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Home>>2020 03 issue list

[193－198] Recent advances in renal function evaluation and outcome prediction of pediatric hydronephrosis

[Zhang Junqi, Geng Hongquan]

DOI:10.3969/j.issn.1671-6353.2020.03.001

[Absract] Objective Hydronephrosis of children are generally conservatively managed while surgical intervention is only indicated whenever necessary.However,the management protocol has remained controversial.The diagnostic and predictive values of multiple examinations and surgical indications and timing are not standardized.Examinations of hydronephrosis include ultrasound,diuretic renogram and magnetic resonance urography (MRU).Cut-off values,ratio/index,grading and scoring systems from observ... [MORE...]

[PDF:912KB](608)

[199－202] Imaging-based diagnostic strategies of pediatric hydronephrosis

[Ma Rui]

DOI:10.3969/j.issn.1671-6353.2020.03.002

[Absract] Objective The most common cause of pediatric hydronephrosis is stenosis of uteropelvic junction (UPJ). The manifestations are dilatation and hydronephrosis of renal pelvis and calyx. The clinical diagnosis is dependent upon such diverse imaging tools as ultrasound, intravenous pyelography (IVP), MR urography (MRU), CT urography (CTU) and nuclide SPECT dynamic scan. Different medical institutions have the limitations of equipment and technology. The imaging combinations of ultrasound+IV... [MORE...]

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[203－208] Comparison of prognosis of patients with unilateral SFU Ⅳ degree ureteropelvic junction obstruction of differential preoperative split renal function:a multicenter retrospective cohort study

[Yin Xiaoming¹, Zhao Qian¹, Liu Xin¹, Yang Yi¹, Wang Xiang², Zhang Bin², Chen Fang³, Xie Hua³, Chen Yan³, Song Hongcheng⁴, Han Wenwen⁴]

DOI:10.3969/j.issn.1671-6353.2020.03.003

[Absract] Objective Objective To compare the prognoses of children with unilateral SFU Ⅳ degree ureteropelvic junction obstruction (UPJO) of differential preoperative split renal function (SRF).Methods For this multicenter cohort study,retrospective reviews were conducted for 281 cases with unilateral SFU Ⅳ UPJO undergoing Anderson-Hynes pyeloplasty at four domestic institutions from January 1,2016 to December 31,2018.After propensity score-matching,214 patients were divided in... [MORE...]

[PDF:899KB](482)

[209－212] A preliminary study on the relationship between vitamin D and its receptor and ureteropelvic junction obstruction

[Xing Xiaoyu, Chen Siping, Zhong Liang, WuShaofeng, Sun Jie]

DOI:10.3969/j.issn.1671-6353.2020.03.004

[Absract] Objective Objective To explore the correlation between UPJO and vitamin D and its receptor.Methods 10 cases of children who underwent UPJO disconnection pyeloplasty were divided into UPJO group.8 children who underwent renal and ureterectomy for renal tumors were enrolled in the control group.The preoperative contents of 25 hydroxyvitamin D₂,25 hydroxyvitamin D₃ and total 25 hydroxyvitamin D were detected.VDR,TGF-β and cadherin E content were det... [MORE...]

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[213－217] Expression and significance of platelet-derived growth factor receptor alpha-positive cells in stenotic tissue of congenital ureteropelvic junction obstruction

[Wang Tianyi, Zhang Weiping, Han Wenwen, Liu Chao]

DOI:10.3969/j.issn.1671-6353.2020.03.005

[Absract] Objective Objective To observe the expression of platelet-derived growth factor receptor α-positive (PDGFRα⁺) cells in congenital ureteropelvic junction obstruction (UPJO) for exploring their role in the pathogenesis of congenital hydronephrosis in children.Methods UPJO group was composed of specimens of ureteropelvic junction (UPJ) harvested during pyeloplasty(n=30) while control group involved the specimens of normal ureter (nephrectomy for tumor; ... [MORE...]

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[218－223] Predictive value of anteroposterior diameter of renal pelvis in postnatal operation of fetal hydronephrosis

[Peng Liucheng¹, Zhao Yaowang¹, Li Chuangye¹, Peng Qianlong¹, Zu Jiancheng¹, Tu Lei¹, You Yiping², Lei Yingjuan²]

DOI:10.3969/j.issn.1671-6353.2020.03.006

[Absract] Objective Objective To explore the diagnostic value of anteroposterior diameter (APD) of renal pelvis for fetal hydronephrosis during follow-ups.Methods The clinical data were analyzed retrospectively for fetal hydronephrosis with APD greater than or equal to 4 mm in the second trimester or 7 mm in the third trimester as detected by prenatal ultrasound at Hunan Children’s Hospital and Hunan Maternal & Children’s Health Hospital from June 2017 to December 2018.Duri... [MORE...]

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[224－227] Analysis of risk factors for failure of double J inserting into bladder during operation of ureteropelvic junction obstruction

[Zhang Xuhui, Luo Tianhua, Wang Jiwen, Meng Qingming, Chen Baifeng, Zhang Xiaoxue]

DOI:10.3969/j.issn.1671-6353.2020.03.007

[Absract] Objective Objective To explore the risk factors of failed insertion of double J stent into bladder during operation of ureteropelvic junction obstruction (UPJO) and provide rationales for selecting suitable treatments.Methods Retrospective analysis was performed for 96 cases of dismembered pyeloplasty from June 2012 to September 2017.According to the placing success of double J tube,it was divided into successful group (n=78) and failure group (n=22).The... [MORE...]

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[228－235] Evaluation of curative effect of modified Koyanagi operation for primary treatment of male children with severe hypospadias

[Xu Junjie¹, Liu Xing², Liu Feng², Zhang Deying², Lu Peng², Wu Shengde², Li Xuliang², Hua Yi²]

DOI:10.3969/j.issn.1671-6353.2020.03.008

[Absract] Objective Objective To evaluate the curative efficacy of modified Koyanagi procedure for severe hypospadias.Methods The clinical data were retrospectively reviewed for Koyanagi operation (n=151) versus and Duckett’s procedure (n=188) for severe hypospadias from February 2009 to October 2018.The curative rates and complications of two operations were compared and the efficacy of modified Koyanagi operation was evaluated.Results In Koyanagi group,th... [MORE...]

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[236－240,247] Clinical characteristics and prognostic factors of pediatric medulloblastoma

[Yu Jianzhong, Shi Wei, Zhao Rui, Shen Wenjun, Li Hao]

DOI:10.3969/j.issn.1671-6353.2020.03.009

[Absract] Objective Objective To explore the association of clinical characteristics and treatment regimens with the prognosis of pediatric medulloblastoma.Methods Retrospective review was performed for clinical data of 40 hospitalized children with medulloblastoma.Statistical analyses were conducted by Kaplan-Meier survival curve.And log-rank test was employed for determining the significance of differences.Cox multiple regression analysis was performed for identifying the cli... [MORE...]

[PDF:1500KB](450)

[241－247] Treatment strategies for proximal femoral benign bone lesions in children

[Li Haibing, Ye Wensong, Xu Lujie, Xu Jingfang, Li Li, Zhu Weiwei, Zheng Zefeng, Yang Yi, Xue Guangtao, Xu Jianxian]

DOI:10.3969/j.issn.1671-6353.2020.03.010

[Absract] Objective Objective To explore the surgical treatment strategies for benign bone lesions of proximal femur in children.Methods Twenty-one children with proximal femoral benign bone lesions were analyzed retrospectively from January 2010 to December 2016.There were 13 boys and 8 girls with a mean age of 7.3 years.The involved side was left (n=10) and right (n=11).Histopathological diagnoses were simple (n=9) or aneurysmal (n=5) bone cysts,no... [MORE...]

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[248－252] Research advances of integrated therapy of pediatric intestinal failure

[Liu Lin, Xu Weili]

DOI:10.3969/j.issn.1671-6353.2020.03.011

[Absract] Objective Pediatric intestinal failure (PIF) is a rare condition with malabsorption and a high mortality.With deeper researches of PIF in recent years,integrated therapy strategies of nutritional supports,drug therapies and surgical interventions have improved the outcomes.This review aims to provide up-to-date perspectives for PIF treatment. [MORE...]

[PDF:898KB](506)

[253－259] Progress of postoperative follow-ups for congenital pseudarthrosis of the tibia

[Ouyang Yaqi¹, Xie Jianhui²]

DOI:10.3969/j.issn.1671-6353.2020.03.012

[Absract] Objective Congenital pseudarthrosis of the tibia has been the most troublesome disease to cure in in children.It is manifested as angular deformity of tibia,narrowing of medullary cavity or cyst,etc and eventual formation of nonunion pseudarthrosis.Currently surgery is a major treatment.Due to the long treatment course,most children have a high risk of re-fracture from postoperative to bone maturity.It seriously affects the health and quality-of-life of children so that clinicians shou... [MORE...]

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[260－266] First issue 2020,guide of article reading in Journal of Pediatric Surgery

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DOI:10.3969/j.issn.1671-6353.2020.03.013

[PDF:932KB](383)

[267－271] Characteristics and response of pediatric surgical acute patients during the epidemic of COVID-19 at a children’s specialist hospital in Beijing

[Wang Kai, Zhang Dan, Pang Wenbo, Chen Wei, Shen Qiulong, Wang Li, Wang Zengmeng, Chen Yajun]

DOI:10.3969/j.issn.1671-6353.2020.03.014

[Absract] Objective Objective To summarize the clinical characteristics and responses of emergency pediatric surgery during the epidemic of COVID-19.Methods Retrospective review was performed for clinical data from emergency and inpatient departments of pediatric surgery during January 24 to February 24 in 2020.And a comparison was made with similar data during 2018 and 2019.Results During the epidemic of COVID-19,the emergency department received 1655 cases and it was a... [MORE...]

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[272－274,281] Clinical diagnosis and treatment for novel coronavirus pneumonia from affected areas at department of pediatric orthopedics during the epidemic of COVID-19

[He Jinpeng, Wang Xiaolin, Zhang Hongyi, Yang Xiaojin, Shao Jingfan, Feng Jiexiong]

DOI:10.3969/j.issn.1671-6353.2020.03.015

[Absract] Objective Abstract Since December 2019,Wuhan City of Hubei Province has been an epicenter of multiple consecutive cases of novel coronavirus pneumonia (COVID-19).With a rapid spread of epidemic,the problem of outpatient emergency and hospitalization of children has become increasingly apparent.This article retrospectively analyzed the clinical diagnosis and treatment of all children with pediatric orthopedic diseases discharged from December 30,2019 to February 17,2020.The experiences ... [MORE...]

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[275－277] Application of simple in vitro skin and soft tissue dilatation before resecting superficial skin mass

[Zuo Hailiang, Huang Wei]

DOI:10.3969/j.issn.1671-6353.2020.03.016

[Absract] Objective Objective To explore the application of simple in vitro skin and soft tissue dilatation before resecting superficial skin mass.Methods From January 2016 to March 2017,71 children underwent somatic tumor resection before applying simple in vitro skin and soft tissue dilatation.There were 30 boys and 41 girls with an age range of 4 months to 12 years.The causes were mole (n=45),sebaceous nevus (n=19) and scar (n=7).At 2 weeks... [MORE...]

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[278－281] Laparoscopic infarction splenectomy and retroperitoneal splenopexy for torsion of wandering spleen: two cases report and literature review

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DOI:10.3969/j.issn.1671-6353.2020.03.017

[PDF:1029KB](466)

[282－284] Inguinal incarcerated hernia with osteopetrosis in children: a case report and literature review

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DOI:10.3969/j.issn.1671-6353.2020.03.018

[PDF:1152KB](401)