Home>>2019 09 issue list
[713£­718] Key points and concepts in the diagnosis and treatment of cerebrovascular diseases in children
[Li Fangcheng, Li Junliang]
DOI:10.3969/j.issn.1671-6353.2019.09.001
[Absract] Objective Pediatric cerebrovascular diseases are not rare.With the development and popularization of imaging diagnostic techniques,the detection rate of cerebral vascular diseases has spiked in children.The clinical characteristics of pediatric cerebrovascular disease are different from those of adults so that there are serious diagnostic and therapeutic delays.Most treatment strategies are non-standard and not evidence-based.However,the diagnostic and therapeutic modalities of cerebro... [MORE...]
[PDF:876KB](518)
[719£­722] Surgical strategies and scope of resecting epileptic low-grade tumors in children
[Guo Qiang, Zhang Wei, Zhu Dan]
DOI:10.3969/j.issn.1671-6353.2019.09.002
[Absract] Objective Low-grade tumors (LGT) are often associated with refractory epilepsy in pediatric patients,which seriously affect their quality of life. Aims of surgical treatments for LGT should include treatments of the tumors, seizures controlling and preservation of neural function.Usually,extended resection of epileptogenic zone following the tumor total removal can yield a better outcome in seizure control than pure lesionectomy.For designing the extension of surgical resection,some ke... [MORE...]
[PDF:1017KB](524)
[723£­727] Clinicopathological features of children with neurological tumors
[Chen Zirong, Li Yakun, Wan Feng]
DOI:10.3969/j.issn.1671-6353.2019.09.003
[Absract] Objective Central nervous system (CNS) tumors are the most common pediatric cancers after hematological malignancies and the most common pediatric solid organ tumor.CNS tumors remain the most common cause of cancer-related mortality in children aged 0-14 years.Susceptible locations,pathologies and genetic aberrations of pediatric CNS tumors are significantly divergent from their adult counterparts.Meanwhile,they also manifest vastly different growth and imaging characteristics.Radioche... [MORE...]
[PDF:1168KB](595)
[728£­732] Clinical features and surgical results of atlantoaxial dislocation in children
[Xue Xingsen, Chu Weihua, He Guangjian, Li Lan, Feng Hua, Lin Jiangkai]
DOI:10.3969/j.issn.1671-6353.2019.09.004
[Absract] Objective Objective To explore the clinical features and surgical efficacies of posterior reduction and internal fixation for atlantoaxial dislocation in children.Methods Between September 2010 and December 2017,18 children with a definite diagnosis of atlantoaxial dislocation (2 cases of odontoid fracture) were admitted successively.There were 9 boys and 9 girls with a mean age of 13.17 (6-17) years.Posterior reduction was applied with screw-titanium rod (plate) inte... [MORE...]
[PDF:1255KB](531)
[733£­738] Efficacy evaluations of surgery for suppurative meningitis with subdural effusion and ventriculitis in infants
[Wang Jingsheng1, Wang Chong1, Liu Qibin1, Chen Li2, Chen Qian1]
DOI:10.3969/j.issn.1671-6353.2019.09.005
[Absract] Objective Objective To explore the efficacy and safety of surgical treatment of septic complication of infantile suppurative meningitis with subdural effusion,empyema and ventriculitis.Methods All enrolled subjects were divided into surgical and conservative treatment groups according to different treatment methods.Among them,the surgical group was composed of 33 hospitalized cases of suppurative meningitis with subdural effusion and ventriculitis from July 2009 to Ma... [MORE...]
[PDF:865KB](502)
[739£­743] Analysis of diagnosis and surgical treatment of childhood moyamoya disease
[Yuan Hongyao, Xu Xinke, Chen Cheng, Lin Jinrong, Wang Fangyu, Li Fangcheng, Li Junliang]
DOI:10.3969/j.issn.1671-6353.2019.09.006
[Absract] Objective Objective To explore the diagnosis,surgical treatment and prognosis of moyamoya disease in young children.Methods From March 2015 to March 2018,clinical data retrospectively reviewed for 15 hospitalized children with moyamoya disease (age ¡Ü 6 years) were analyzed retrospectively.Their clinical features and surgical efficacies were summarized.And initial symptoms,Suzuki stages,imaging features,surgical approaches and surgical efficacy were analyzed.Results... [MORE...]
[PDF:1158KB](474)
[744£­747] Diagnosis and treatment of Galen venous aneurysmal malformation: a report of 6 cases
[Li Junliang, Xu Xinke, Chen Cheng, Lin Jinrong, Yuan Hongyao, Li Fangcheng]
DOI:10.3969/j.issn.1671-6353.2019.09.007
[Absract] Objective Objective To explore the treatment and prognosis of Galen¡¯s venous aneurysmal malformation and summarize the relevant clinical experiences.Methods The clinical data were retrospectively reviewed for 6 hospitalized children undergoing neurointerventional embolization for Galen venous aneurysmal malformation from May 2015 to August 2018.There were 3 boys and 3 girls with a median age of 11.8 (3-24) months.Their imaging features,treatments and follow-up outcome... [MORE...]
[PDF:916KB](534)
[748£­751] Surgical treatments of intracranial hemorrhages in neonates and infants under 3 months of age
[Wu Shuihua1, Chen Zhaohui1, Fan Shuangshi1, Wen Haitao1, Zou Xin1, Shen Chenfu2]
DOI:10.3969/j.issn.1671-6353.2019.09.008
[Absract] Objective Objective To explore the optimal surgical approach for intracranial hemorrhage and hematoma formation within 3 months of age.Methods The clinical data were retrospectively analyzed for 10 children with intracranial hemorrhage and hematoma formed by surgical operation at Hunan Children¡¯s Hospital from January 2014 to December 2018.Drilling drainage (n=2) and hematoma evacuation (n=8) were performed and the outcomes followed up.Results The... [MORE...]
[PDF:755KB](472)
[752£­756] Effects of a fish oil lipid emulsion versus a MCT/LCT lipid emulsion on intestinal failure associated liver disease in children
[Huang Liufang1, Wang Nan1, Zhang Tian2, Yan Weihui1, Lu Lina1, TaoYijing1, Cai Wei1,2,3,4, Wang Ying1,4]
DOI:10.3969/j.issn.1671-6353.2019.09.009
[Absract] Objective Objective To compare the effects of fish oil(FO)lipids with medium-long chain(MCT/LCT)lipids on intestinal failure associated liver disease(IFALD)in children.Methods We enrolled 65 children with intestinal failure for long-term parenteral nutrition(PN)from Xinhua Hospital from January 1999 through May 2017.All children initially received MCT/LCT lipids(based on body weight with an average daily dose of 1.2 g/kg).Liver function was normal at that time.The lev... [MORE...]
[PDF:1381KB](555)
[757£­762] Efficacies of prophylactic ondansetron for postoperative nausea and vomiting in children undergoing ambulatory surgeries
[Wang Dongpi1, Huang Wenfang1, Zhao Jialian1, Li Canping2, Zhang Tingting2, Su Xiaohua2, Huang Jinjin1, Huang Shoujiang2,3]
DOI:10.3969/j.issn.1671-6353.2019.09.010
[Absract] Objective Objective To evaluate the safety and efficacy of prophylactic ondansetron,a 5-HT3 receptor antagonist,on postoperative nausea and vomiting(PONV)within 24h in children undergoing ambulatory surgeries.Methods A total of 2 002 children undergoing ambulatory surgeries were enrolled.The ondansetron group received prophylactic ondansetron while the control group did not.The anesthetic methods and surgical procedures were reviewed and the postoperative occurrences ... [MORE...]
[PDF:884KB](452)
[763£­766] Summary of treatment experience of percutaneous ADO¢ò closure for pediatric patent ductus arteriosus under simple transthoracic echocardiography
[Zhang Qing1, Wu Qi2, Yang Shuai1, Ye Jingjing1, Yang Xiuzhen1, Yu Jin1, Xu Weize1]
DOI:10.3969/j.issn.1671-6353.2019.09.011
[Absract] Objective Objective To summarize the clinical experiences of transthoracic echocardiography (TTE) as a sole imaging tool and the application of ADO¢ò occluder for patent ductus arteriosus (PDA).Methods A retrospective analysis was performed for 68 children undergoing PDA closure under TTE from July 20,2019 to June 2019.There were 38 boys and 30 girls with an average age of (29.35¡À16.52) months and an average body weight of (13.09¡À4.19) kg.The aortic end of PDA,the inne... [MORE...]
[PDF:983KB](452)
[767£­770] Clinical analysis of tuberous sclerosis complex complicated by cardiac rhabdomyomas in children
[Song Chunze, Jiang Guoping, Ye Jingjing, Yu Jin]
DOI:10.3969/j.issn.1671-6353.2019.09.012
[Absract] Objective Objective To analysis the clinical features of tuberous sclerosis complex (TSC) complicated by cardiac rhabdomyomas (CRM) in children.Methods The initial clinical symptoms of children with TSC complicated by CRM confirmedin our hospital from January 2008 to November 2017.Pediatric echocardiography was performed to examine the heart from multiple directions and angles in the subxiphoid process,the apex of the heart,the side of the sternum and the superior tho... [MORE...]
[PDF:1153KB](403)
[771£­774] Efficacies and advantages of laparoscopic appendectomy via abdominal wall suture needle in children
[Sun Hao1, Zhang Lei1, Li Xiang1, Liu Chao1, Zhang Yuying2]
DOI:10.3969/j.issn.1671-6353.2019.09.013
[Absract] Objective Objective To explore the clinical efficacies and advantages of abdominal wall suture needle assisted laparoscopic appendectomy in children.Methods The clinical data of 55 hospitalized children with acute appendicitis from May 2016 to December 2017 were retrospectively analyzed.Among them,34 cases underwent abdominal wall puncture needle assisted operations and 21 cases were traditional three.Two groups were compared with regards to operative duration,intraop... [MORE...]
[PDF:973KB](534)
[775£­778] Summary of clinical features and treatment protocols of 10 infants with Kasabach-Merritt syndrome
[Shu Ye1, Huang Wenya2, Luo Yongqi1, Sun Lei1, Zhou Bin1, Tang Jianping1]
DOI:10.3969/j.issn.1671-6353.2019.09.014
[Absract] Objective Objective To summarize the clinical treatments of infantile Kasabach-Merritt syndrome.Methods The clinical data were retrospectively analyzed for 10 hospitalized children with Kamei syndrome from January 2014 to September 2018.The treatment and treatment outcomes were summarized.Results All 10 cases fulfilled the diagnostic criteria of Kamei syndrome and occurred within 1 year post-birth,including 2 newborns.There were 5 boys and 5 girls.Hemangioma wa... [MORE...]
[PDF:757KB](498)
[779£­783] Emergency and sub-emergency operations for congenital heart disease in 75 infants with a low age and a low body weight
[Liu Yuhang, Wen Ping, Liu Qilong, Zhu Quanwei, Wang Ning, Lu Xuning, Liu Dawei, Cui Lin]
DOI:10.3969/j.issn.1671-6353.2019.09.015
[Absract] Objective Objective To explore the perioperative management of emergency and sub-emergency open heart operations for congenital heart disease (CHD) in infants aged under 6 months with a low body weight of 5 kg or less.Methods From January 2014 to April 2017,emergency and sub-emergency open heart operations were performed for 75 CHD infants aged under 6 months of age with a body weight of (4.2¡À0.8) kg.Radical (n=69) and palliative (n=6) operations were pe... [MORE...]
[PDF:852KB](436)
[784£­788] Efficacy of laparoscopic-assisted appendectomy versus laparotomy of pediatric appendicitis with different pathological types
[Shen Yang, Zhuo Baobiao, Sun Qingzeng]
DOI:10.3969/j.issn.1671-6353.2019.09.016
[Absract] Objective Objective To explore the efficacy of laparoscopic-assisted appendectomy versus laparotomy of pediatric appendicitis with different pathological types.Methods Retrospective analysis was performed for 362 hospitalized appendicitis children from January in 2009 to December in 2013.They were confirmed by postoperative pathology as simple appendicitis(n=92),suppurative appendicitis(n=184)and gangrenous appendicitis(n=86).They underwent laparo... [MORE...]
[PDF:1075KB](519)
[789£­794] Research advances in occurring mechanism of neural tube defects induced by diabetic pregnancy
[Zou Qianqian1, Cai Chunquan2]
DOI:10.3969/j.issn.1671-6353.2019.09.017
[Absract] Objective Neural tube defects are one of the most common types of neonatal birth defects caused by incomplete neural tube closure during embryonic development.It is currently well-known that supplementing folic acid in women before and during pregnancy can reduce the incidence of neural tube defects.The latest researches show that there are still other factors affecting pregnant women,such as diabetes pregnancy,leading to neural tube defects,This article reviews the relevant literature... [MORE...]
[PDF:882KB](421)
[795£­799,802] Research advances in histology and surgery of ventral penile curvature in hypospadias
[Jia Xing, Xie Hua]
DOI:10.3969/j.issn.1671-6353.2019.09.018
[Absract] Objective Ventral penile curvature is a typical feature of hypospadias.The objective of its surgical management is not only to obtain a normal appearance but also achieve a functional restoration.Mild curvature(<30¡ã)may be relatively easily corrected by releasing skin and dartos fascia.If ventral curvature <30¡ã persists,dorsal plication is attempted despite the risk of recurrence after puberty.However,severe cases(>30¡ã)often require more complex maneuvers because of the compli... [MORE...]
[PDF:787KB](557)
[800£­802]
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DOI:10.3969/j.issn.1671-6353.2019.09.019
[PDF:868KB](373)
[803£­804]
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DOI:10.3969/j.issn.1671-6353.2019.09.020
[PDF:1201KB](449)