDV（2.300.35）cm/s、RI

8、（0.780.03），左右两侧的胸肩峰动脉胸肌支起始点PSV、起始点EDV、入肌点PSV、入肌点EDV、RI均无统计学差异（t分别为-2.003、-