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[501－505] Mini-invasive repairing chest wall deformity comprehensively, safely and meticulously

[Zeng Qi, Chen Chenghao]

DOI:10.3760/cma.j.cn101785-202302049-001

[Absract] Objective Mini-invasive surgery for pectus excavatum (PE) has been widely applied for over three decades.Overall safety, technical feasibility and excellent long-term outcomes have been generally accepted.NUSS surgery is not only a mini-invasive surgical option for PE, but also a mini-invasive concept of internal fixation without osteotomy.It has become a standard procedure for chest wall deformities.This review summarized the latest mini-invasive advances in the field of chest wall or... [MORE...]

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[506－510] Preliminary investigation of bar fixation for mini-invasive sternotomy for pectus carinatum based upon measurements of chest wall pressure

[Yu Jie, Zeng Qi, Chen Chenghao, Zhang Nan, Wu Yujia]

DOI:10.3760/cma.j.cn101785-202303001-002

[Absract] Objective Objective To explore the outcomes of three different fixation methods during mini-invasive sternotomy for pectus carinatum (PC) based upon sternal manometric measurements of pressure value after depressing anterior chest wall to normal in PC patients.Methods Chest wall pressure values were measured preoperatively in 144 children undergoing mini-invasive sternotomy from July 2012 to July 2016.The selection criteria for bar fixation were formulated according t... [MORE...]

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[511－516] Imaging characteristics and risk factors of pectus excavatum children with scoliosis

[Hou Hao¹, Zhang Xuejun¹, Cao Jun¹, Bai Yunsong¹, Gao Rongxuan¹, Zhang Hanwen¹, Yu Jie², Zeng Qi²]

DOI:10.3760/cma.j.cn101785-202211052-003

[Absract] Objective Objective To explore the situation and imaging features of scoliosis in patients with pectus excavatum (PE) and examine the risk factors for combined scoliosis.Methods General profiles and imaging data were retrospectively reviewed for 575 PE children admitted from December 2017 to February 2022.The incidence and types of scoliosis were statistically examined.Two independent sample T and rank-sum tests were utilized for comparing general profiles and thoraci... [MORE...]

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[517－524] Surgical treatments for sternal defects in children with pentalogy of Cantrell

[Liu Xu, Yu Xiafeng, Liu Yiwei, Du Xinwei, Liu Jinfen, Zhang Hao, Sun Yanjun]

DOI:10.3760/cma.j.cn101785-202302042-004

[Absract] Objective Objective To optimize the surgical strategies for sternal defect in children with pentalogy of Cantrell (PC) through comparing two types of sternal repair and outcomes.Methods From January 2009 to December 2022, clinical data were retrospectively reviewed for 11 PC children.They underwent stage I surgeries at a median age of 181 days (interquartile range:49 to 343 days) and with an average weight of (7.9±4.9) kg.There were substernal segment defects and cong... [MORE...]

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[525－528] Mini-invasive Abramson’s surgery for pectus excavatum

[Zou Chen¹, Tan Zheng²]

DOI:10.3760/cma.j.cn101785-202302038-005

[Absract] Objective Objective To summarize our clinical experiences of mini-invasive surgery for pectus excavatum (PE) in children.Methods From January 2019 to February 2023, retrospective analysis was performed for clinical data of 141 PE children undergoing mini-invasive surgical repair with a modified Nuss procedure.Results All operations were successfully completed with a mean operative duration of (52.9±21.7) min and a mean intraoperative volume of blood loss (2.7±1... [MORE...]

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[529－532] Mini-invasive inverted Nuss procedure for correcting pectus carinatum

[Ran Xudong, Shen Weijia, Li Xin, Liao Jianyi, Yuan Hongliang, Wang Hao, Wu Songhua]

DOI:10.3760/cma.j.cn101785-202210052-006

[Absract] Objective Objective To explore the surgical approaches, outcomes and complications of mini-invasive inverted Nuss procedure for correcting pectus carinatum (PC) in children.Methods From July 2020 to December 2021, retrospective anlysis was performed for clinical data of mini-invasive inverted Nuss procedure for correcting PC.There were 14 boys and 1 girl with a median age of 19.6(141-180) month and a median weight of 44(36-55) kg.Hailer index had a median value of 1.9... [MORE...]

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[533－537] Inter/intra-observer reliability of evaluating femoral shaft fracture healing in children through Modified Radiographic Union Score for Tibial Fractures (MRUST)

[Zhu Tong¹, Zheng Haolin¹, Jia Guoqiang¹, Liu Tianjing¹, Lyu Hongcheng², Wang Enbo¹]

DOI:10.3760/cma.j.cn101785-202206041-007

[Absract] Objective Objective To assess inter/intra-observer reliability of evaluating femoral shaft fracture healing in children through Modified Radiographic Union Score for Tibial Fractures (MRUST) and provide theoretical rationales for weight-bearing management and bone healing after femoral shaft fractures in children.Methods A total of 45 sets (i.e.AP & lateral) of radiographs of femoral shaft fractures in children treated by elastic stable intramedullary nailing (ESI... [MORE...]

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[538－543] Characteristics and prognostic value of somatosensory evoked potentials in children with disorder of consciousness during convalescence of severe brain injury

[Liu Hua, Hu Jihong, He Jinhua, Xiong Yujuan, Duan Yaqin]

DOI:10.3760/cma.j.cn101785-202208001-008

[Absract] Objective Objective To explore the characteristics and prognostic values of somatosensory evoked potential (SEP) in children with disorder of consciousness during convalescence of severe brain injury, including minimal consciousness state (MCS) and vegetative state (VS).Methods From November 2017 to October 2021, clinical data were reviewed for 51 children with disorder of consciousness during convalescence of severe brain injury on inpatient rehabilitation treatment.... [MORE...]

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[544－548] Risk factors for pediatric penile perception scores after hypospadias repair

[Liu Zhaoquan¹, Wu Xuemin¹, Xu Yingrui¹, He Yan¹, Feng Yikun², Qu Yu², Wu Rongde¹, Liu Wei¹]

DOI:10.3760/cma.j.cn101785-202211016-009

[Absract] Objective Objective To evaluate the cosmetic outcomes of hypospadias repair with pediatric penile perception score (PPPS) by parents and children and explore the risks facfors for PPPS results.Methods A retrospective analysis was performed for hypospadiacs operated from January 2012 to December 2021.Parents and children aged over 10 years were surveyed by a questionnaire of PPPS.Surgical data of previous repair and postoperative follow-ups were recorded.Surgical data ... [MORE...]

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[549－553] Efficacy and safety of ciprofol plus remifentanil anesthesia during tethered cord surgery

[Zhu Shili, Wu Lei, He Bin, Wang Lei, Liu Jingjing, Qu Shuangquan]

DOI:10.3760/cma.j.cn101785-202203081-010

[Absract] Objective Objective To explore whether total intravenous anesthesia with ciprofol combined with remifentanil is safe and effective for tethered cord surgery in children.Methods A total of 66 children with tethered cord syndrome undergoing tethered cord release were randomized into two groups of propofol (p, n=33) and ciprofol (c, n=33).Both groups were induced with the same doses of midazolam, sufentanil and cisatracurium.Endotracheal intubation was perf... [MORE...]

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[554－557] Analysis of diagnosing and treating complications related to esophageal corrosion in children

[Gu Yichao, Huang Jinshi, Liao Junmin, Zhao Yong, Hua Kaiyun, Li Shuangshuang]

DOI:10.3760/cma.j.cn101785-202111049-011

[Absract] Objective Objective To summarize the experiences of diagnosing and treating complications related to esophageal corrosion in children.Methods Retrospective review was conducted for clinical data of 14 children of esophageal corrosive injuries admitted from November 1, 2017 to May 31, 2019.The complications after ingestion of caustic agents, treatments and prognoses were recorded.Results Among them, there were 12 cases esophageal stricture, including short-segme... [MORE...]

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[558－562] Causes and treatments of delayed fracture union after elastic stable intramedullary nailing internal fixation in children with long bone fractures of extremities

[He Xiaozhang, Wang Tao, Liao Peng, Wang Jundong, Xu Shaolin, Peng Shumin]

DOI:10.3760/cma.j.cn101785-202203076-012

[Absract] Objective Objective To explore the causes and outcomes of delayed fracture union after elastic stable intramedullary nailing (ESIN) for pediatric long bone fractures of extremities to minimize the occurrence of this complication and provide clinical rationales for managing delayed fracture union.Methods From July 2015 to April 2020, clinical data were retrospectively reviewed for 233 children with long bone fractures of extremities after ESIN.Nine cases of delayed fra... [MORE...]

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[563－568] Clinical manifestations and imaging features of pubic bone lesions in children

[Gao Zhipeng, Ju Li, Xu Mengqiu, Lin Gang]

DOI:10.3760/cma.j.cn101785-202011041-013

[Absract] Objective Objective To explore the disease distribution and imaging features of pubic lesions in children.Methods From January 2009 to May 2020, a total of 10 pathologically confirmed children with pubic bone lesions were retrospectively reviewed.Clinical manifestations, disease distribution and imaging features were analyzed.Results There were 5 boys and 5 girls with an average treatment age of 10.7(4.3-12.58) years.The involved side was left (n=5) and ... [MORE...]

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[569－575] Improvements and evaluations of animal models of neonatal necrotizing enterocolitis

[Xu Lingqi¹, Ma Shurong¹, Chen Lulu², Zhou Huiting¹, Wang Jian²]

DOI:10.3760/cma.j.cn101785-202202036-014

[Absract] Objective Objective The construction of animal models of neonatal necrotizing enterocolitis (NEC) is still not uniform, and animal modeling approaches that are more relevant to the actual clinical situation of NEC childern should be clarified.Methods Fifly-four newborn mice were randomized into five groups of control (Ctrl), hypoxia plus artificial feeding (HF), hypoxia plus artificial feeding plus cold stimulation (Cold), hypoxia plus artificial feeding plus lipopoly... [MORE...]

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[576－581] Ovarian juvenile granulosa cell tumors with Ollier’s disease in children: A Case report and literature review

[Zhang Jin¹, Wan Naijun¹, Ma Lishuang², Liu Chao², Zhang Yanxia², Lyu Xuemin³]

DOI:10.3760/cma.j.cn101785-202112038-015

[Absract] Objective Objective To explore the clinical manifestations, treatments, pathological features and pathogenesis of ovarian juvenile granulosa cell tumors (JGCT) with Ollier’s disease (OD) in children.Methods From October 2019 to October 2020, clinical data were retrospectively reviewed for one case of ovarian JGCT with OD.And the relevant literature reports were retrieved through the databases of PubMed and Wanfang.Results One 4-year-old girl showed multiple ske... [MORE...]

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[582－583] Giant accessory splenic torsion in children: one case report

[Ni Tonglei, Huang Lei, Jiang Bin, Du Baofeng, Shao Yidan, Fu Yanhang, Xu Yupeng]

DOI:10.3760/cma.j.cn101785-202203071-016

[PDF:1692KB](109)

[584－587] Research advances on the relationship of ossification nucleus with avascular necrosis of developmental hip dysplasia after closed reduction

[Liu Wanlin, Sun Liang, Zhao Zhenqun, Wang Yong, Bai Rui]

DOI:10.3760/cma.j.cn101785-202010041-017

[Absract] Objective Developmental hip dysplasia(DDH) is one of the most common extremity deformities in children.Early screening and timely diagnosis are essential in the treatment of DDH.Delayed or improper interventions lead to serious consequences.Avascular necrosis(AVN) of the femoral head is the most serious and common complication after closed reduction of DDH.Practical difficulty of preventing and avoiding the occurrence of AVN has always perplexed pediatric orthopedic surgeons.The existe... [MORE...]

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[588－592] Urodynamic evaluations of lower urinary tract dysfunction in children

[Yang Shuai, Zhou Zhaokai, Wen Jianguo]

DOI:10.3760/cma.j.cn101785-202212006-018

[Absract] Objective Lower urinary tract dysfunction (LUTD) is a common clinical problem in children.It affects not only the quality-of-life of children and their families, but also causes psychological and behavioral disorders as well as upper urinary tract injury.Urodynamic study (UDS) is a golden standard for evaluating and managing pediatric LUTD.According to its results, individual treatment protocols may be formulated.However, many domestic hospitals have not yet standardized UDS for childr... [MORE...]

[PDF:4103KB](166)

[593－596] Research advances of joystick-assisted closed reduction technique for multidirectional unstable supracondylar humeral fractures in children

[Xiong Zixuan, Zhao Huricha, Qi Kai, Guo Yu, Wei Yishan]

DOI:10.3760/cma.j.cn101785-202301022-019

[Absract] Objective With flexion and extension positions of the elbow, distal end of supracondylar humeral fractures is both multidirectional and unstable in coronal, sagittal and horizontal planes in children.Although this type of fracture is rare in clinical practice, it is rather difficult to close reduction and pin fixation intraoperatively, leading to poor reduction quality and poor postoperative structural and functional recovery of the elbow.Assisted closed reduction technique for multidi... [MORE...]

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[597－600] Application advances of imaging and three-dimensional digital technology for an early diagnosis of Pierre Robin syndrome

[Chen Xin, Cui Jie]

DOI:10.3760/cma.j.cn101785-202207015-020

[Absract] Objective Since 1920s, a triple combination of micrognathus, drooping tongue and upper airway obstruction has been recognized as Pierre Robin Syndrome (PRS).It occurs alone or in combination with other syndromes, such as first/second branchial arch syndrome and other related syndromes.PRS sequence is clinically associated with dyspnea and feeding difficulties in neonates.Severe PRS cases may die from respiratory obstruction at birth.Thus an early diagnosis is vital during fetal period ... [MORE...]

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