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[601-605]From symptoms to function:transformation and reflections on urodynamic study-driven personalized treatment of lower urinary tract symptoms in children
[Wen Jianguo]
DOI:10.3760/cma.j.cn101785-20260507-00218
[Absract] Objective Lower urinary tract symptoms (LUTS) in children have complex etiologies and highly heterogeneous phenotypes.Conventional symptom-based assessment is often insufficient for precise classification,which may lead to homogenized treatment and unsatisfactory outcomes.Urodynamic study (UDS),as a core technique for evaluating bladder and urethral function in children,can objectively quantify detrusor function,urethral closure status,and storage-voiding coordination,thereby providing... [MORE...]
[PDF: 6504KB](125)
[606-610]Technological innovation in urodynamic studies:opportunities and challenges for the diagnosis and treatment of lower urinary tract dysfunction in children
[Yin Shanfeng, Chen Guangjie]
DOI:10.3760/cma.j.cn101785-20260401-00151
[Absract] Objective Urodynamic studies (UDS) are now used to examine lower urinary tract dysfunction (LUTD) in children; they can help us understand the causes of LUTD and how to treat it.The previous catheter-based UDS has some shortcomings; it is an invasive operation,provides only a brief picture of the data,is subject to subjective judgment,and children are difficult to cooperate with,which limits the accuracy of diagnosis and treatment for children with LUTD.In recent years,there have been ... [MORE...]
[PDF: 5396KB](90)
[611-615]Analysis of prognostic factors in children with monosymptomatic nocturnal enuresis
[Bai Lishuang1,2, Yang Bo2, Tang Yunman2, Mao Yu2, Wang Xuejun2]
DOI:10.3760/cma.j.cn101785-20260403-00154
[Absract] Objective Objective To analyze the prognostic factors associated with monosymptomatic nocturnal enuresis (MNE) in children. Methods This study retrospectively analyzed the data of 529 children with MNE admitted to the pediatric surgery outpatient department of Sichuan Provincial People¡¯s Hospital from July 2024 to December 2025.According to treatment efficacies,they were assigned into two groups of cured (n=423) and uncured (n=106).Basic profiles,frequen... [MORE...]
[PDF: 4672KB](102)
[616-620]Efficacy of transcutaneous tibial electrical nerve stimulation on bladder function in children with overactive bladder
[Feng Zichao1,2, Wang Zhan1,2, Wen Yibo1,2, Xu Pengchao2, Yin Bingqian3, Shao Sida4, Song Yue1, Zhang Zhengguang1,2, Yang Jing1, Wu Guoxing5, Wen Jianguo1,2]
DOI:10.3760/cma.j.cn101785-20260331-00149
[Absract] Objective Objective To evaluate the efficacy of transcutaneous tibial electrical nerve stimulation (TTNS) on bladder function in children with overactive bladder (OAB) using pressure-flow study (PFS) parameters and symptom scale scores. Methods For this multicenter,self-controlled before-after study,28 OAB children fulfilling the inclusion criteria were recruited from First Affiliated Hospital of Zhengzhou University,Fujian Children¡¯s Hospital,and Dongguan Children¡¯s ... [MORE...]
[PDF: 7022KB](111)
[621-626]Combined analysis of clinical symptoms,urodynamics,and imaging features for identifying atypical posterior urethral valves in children
[Shi Shengkun, Liu Xing, Yin Xiaoming, Yang Yi]
DOI:10.3760/cma.j.cn101785-20260331-00148
[Absract] Objective Objective Posterior urethral valves (PUV) represent a primary cause of lower urinary tract obstruction in boys.Approximately 50% of cases,particularly atypical valves located at the 12 o¡¯clock position,are missed on voiding cystourethrography (VCUG).Early identification is critical for preventing renal failure.This study preliminarily explores a diagnostic model for atypical PUV based upon imaging and urodynamic parameters,providing data support for optimizing the ... [MORE...]
[PDF: 6117KB](90)
[627-631]Incontinence and changes in urodynamics and renal function in children with posterior urethral valves
[Tang Liangfeng, Sun Yubo, Wang Anle, Zhou Yanhua, Liu Ying, Fang Xiaoliang, Geng Hongquan]
DOI:10.3760/cma.j.cn101785-20260408-00164
[Absract] Objective Objective To follow up with postoperative children with posterior urethral valves,examine the changes in urinary incontinence symptoms from preschool to school age and explore the characteristics of bladder and kidney function changes. Methods This study retrospectively analyzed the clinical data of children with urethral valve disease who recovered smoothly after surgery and were admitted to Fudan University Affiliated Children¡¯s Hospital from January 2018 ... [MORE...]
[PDF: 4510KB](94)
[632-636]The predictive value of early symptom changes during TTNS treatment for 24 week delayed response in pediatric patients with chronic obstructive pulmonary disease (OAB)
[Cheng Fangzheng, Wang Dongming, Zhang Yunhe, Wang Pengxiang, Liu Shengtong, Wang Jian]
DOI:10.3760/cma.j.cn101785-20260309-00099
[Absract] Objective Objective To investigate the predictive value of early symptom changes at 12 weeks for delayed response at 24 weeks in children with overactive bladder (OAB) receiving transcutaneous tibial nerve stimulation (TTNS),and to provide evidence for treatment-course decision-making. Methods A secondary analysis was performed based on data from a prospective single-arm cohort of extended-course TTNS in the Department of Pediatric Surgery,Qilu Hospital of Shandong Un... [MORE...]
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[637-641]Application of free video uroflowmetry in the evaluation of lower urinary tract dysfunction in children
[Wu Guoxing1, Wu Ruifa1, Li Honghui1, Wang Yurou1, Wen Jianguo2]
DOI:10.3760/cma.j.cn101785-20260330-00144
[Absract] Objective Objective To investigate the feasibility and clinical value of free video uroflowmetry in evaluating lower urinary tract dysfunction (LUTD). Methods The data of free video uroflowmetry in children hospitalized for LUTD at Dongguan Children¡¯s Hospital from January 2025 to July 2025 were retrospectively analyzed.During hospitalization,all children underwent free uroflowmetry (FF),video urodynamics (VUDS),and free video uroflowmetry (FVU).Accordingly,the examin... [MORE...]
[PDF: 4910KB](101)
[642-646]Clinical value of right ventricle free wall longitudinal strain plus red blood cell distribution width in pediatric congenital heart disease associated pulmonary arterial hypertension
[Yao Taoyue1, Hu Yuan1, Chen Wenjuan1, Liu Qianjun1, Xiao Yunbin2, Liu Jinqiao1]
DOI:10.3760/cma.j.cn101785-202506034
[Absract] Objective Objective To explore the clinical value of right ventricular free wall longitudinal strain (RVFWLS) plus red blood cell distribution width (RDW) in pediatric congenital heart disease-related pulmonary arterial hypertension (CHD-PAH). Methods This study retrospectively analyzed the clinical data of 96 children diagnosed with CHD-PAH at Hunan Children¡¯s Hospital from January 2020 to August 2024. Based upon whether or not major adverse events such as all-cause ... [MORE...]
[PDF: 5220KB](116)
[647-650]Efficacy of laparoscopic assisted heart-shaped anastomosis versus modified Soave for common megacolon in infants aged under 3 months
[Cui Kaiyue1, Xue Yuan1, Su Nan2, Li Mengjiao1, Xie Hengcui1, Yang Binyi1, Song Hua1]
DOI:10.3760/cma.j.cn101785-20260420-00195
[Absract] Objective Objective To compare the clinical efficacies,safety and effectiveness of laparoscopic assisted heart-shaped anastomosis versus modified Soave for common megacolon in infants aged under 3 months. Methods This study collected clinical data from 90 cases of common megacolon in infants under 3 months of age admitted to Qingdao University Affiliated Women and Children¡¯s Hospital from January 2018 to January 2025. Group A underwent laparoscopic heart-shaped anasto... [MORE...]
[PDF: 3684KB](95)
[651-655]Therapeutic experience of super-microsurgical techniques in replanting pediatric distal digital amputation
[Gao Shi, Chen Haiqiong, Zhao Guoqiang]
DOI:10.3760/cma.j.cn101785-20251212-00112
[Absract] Objective Objective To explore the clinical efficacy of super-microsurgical techniques for pediatric distal finger replantation. Methods This study retrospectively analyzed the clinical data of 14 children (14 fingers) with distal finger amputation who were admitted to the Children¡¯s Hospital Affiliated to Zhejiang University School of Medicine from January 2023 to January 2025 and were under the age of 6. There were 9 boys and 5 girls with an average age of 3Y4M(8M22... [MORE...]
[PDF: 5435KB](95)
[656-661]Analysis of factors associated with postoperative cerebrospinal fluid shunting in children with posterior fossa tumors complicated by obstructive hydrocephalus
[Zhang Jinwei1, Wu Shuihua1, Yuan Liping2]
DOI:10.3760/cma.j.cn101785-202509026
[Absract] Objective Objective To investigate factors associated with postoperative cerebrospinal fluid shunting in children with posterior fossa tumors complicated by obstructive hydrocephalus. Methods This was a retrospective case-control study.Clinical data of 48 children with posterior fossa tumors complicated by obstructive hydrocephalus who underwent surgery in the Department of Neurosurgery,Hunan Children¡¯s Hospital from January 2020 to September 2025 were collected.Accor... [MORE...]
[PDF: 6193KB](97)
[662-666]The relationship between Staphylococcus aureus infection and coagulation function in children with acute osteomyelitis
[Jia Haiting1, Li Hai2, Wang Shifu3, Liu Tao1, Yu Jiazhi1, Wang Chunhua1]
DOI:10.3760/cma.j.cn101785-202208011
[Absract] Objective Objective To analyze and compare the effects of Staphylococcus aureus infection on coagulation function in children with acute osteomyelitis against cases with negative bacterial cultures. Methods This study retrospectively analyzed the case data of 94 children with acute osteomyelitis treated at Jinan Children¡¯s Hospital from November 2017 to April 2022. Based on pus culture results,69 children with Staphylococcus aureus infections were assigned to the obse... [MORE...]
[PDF: 4606KB](95)
[667-671]The impact of non mechanical preoperative intestinal preparation on the safety, intestinal function recovery,and complications of pediatric colostomy return surgery
[Fu Cuixia1, Zhu Weina1, Ma Lili1, Zhu Haitao2]
DOI:10.3760/cma.j.cn101785-202509030
[Absract] Objective Objective To explore the effects of non-mechanical preoperative bowel preparation on safety,bowel function returning and postoperative complications among children with ostomy reversal. Methods This study collected data from 86 pediatric patients with colostomy admitted to the Department of Surgery at Fudan University Affiliated Children¡¯s Hospital from January 2022 to December 2023 for retrospective analysis. They were assigned into two groups of MBP (n<... [MORE...]
[PDF: 4329KB](96)
[672-675]Application of Modified Nagata Method Phase ¢ò Ear Standing Technique in Non Dilated Total Ear Reconstruction in Children
[Xie Jiang, Zhao Sijun, Peng Xiangyue, Wang Min, Kuang Yuting, Xiong Peiwen, Zhou Jiebin, Huang Min]
DOI:10.3760/cma.j.cn101785-20260318-00121
[Absract] Objective Objective To explore the value of standardized application of modified two-stage Nagata method for ear elevation during non-expansion total ear reconstruction in children with microtia,summarize the key points of surgery and analyze the clinical efficacy. Methods This study retrospectively analyzed the data of 55 children with unilateral congenital microtia admitted to Hunan Children¡¯s Hospital from January 2018 to November 2020. There were 45 boys and 10 gi... [MORE...]
[PDF: 3739KB](79)
[676-678]Gastroesophageal reflux as an initial symptom in children with 17p13.3 duplication syndrome:one case report
[Han Xu1, Gao Yue2, Chen Hongyu3, Yu Lan3, Tan Zheng2]
DOI:10.3760/cma.j.cn101785-202503056
[PDF: 4020KB](81)
[679-683]Progress on the pathogenic mechanisms,diagnostic and therapeutic strategies,and prognosis of human cytomegalovirus-related biliary atresia
[Lu Zhengchen, Zhang Ruyi, Tang Weibing]
DOI:10.3760/cma.j.cn101785-202504019
[Absract] Objective Human cytomegalovirus (HCMV),also known as human herpes virus-5 (HHV-5),plays an important role in multiple pediatric liver diseases.HCMV infection in children is typically asymptomatic or presents with mild symptoms,including slight hepatomegaly and elevated transaminase levels.Biliary atresia (BA) is one of the most common cholestatic liver diseases in infants.A growing number of studies suggest that HCMV infection may be one of the triggers for BA; however,the association ... [MORE...]
[PDF: 5822KB](98)
[684-688]Advances in the diagnosis and treatment of extracranial immature teratoma in children
[Liu Shuhan, Wang Shan]
DOI:10.3760/cma.j.cn101785-202505038
[Absract] Objective Immature teratoma (IT) is a germ cell tumor of uncertain etiology,with diverse clinical manifestations.Its staging is consistent with that of malignant germ cell tumors,and grading is based on the Norris grading system.Extracranial IT in children is rare,and there is currently no unified standard treatment strategy worldwide.The main controversy lies in whether to adopt close postoperative surveillance or adjuvant chemotherapy.Studies from abroad suggest that close postoperat... [MORE...]
[PDF: 5847KB](81)
[689-692]Research advances in Reg3g-mediated regulation of intestinal homeostasis
[Chen Xintong, Jiang Weiwei]
DOI:10.3760/cma.j.cn101785-202401067
[Absract] Objective Regenerating islet-derived protein 3 gamma (Reg3g) is a calcium-independent C-type lectin-like antimicrobial protein.It contributes to the maintenance of intestinal homeostasis through modulating the composition of gut microbiota,preserving spatial segregation between microbiota and intestinal mucosa,regulating inflammatory responses and promoting epithelial barrier repair.Short bowel syndrome (SBS) is manifested by a marked reduction in functional intestinal absorptive surfa... [MORE...]
[PDF: 4881KB](93)
[693-696]Research advances of testicular microlithiasis
[Ji Fengming1,2, Yan Bing2, Tang Haoyu2, Wu Shengde1]
DOI:10.3760/cma.j.cn101785-202409047
[Absract] Objective Testicular microlithism (TM) is characterized by a formation of microcalcifications within testes.Generally TM patients lack specific clinical manifestations and a definite diagnosis is dependent upon ultrasonic examinations.A large number of retrospective studies have demonstrated that TM is associated with such diseases as testicular tumors and male infertility.However,its specific pathogenesis has not been fully elucidated and there is no unified clinical follow-up protoco... [MORE...]
[PDF: 4110KB](103)
[697-700]Analysis of the current status of treatment for primary obstructive megaureter in infants
[Chen Jiejun, Guo Yunfei, Huang Liqu]
DOI:10.3760/cma.j.cn101785-202406014
[Absract] Objective As a common congenital urological condition,primary obstructive megaureter (POM) is characterized by a ureteral diameter>7 mm outside bladder,starting from the 30th week of pregnancy.It accounts for approximately 23% of urinary tract obstruction in children.Previous studies have indicated that POM has a high spontaneous resolution rate and non-surgical management usually maintains stable kidney function.However,surgical intervention may be required for individuals with cli... [MORE...]
[PDF: 4398KB](110)