Home>>2023 08 issue list
[701£­705] Integrated prenatal and postnatal managements of congenital structural malformations
[Ma Lishuang, Liu Chao, Feng Zhong]
DOI:10.3760/cma.j.cn101785-202307029-001
[Absract] Objective Congenital structural malformations have become serious public health and social problems.With continuous improvements of prenatal diagnosis, most fetal structural malformations may be detected during pregnancy.Early identification, timely surgical interventions and dynamic follow-up evaluations are important for an effective management of fetal structural malformations.Multidisciplinary collaborations, whole-chain services and integrated perinatal models have become a major ... [MORE...]
[PDF:4391KB](266)
[706£­712] Analysis of clinical outcomes for infants with congenital diaphragmatic hernia under a multidisciplinary diagnostic and treatment approach
[Meng Chuyi1,2, Feng Zhong2, Wang Ying2, Wei Yandong2, Liu Chao2, Li Jingna2, Wu Tao2, Zhang Yanxia2, Ma Lishuang2]
DOI:10.3760/cma.j.cn101785-202304028-002
[Absract] Objective Objective To explore the clinical outcomes and prognostic factors associated with infants of congenital diaphragmatic hernia (CDH) under multidisciplinary treatments.Methods The relevant clinical data were collected from 103 cases of prenatally diagnosed CDH treated from January 2016 to August 2022.Based upon whether or not fulfilling the criteria for using extracorporeal membrane oxygenation (ECMO) within 24h post-birth, they were assigned into two groups o... [MORE...]
[PDF:4446KB](234)
[713£­718] Characteristics of prenatal diagnosis of congenital lung developmental malformation and timing of surgery during neonatal period
[Wang Ying, Ma Lishuang, Liu Chao, Li Jingna, Wei Yandong, Zhang Yanxia, Wu Tao]
DOI:10.3760/cma.j.cn101785-202306042-003
[Absract] Objective Objective To explore the characteristics of prenatal diagnosis and neonatal surgery in children with severe congenital lung developmental malformations.Methods There were 10 boys and 2 girls.And they were term (n=9) and premature (n=3) with a minimal gestational age of 32+5 weeks, a mean birth weight of 3135.42 gram and a minimal birth weight of 2200 gram.Prenatal ultrasound examination, pregnancy interventios, postnatal clinical cha... [MORE...]
[PDF:3862KB](210)
[719£­725] Diagnostic accuracy of prenatal imaging for fetal hypospadias
[Zhao Yijun1, Wang Zhan1, He Jing2, Wang Zhengping2, Wang Junmei3, Lou Fenlan4, Dong Minyue5, Tang Daxing1]
DOI:10.3760/cma.j.cn101785-202306020-004
[Absract] Objective Objective To explore the diagnostic accuracy of prenatal imaging (prenatal ultrasound & fetal magnetic resonance imaging) for fetal hypospadias.Methods Retrospective review was conducted for 31 pregnant women with prenatally diagnosed hypospadias through multidisciplinary consultations at Zhejiang Prenatal Diagnosis Center from March 2012 to March 2021, including age, gestational week, ultrasound and fetal MRI images.Results Thirty-one pregnant wo... [MORE...]
[PDF:4889KB](222)
[726£­730] Programmatic management of cervical lymphatic malformations with airway obstruction
[Wu Qiang1, Zhong Wei2, Lyu Junjian1, Lin Tulian1, Hou Longlong2, Xia Bo1, Gu Yuanyuan3, Niu Chuanqiang4, He Qiuming2]
DOI:10.3760/cma.j.cn101785-202306043-005
[Absract] Objective Objective To summarize the clinical experiences of managing cervical lymphatic malformation with airway obstruction(CLMAO) from prenatal assessments to postnatal interventions.Methods Retrospective analysis was conducted for clinical data of 22 hospitalized CLMAO infants from July 2015 to March 2023.Nine cases were born at our hospital while another 13 infants were transferred from other hospitals.They were assigned into two groups of early surgical treatmen... [MORE...]
[PDF:3082KB](201)
[731£­736] Urodynamic changes and clinical significance before and after detethering surgery
[Zhou Zhaokai1, Yang Shuai1, Yu Jiating1, Wen Yibo2, Zhang Guoxian2, Wang Qingwei2, Lu Wei3, Wen Jianguo1,2]
DOI:10.3760/cma.j.cn101785-202211042-006
[Absract] Objective Objective To explore the effect of detethering surgery on bladder function by comparing the results of urodynamic studies (UDS) before and after detethering surgery in children with tethered cord syndrome (TCS).Methods A total of 43 children diagnosed with TCS at First Affiliated Hospital of Zhengzhou University from January 2019 to October 2021 were recruited.The UDS parameters before and after detethering surgery were collected.Some UDS parameters were qua... [MORE...]
[PDF:4114KB](223)
[737£­740] Treatment of patent ductus arteriosus in children through small axillary incision by esophageal echocardiography-guided only
[Yi Hanlu1, Ye Zankai1, Zhu Yaobin1, Ding Nan1, Shen Lei2, Guo Jian1, Li Zhiqiang1]
DOI:10.3760/cma.j.cn101785-202208014-007
[Absract] Objective Objective To explore the safety, effectiveness and feasibility of patent ductus arteriosus (PDA) occlusion in children under the guidance of transesophageal echocardiography (TEE) via a small left axillary incision.Methods Clinical data were retrospectively reviewed for 40 PDA children between March 2018 and December 2021.There were 13 boys and 27 girls with an age range of 1.09(0.60-1.75) years and a body weight of 9(7.20-10.50) kg.Simple esophageal heart u... [MORE...]
[PDF:2813KB](165)
[741£­746] Clinical application of circulating tumor cells in the diagnosis and prognosis of neuroblastoma
[Deng Xiaobin, Peng Liang, Zhao Zhenzhen, Kong Xiangru, Du Yifei, Zhou Jianwu, Yang Chao]
DOI:10.3760/cma.j.cn101785-202301021-008
[Absract] Objective Objective To elucidate the relationship between circulating tumor cells (CTCs) and clinicopathological characteristics of neuroblastoma (NB) and explore the clinical application value of CTCs detection in the diagnosis and treatment of NB.Methods A total of 87 children with pathologically diagnosed NB from January 2021 to September 2022 were selected as study group.Clinical data, laboratory tests and CTCs test results were recorded.At the same time, 20 healt... [MORE...]
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[747£­750] Application of bridge technique for pectus bar fixation during Nuss procedure
[Yan Dong, Zeng Qi, Chen Chenghao, Zhang Nan, Yu Jie]
DOI:10.3760/cma.j.cn101785-202303003-009
[Absract] Objective Objective To summarize the experience of bridge technique for pectus excavatum (PE).Methods From July 2018 to January 2021, 25 PE children undergoing thoracoscopic Nuss procedure with fixation by bridge technique.There were 21 boys and 4 girls with a mean age of 172(125-201) month.Haller index had a mean value of 4.93(3.16-6.78).Severity was mild (n=1, <3.2), moderate (n=2, 3.2-3.5), severe (n=18, 3.5-6) and extremely severe (n... [MORE...]
[PDF:2706KB](187)
[751£­756] Application of multimode analgesia based predominantly upon single thoracic epidural block during pediatric Nuss procedure
[Zhang Fuzhou, Zheng Tiehua, Ren Yi, Hua Lei, Gao Jia, Xu Zenghua, Ma Yangwei, Zhang Jianmin]
DOI:10.3760/cma.j.cn101785-202206020-010
[Absract] Objective Objective To evaluate the efficacy of multimode analgesia based predominantly upon single thoracic epidural block during pediatric Nuss procedure.Methods From December 2020 to September 2021, 42 children underwent Nuss procedure.Random number table method was employed for assigning them into two groups of single thoracic epidural block plus general anesthesia (T) and general anesthesia (G).Group T underwent thoracic epidural block in a lateral position after... [MORE...]
[PDF:3849KB](195)
[757£­761] Effect of different femoral neck anteversion angles on femoral biomechanics in children with developmental dislocation of the hip
[Li Jie1, Long Jiangtao1, Wang Qianqian1, Xi Hongwei2, Cheng Xinkui1, Cheng Yi1, Xu ShuMing3]
DOI:10.3760/cma.j.cn101785-202205019-011
[Absract] Objective Objective To apply computer simulation technology to simulate the stress distribution of femur in children with developmental dislocation of the hip (DDH) with different angles of femoral neck anteversion to find the significance of femoral neck anteversion correction in DDH children and guide the formulation of surgical plan.Methods A 6-year-old girl of right developmental hip dislocation was retrospectively analyzed in June 2021.The femoral scan data of le... [MORE...]
[PDF:3486KB](185)
[762£­767] Analysis of factors related to ASQ-3 age and developmental process assessment questionnaire in children with nonsyndromic craniosynostosis after surgery
[Wu Shuihua1, Liang Dazhong2]
DOI:10.3760/cma.j.cn101785-202304003-012
[Absract] Objective Objective To explore the influencing factors for the results of ASQ-3 age and developmental process questionnaire in children with nonsyndromic craniosynostosis (NSC) after surgery.Methods The relevant clinical data were retrospectively reviewed for 68 hospitalized NSC children from June 2016 to June 2022.ASQ-3 questionnaire was employed for assessing the five capability domains of communication, gross motor, fine motor, problem-solving and personal-social a... [MORE...]
[PDF:3956KB](169)
[768£­772] Imaging features of Langerhans cell histiocytosis involving central nervous system and craniofacial bone in children
[Li Chunwang, Yin Yiwei, Cai Qifang, Tang Jing]
DOI:10.3760/cma.j.cn101785-202305023-013
[Absract] Objective Objective To explore the characteristic imaging manifestations of Langerhans cell histiocytosis (LCH) involving central nervous system (CNS) and craniofacial bone in children to boost its clinical diagnosis.Methods The imaging findings of 44 patients with LCH involving CNS and craniofacial bones confirmed by pathologic examination were reviewed retrospectively from January 2017 to December 2022.Results Among 44 children with central nervous system-Lan... [MORE...]
[PDF:3674KB](183)
[773£­777] Comparative study of midpoint line of proxima-distal epiphyseal of radius and traditional radiocapitellar in diagnosis of Monteggia¡¯s fracture in children
[Zhou Yijun1, Yang Ge2, Bai Xiao¡¯an1, Li Changhong1, Sun Guanwen1, Mei Haibo2]
DOI:10.3760/cma.j.cn101785-202307046-014
[Absract] Objective Objective To seek a novel radiographic diagnostic method for Monteggia fracture in children other than traditional radiocapitellar line (RCL).Methods From April 2020 to January 2023, the relevant clinical data were retrospectively reviewed for 100 hospitalized children suspected with Monteggia fracture at both hospitals.Anteroposterior and lateral radiographs of ulna and radius (including double joints) were examined.And the lesions were confirmed by elbow m... [MORE...]
[PDF:3250KB](173)
[778£­781] Efficacy of valgus intertrochanteric osteotomy and bone grafting for nonunion of femoral neck fracture in children
[Meng Junrong, Zhang Zhiqiang, Zheng Yiming, Xu Ping, Ning Bo, Wang Dahui]
DOI:10.3760/cma.j.cn101785-202303031-015
[Absract] Objective Objective To evaluate the efficacy of valgus intertrochanteric osteotomy for nonunion of femoral neck fracture in children.Methods From 2011 to 2022, 8 children with a nonunion of femoral neck fracture underwent valgus intertrochanteric osteotomy, pediatric hip plate and bone grafting.The major objectives were the improvement of femoral neck shaft angle and healing time of nonunion femoral neck, while recording postoperative complications.Results The ... [MORE...]
[PDF:2800KB](174)
[782£­789] Experimental study of bile duct injury caused by cholesterol-activated CD177+ neutrophils in biliary atresia
[Xiao Yiyi1,2, Zhao Ziyang2, Tong Yanlu2, Chen Hongjiao2, Wang Hezhen2, Xia Huimin2, Zhang Ruizhong1,2]
DOI:10.3760/cma.j.cn101785-202303064-016
[Absract] Objective Objective To explore the effect of total cholesterol (TC) on bile duct injury in children with biliary atresia (BA) and investigate the immunological mechanism.Methods Peripheral blood TC levels were retrospectively collected from 118 BA children diagnosed by intraoperative cholangiography, 80 infants of the same age with infantile hepatitis syndrome (IHS) and 165 normal control (NC) children of the same age without any evidence of hepatopathology and liver ... [MORE...]
[PDF:4661KB](205)
[790£­791] Removal of high strength magnetic bead foreign bodies and calcium phosphate stone in children with pneumovesical assistance: one case report
[An Xingyu, Bi Yunli, Zhang Zhenqian, Cao Xu, Dai Shu]
DOI:10.3760/cma.j.cn101785-202205060-017
[PDF:1691KB](185)
[792£­795] Surgical modalities and therapeutic decision-making for thyroglossal duct cyst in children
[Zhang Ge, Wang Shengcai, Ni Xin]
DOI:10.3760/cma.j.cn101785-202205042-018
[Absract] Objective As one of the most common congenital neck lesions, thyroglossal duct cyst (TDC) accounts for approximately 70% of midline cervical masses in children.Early surgery is recommended.With continuous technical refinements and the deepening of understanding, surgical approaches of the disease have become more mature and diverse.This review summarized the surgical modalities of pediatric TDC to guide a proper selection of treatments. [MORE...]
[PDF:3290KB](234)
[796£­800] Current status of diagnosing and treating fibro-adipose vascular anomaly
[Wu Zhiping, Zou Yun, Fu Ronghua, Jing Pingliang, Cheng Jun, Bai Hanxiang, Yuan Hua]
DOI:10.3760/cma.j.cn101785-202210019-019
[Absract] Objective As a complex benign vascular disease, fibro-adipose vascular anomaly (FAVA) consists of intramuscular vascular malformation, fibrous tissue and adipose tissue.It is more prevalent among children and adolescents.Its clinical manifestations are persistent pain and contracture in affected extremity.Due to a previous lack of its etiological mechanism, there is a lot of confusion in the diagnosis and treatment of this disease.For further enhancing clinicians¡¯ understanding of FAVA... [MORE...]
[PDF:4130KB](205)