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[1－6] Treatment strategies of hypospadias: a brief analysis of Twelve-Character Principles

[Chen Shaoji, Wang Xuejun, Tang Yunman]

DOI:10.3760/cma.j.cn.101785-202110018-001

[Absract] Objective With the development of hypospadias study, the technology of hypospadias repair has become more mature, and the surgical effect has been significantly improved.As there are a wide variety of surgical methods for hypospadias, it is wise to choose a diversified therapy.Urologists are presented with rising challenges in the hypospadias treatment, given the higher requirements for appearance and function of penis.This paper aims to introduce the three general strategies for hypos... [MORE...]

[PDF:4645KB](381)

[7－12] Correlation analysis of low birth weight and hypospadias in twins

[Lin Defu, Huang Yangyue, Sun Ning, Zhang Weiping, Song Hongcheng]

DOI:10.3760/cma.j.cn.101785-202010025-002

[Absract] Objective Objective To expolre the relationship between birth weight and the hypospadias in twins. Methods Retrospective analysis was conducted for 42 pairs of twins with hypospadias from January 2013 to January 2020.The twins’ birth weight were recorded.According to the location of urethral opening, hypospadias can be divided into 4 types:type Ⅰ is glans penis and coronary groove hypospadias, type Ⅱ is penile hypospadias, type Ⅲ is scrotal hypospadias, and type IV is... [MORE...]

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[13－17] Application of limited volume reduction of dorsal navicular fossa during repairing hypospadias with a preservation of urethral plate

[Qin Daorui, Wang Xuejun, Mao Yu, Yang Bo, Tang Yunman]

DOI:10.3760/cma.j.cn.101785-202110036-003

[Absract] Objective Objective To explore the application and follow-up results of limited volume reduction of dorsal navicular fossa during repairing hypospadias with a preservation of urethral plate. Methods From January 2019 to April 2021, limited volume reduction of dorsal navicular fossa was employed for 64 hypospadiacs.Based upon an operative history or not, they were divided into two groups of initial treat and redo.Basic demographic profiles, preoperative status and surg... [MORE...]

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[18－23] Risk factors for short-term complications of hypospadias repair with transverse preputial island flap urethroplasty

[Fang Yiwei, Song Hongcheng, Sun Ning, Zhang Weiping, Tian Jun, Li Minglei, Li Ning, Qu Yanchao, Han Wenwen, Yang Yang, Liang Haiyan, Wang Guannan, Li Zhenwu]

DOI:10.3760/cma.j.cn.101785-202107006-004

[Absract] Objective Objective To explore the risk factors of postoperative complications of transverse preputial island flap urethroplasty (Duckett procedure), and to improve the treatment effect of hypospadias. Methods A retrospectively analysis was performed on the clinical and follow-up data of children with hypospadias undergoing operations of Duckett technique, staging Duckett technique or Duckett plus Duplay technique from December 2018 to December 2019.The information of... [MORE...]

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[24－29] Research advances in related operative approaches of repairing proximal hypospadias with severed urethral plate tissue

[Shi Haoyu, Huang Liqu, Guo Yunfei]

DOI:10.3760/cma.j.cn.101785-202008077-005

[Absract] Objective Hypospadias is one of the most common congenital malformations in pediatric urogenital system with a high incidence rate.The rising proportion of proximal hypospadias has seriously affected pediatric patients’ penile development.Most proximal hypospadias cases are complicated with severe penile curvature and treated with transverse urethral plate resection.But such surgical procedure has a significantly higher incidence of postoperative complications than retaining urethral p... [MORE...]

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[30－35] Research progress of urethral coverage in hypospadias repair

[Ren Zhentao¹, Zhang Weiping²]

DOI:10.3760/cma.j.cn.101785-202009034-006

[Absract] Objective Hypospadias is one of the most common congenital urinary malformations.There have been 300 different surgical methods for hypospadias repair, with its goal to achieve cosmetic and functional normality.Urethrocutaneous fistula (UCF) is the most common postoperative complication of hypospadias repair, its incidence may reach from 0 to 35%.The use of appropriate coverage layer in urethroplasty can reduce postoperative complications and prevent UCF in particular.Various technique... [MORE...]

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[36－40] Nutritional status and influencing factors of children with solid tumors during treatment

[Zhu Yuan¹, Gao Yijin², Feng Yi¹, Pan Liya¹, Fu Huanhuan¹, Hong Li¹]

DOI:10.3760/cma.j.cn.101785-202101003-007

[Absract] Objective Objective To explore the effects of risk factors on nutritional status of children with solid tumors during treatment. Methods From November 2019 to August 2020, 109 children with solid tumors were selected as the case group and another 109 age-matched and sex-matched healthy children were chosen as the control group.The clinical data of two groups was collected, and their body composition using bioelectrical impedance analysis was measured to compare the di... [MORE...]

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[41－45] Diagnosis,management and prognosis of post-Kasai cholangitis

[Pang Wenbo, Chen Yajun, Zhang Tingchong, Peng Chunhui, Wang Zengmeng, Wu Dongyang, Zhang Dan, Yan Jiayu, Shen Qiulong, Wang Kai]

DOI:10.3760/cma.j.cn.101785-202006073-008

[Absract] Objective Objective To summarize the experience in the diagnosis and treatment of cholangitis after Kasai operation in children with biliary atresia, and analyze its longterm prognosis. Methods A retrospective study was performed on the clinical data of 66 cholangitis patients after Kasai operation from June 2008 to June 2017.The patients were categorized into Cefoperazone-Sulbactam group (n=17), Meropenem group (n=12) and Imipenem-Cilastatin Sodium grou... [MORE...]

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[46－50] Application value of sound touch elastography combined with gamma-glutamyl transpeptidase in the diagnosis of biliary atresia

[Duan Xingxing, Yang Liu, Wen Huan, Xu Xiangfen, Chen Wenjuan, Peng Ya]

DOI:10.3760/cma.j.cn.101785-202105063-009

[Absract] Objective Objective To explore the application value of sound touch elastography (STE) technology plus serum gamma-glutamyl transpeptidase (GGT) in the diagnosis of biliary atresia (BA) in infants. Methods A total of 196 cases of neonates and toddlers with clinical manifestations of hyperbilirubinemia were measured for liver stiffness measurement (LSM) by STE and liver function parameters examined at the same time.They were divided into BA (n=75) and non-BA ([MORE...]

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[51－57] Comparative study of Da Vinci technique versus traditional laparoscopic technique in the treatment of choledochal cyst

[Cai Duote, Chen Qingjiang, Zhang Lifeng, Zhang Yuebin, Pan Tao, Chen Ken, Luo Wenjuan, Jin Yi, Huang Zongwei, Gao Zhigang]

DOI:10.3760/cma.j.cn.101785-202012066-010

[Absract] Objective Objective To explore the advantages and disadvantages of Da Vinci robot versus traditional laparoscopic assisted surgery for choledochal cyst. Methods From April 2020 to December 2020, 44 cases of choledochal cyst were divided into Da Vinci operation group (n=25) and laparoscopy group (n=19).Operative duration, proportion of conversion into laparotomy, proportion of distal opening of cystic choledochal cyst, volume of blood loss, fasting time, ... [MORE...]

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[58－62] Transfer and treatment mechanism and practical effect analysis of prenatally diagnosed congenital diaphragmatic hernia

[Wang Ying, Ma Lishan, Liu Chao, Wei Yandong, Li Jingna, Zhao Yunlong, Zhang Yanxia, Zhang Rui]

DOI:10.3760/cma.j.cn.101785-202107031-011

[Absract] Objective Objective To explore the operative and practical outcomes of transfer and treatment mechanism of congenital diaphragmatic hernia (CDH). Methods A cooperative network was established with 8 prenatal diagnosis centers in Beijing and surrounding areas.A total of 88 pregnant women received prenatal consultations of CDH from January 2018 to December 2020 and 63 CDH children were eventually transported through a green channel.The prenatal panel was dominated by ne... [MORE...]

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[63－68] Mid-term comparative study of lateral column lengthening and extraosseous talotarsal stabilization for the treatment of flexible flatfoot in children

[Mou Xiaping¹, Ji Yong¹, Liao Wei², Tang Kanglai³, Yuan Chengsong³]

DOI:10.3760/cma.j.cn.101785-202101049-012

[Absract] Objective Objective To compare the mid-term effects of lateral column lengthening (LCL) and extraosseous talotarsal stabilization (EOTTS) in treating children with flexible flatfoot. Methods A retrospective review was led on 33 pediatric patients (38 feet) with flexible flatfoot from June 2012 to June 2016.Patients were divided into two groups.The LCL group:19 cases (22 feet) including 12 males, 7 females, with the mean age 9.5±2.3 years.The EOTTS group:14 cases (16 f... [MORE...]

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[69－73] Relative factors analysis for gastric perforation or intestinal necrosis in congenital intestinal malrotation

[Gui Linling, Yu Lei, Lu Wei, Xing Fuzhong, Xiao Bidong]

DOI:10.3760/cma.j.cn.101785-202101007-013

[Absract] Objective Objective To explore the relative-factors of congenital intestinal malrotation (CIM) with gastric perforation and intestinal necrosis and explore the operative intervention factors in neonates. Methods Between January 2012 and December 2019, a retrospective study was performed for 216 CIM neonates.Risk factors were identified by univariate and multivariate analyses.Clinical and laboratory parameters included gender, age, birth weight, gestational age, onset ... [MORE...]

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[74－77] Closed reduction plus single intramedullary Kirschner wire fixation for type Ⅱ phalangeal neck fractures in children

[Jiang Enzhe, Ge Yihua, Shen Kaiying]

DOI:10.3760/cma.j.cn.101785-201911042-014

[Absract] Objective Objective To evaluate the efficacies and advantages of closed reduction plus single intramedullary Kirschner wire fixation for type Ⅱ phalangeal neck fractures in children. Methods From January 2017 to January 2019, clinical data were retrospectively reviewed for 13 hospitalized children with Al-Qattan type Ⅱ phalangeal neck fractures.Operative duration, postoperative outcomes and complications were recorded. Results The average age was (7.5±4.1) year... [MORE...]

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[78－83] Clinical features,classification and diagnosis of pelvic floor dysfunction in children

[Shen Linghui, Zhang Shucheng, Bai Yuzuo, Jiang Kailei, Liu Dan]

DOI:10.3760/cma.j.cn.101785-202008071-015

[Absract] Objective Objective To explore the clinical features, diagnosis and managements of pelvic floor dysfunction (PFD) in children. Methods From January 2015 to December 2019, retrospective review was conducted for clinical data of 145 BFD children.Age, gender, clinical symptoms, disease course, surgical history, medication details, results of clinical examinations (pelvic floor surface electromyography, anorectal manometry & urodynamics) and treatment protocols were r... [MORE...]

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[84－88] Research advances in the diagnosis and prognosis of 5α-reductase type 2 deficiency

[Wen Xu, Zhang Weiping]

DOI:10.3760/cma.j.cn.101785-202005008-016

[Absract] Objective 5α-reductase type 2 deficiency is an autosomal recessive disease caused by mutation of SRD5A2 gene.It is one of the major types of 46, XY disorder of sex development.Deficiency of 5α-reductase type 2 will block the conversion of testosterone into dihydrotestosterone, leading to dysplasia of urogenital sinus.It is difficult to be diagnosed due to the diverse clinical phenotypes from incomplete virilization to complete feminization.Children raised as females may show signs of v... [MORE...]

[PDF:3966KB](240)

[89－92] Research advances in the pathogenesis of special venous malformations

[Chen Sheng, Shen Weiming]

DOI:10.3760/cma.j.cn.101785-202008001-017

[Absract] Objective Venous malformation (VM) is the most common vascular malformation.According to its clinicohistological characteristics, it can be divided into common and special venous malformations.The latter type is composed of familial VM cutaneomucosal, blue rubber bleb nevus (Bean) syndrome and glomuvenous malformation.Except for common VM, most VMs are accompanied with multiple lesions.In recent years, with rapid developments of gene sequencing technology, a growing body of literature ... [MORE...]

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[93－96] Multiple arterial thrombosis in external iliac artery after thoracoscopic lobectomy in a boy with primary nephrotic syndrome-one case report and literature review

[Hao Yajing¹, Chen Xiaolong¹, Cai Huaiqing¹, Li Jia¹, Kang Yulin², Huang Wenyan², Shen Li¹, Zhang Rufang¹]

DOI:10.3760/cma.j.cn.101785-202011020-018

[PDF:3176KB](228)

[97－100] Congenital anterolateral tibial angulation with polydactyly of the hallux:a report of 4 cases with a literature review

[Yuan Ganfeng¹, Liu Kun², Mei Haibo²]

DOI:10.3760/cma.j.cn.101785-202001047-019

[PDF:3588KB](219)