[Zeng Jixiao, Xu Xiaogang]
[Absract] Objective
Hirschsprung¡¯s disease (HSCR) is a common disease in pediatric anorectal surgery.Standardized diagnosis and therapy may reduce its misdiagnostic and therapeutic errors,lower its incidence of complications and minimize redo pull-through procedure.However,its strategies of diagnosis and treatment in mainland China has not been unified after decades of development and evolution and some focal issues requires standardization.Recently domestic clinical studies and guidelines on HS...
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[Li Qi, Zhang Zhen, Li Long]
[Absract] Objective
Hirschsprung¡¯s disease (HSCR) is one of the most common congenital malformations leading to refractory constipation.Its surgical techniques have optimized.However,some complicated cases require re-operations.This review summarized the etiology and prevention of its complications and the improvements of surgical techniques based upon the relevant literature and our clinical experiences.
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[Xie Hua, Tang Weibing]
[Absract] Objective
The classification of Hirschsprung¡¯s disease (HSCR) has remained inconsistent at both home and abroad.Domestic classification is detailed and complex while international classification simple and distinct.This review summarized the history of classifying HSCR along with recent advances in researches,clinical manifestations,surgical approaches and postoperative managements.
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[Wang Dajia1, Zhang Zhibo1, Bai Yuzuo2]
[Absract] Objective
Objective To analyze unplanned readmissions of infants after pull-through for Hirschsprung disease (HSCR).Methods This retrospective cohort study was performed for 326 infants undergoing operations for Hirschsprung disease between October,2011 and September,2020.Clinical data,pathological type,approaches,readmission causes and readmission time were statistically analyzed. Results A total of 51 infants (15.6%) had an unplanned hospitalization after dis...
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[Tian Donghao, Xu Wenyao, Yu Hui, Yang Weili, Zheng Baijun, Gao Ya, Pan Weikang]
[Absract] Objective
Objective To detect the expression levels of miR-939 and SOX4 in Hirschsprung¡¯s disease (HSCR),evaluate the role of miR-939 in SOX4 regulating enteric neural crest cells (ENCCs) and explore the potential value of miR-939/SOX4 in the intervention of HSCR.Methods Reverse transcription-polymerase chain reaction (RT-PCR) and Western blot were employed for measuring the expression levels of miR-939 and SOX4 in intestinal tissues of HSCR children with intussuscept...
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[Lan Menglong, Zeng Jixiao, Xu Xiaogang, Liu Fei, Tao Boyuan, Wu Qiang, He Xiaobing, Chai Chengwei, Lin Yuzhen]
[Absract] Objective
Objective To explore the causes,surgical approaches and prognosis of recurrent postoperative constipation after surgery for Hirschsprung¡¯s disease (HSCR).Methods Clinical data were analyzed retrospectively for 19 children who had undergone redo pull-through procedure for postoperative constipation of HSCR from July 2016 to July 2019.The causes for recurrent constipation included residual aganglionic segments (47.4%),acquired aganglionosis (31.6%),mechanical ...
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[Yu Mei1, Ge Yurong2, Shi Jing2, Lu Yujie1]
[Absract] Objective
Objective To explore the application value of ultrasound-assisted enema plus X-ray barium enema in the diagnosis of Hirschsprung¡¯s disease in children.Methods Retrospective reviews were performed for 39 cases of congenital megacolon confirmed by rectal mucosal biopsy and surgery.Meanwhile,comparative analysis was made for the results of ultrasound assisted enema,X-ray barium enema,rectal mucosal biopsy and pathology.Results According to the scope of i...
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[Chen Jiayuan, Wang Enbo, Ji Xianglu, A Liu, Jia Guoqiang, Liu Tianjing]
[Absract] Objective
Objective To explore the highest exit height of the proximal lateral pins in lateral pinning and find out how to achieve a higher exit with proximal lateral pins.Methods In stage one of the study:form March 2016 to December 2017,the entry and exit points of the proximal pins of lateral pinning configuration were analyzed from intra-operative radiographs of children treated for extension-type supracondylar humerus fractures.The coronal and sagittal pin angles...
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[Huang Yitian1, Yang Meng1, Wen Sheng1,2,3,4, He Dawei1,2,3,4, Wei Guanghui1,2,3,4, Lin Tao1,2,3,4, Zhang Deying1,2,3,4, Liu Xing1,2,3,4, Liu Feng1,2,3,4, Wu]
[Absract] Objective
Objective To explore the optimal drainage method after laparoscopic pelvic ureteroplasty.Methods From January 2016 to December 2019,a total of 165 hydronephrotic children undergoing Anderson-Hynes pyeloplasty under laparoscopic peritoneal approach were divided into two groups.Group A:conventional intraoperative ureter was employed and a double J tube inserted for draining urine from renal pelvis to bladder (double J tube group,n=108);group B:a F4 uret...
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[Feng Wei1, Cui Hualei2, Zhao Xufeng1, Yang Qianyu1, Gan Bengang1]
[Absract] Objective
Objective To explore the influencing factors of postoperative adhesive ileus (AI) for children with acute appendicitis and preventive measures. Methods A collection of 168 patients with AA who underwent appendectomy in Tianjin Children¡¯s Hospital from January 2014 to June 2017 were the research subjects. According to whether AI will occur after surgery, they were divided into obstruction group (n=42) and non-obstruction group (n=126).Two groups...
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[Xie Juntao, Gao Wenzong, Li Zuoqing, Zhou Li, Xu Zhe]
[Absract] Objective
Objective To summarize our institutional experiences of robotic-assisted laparoscopic (RAL) simultaneous treatment of bilateral ureteropelvic junction obstruction (UPJO) and evaluate its safety and feasibility.Methods A retrospective review was performed for 7 bilateral UPJO boys undergoing simultaneous bilateral robotic-assisted dismembering laparoscopic pyeloplasty between January 2016 and November 2019.The average age was 102(54-192) months.Three cases we...
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[Ou Wenhui, Duan Shouxing, Fu Maxian, Chen Kaihong, Li Jianhong]
[Absract] Objective
Objective To explore the effect of early enteral nutrition on postoperative treatment of congenital defects of gastric musculature.Methods Retrospective reviews were conducted for 23 cases of congenital defect of gastric musculature from June 2003 to June 2018.They were divided into two groups of early enteral nutrition and routine.The authors collected and compared the postoperative data of these two groups,including postoperative nutritional status,electro...
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[Liu Jingjing, Xiao Ting, Jiang Lidan, Zhu Shili, Qu Shuangquan]
[Absract] Objective
Objective To observe the efficacy and safety of intravenous analgesia of ibuprofen versus tramadol in postanesthesia care unit (PACU) for orthopedic children under general anesthesia.Methods A total of 100 children aged 1 to 15 years with FLACC score ¡Ý 4 were randomly divided into ibuprofen (A,n=50) and tramadol (B,n=50) groups.Group A received a single dose of 10 mg/kg IV-ibuprofen while Group B a single dose of 2 mg/kg IV-tramadol.The profile...
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[Su Jiahong1, Li Shoulin2]
[Absract] Objective
The clinical symptoms of vesicourethral dysfunction vary greatly in children.Sometimes the treatments are ineffective.Thus, various severe complications and even fatal kidney failure appears.The role of renin-angiotensin system (RAS),especially local RAS,has been well-known in inflammation and organ remodeling.RAS inhibitors (including ACEI & ARBs) and ACE2-Ang(1-7)-Mas axis,a newly discovered antagonistic axis,have the functions of relieving lower urinary tract symptoms ...
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[Ding Xiaofei, Liao Shijie, Lin Huahao]
[Absract] Objective
The treatment concept for Perthes disease is inclusive of proximal femoral bone osteotomy,pelvic Salter bone osteotomy and pelvis triple osteotomy.Triple osteotomy has no effect on femoral head and neck stem Angle or lower extremity power line,increases no pressure on hip and does not change the shape of acetabulum.Because of different routes and modes of osteotomy,there are numerous surgical approaches for triple osteotomy.Meanwhile,there are some disadvantages of triple ost...
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[Zhong Jiafei, Ji Xinting, Gu Shuo]
[Absract] Objective
Congenital hydrocephalus can be classified into two clinical forms of non-syndromic and syndromic chydrocephalus.Frequently associated with other congenital anomalies,syndromic hydrocephalus is caused by gene mutation.More than 100 genes in 8 categories are correlated with syndromic hydrocephalus.This review summarized the latest literature reports.The mutated genes and the characteristics and recent advances in the treatment of all types of syndromic hydrocephalus were exten...
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[Liu Zan, Liu Denghui, Tang Xianglian, Li Yong]
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[Zhu Weiwei1, Ye Wensong1, Zhang Baihui2, Xu Lujie1, Li Li1, Xu Jingfang1, Li Haibing1]
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