Home>>2024 09 issue list
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[801£­804] Surgical treatment of refractory constipation in children
[Li Suolin, Xu Weili]
DOI:10.3760/cma.j.cn101785-202408025-001
[Absract] Objective Childhood constipation has become a global public health issue with an incidence rate of 9.5%.Treating refractory constipation presents challenges,involving medication,non-medication therapies,and even surgical interventions.For children who do not respond to prolonged conservative treatment,surgical options may become necessary,including colorectal resection,anal rectal muscle incision,antegrade colonic enema,and bowel diversion.Personalized surgical approaches can yield goo... [MORE...]
[PDF:5113KB](183)
[805£­813] Pediatric Laparoscopic Transanal Rectal-Colonic Pull-through Procedure Operating Guidelines (2024 Edition)
[Pediatric Endoscopic Surgery Expert Committee of National Health Commission, Anorectal Group in Pediatric Surgery Branch of Chinese Medical Association, Pediatric Surgery Branch of Chinese Medical Doctor Association]
DOI:10.3760/cma.j.cn101785-202402026-002
[Absract] Objective With the introduction of minimally invasive techniques,laparoscope-assisted transanal rectal-colonic pull-through procedure has been rapidly adopted for the treatment of Hirschsprung¡¯s disease and Hirschsprung¡¯s allied disease,as well as multiple colonic polyposis in children.To further standardize the choice of surgical techniques and procedures for pediatric laparoscopic transanal rectal-colonic pull-through surgery,the Pediatric Endoscopic Surgery Expert Committee of the N... [MORE...]
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[814£­818] Application of stratified rectal biopsy for refractory constipation in children
[Tao Boyuan1, Chen Kai2, Zeng Jixiao1, Liu Fei1, Xu Xiaogang1, Lan Menglong1, Liang Zijian1, Zhong Zhizu1, Lin Yuzhen3, Lin Ruiyan3]
DOI:10.3760/cma.j.cn101785-202306037-003
[Absract] Objective Objective To introduce a novel method of rectal full thickness biopsy and compare it with traditional method to further improve the satisfaction of pathological sampling for refractory constipation (RC) in children. Methods From December 2019 to December 2022,a total of 269 RC children were hospitalized.According to the inclusion criteria,the relevant clinical data were retrospectively reviewed for 217 cases.Traditional full thickness rectal biopsy (traditio... [MORE...]
[PDF:5130KB](152)
[819£­824] Comparative study of transumbilical single-port laparoscopy versus standard multi-incision laparoscopic endorectal pull-through for Hirschsprung¡¯s disease in children
[Wang Xinxing, Zeng Jixiao, Xu Xiaogang, Liu Fei, Liang Zijian, Lan Menglong, Tao Boyuan]
DOI:10.3760/cma.j.cn101785-202307017-004
[Absract] Objective Objective To explore the characteristics,safety,feasibility,advantages and disadvantages of transumbilical single-port laparoscopic endorectal pull-through (SPLEP) for Hirschsprungs disease (HD) in children. Methods From June 2018 to June 2020,a total of 80 children of common-segment HD were selected and randomized into two groups of SPLEP (n=40) treated with SPLEP procedure and standard group (n=40) accepted traditional three-port laparoscopic... [MORE...]
[PDF:6413KB](169)
[825£­829] Conservative managements of anastomotic leak under ultrasonic monitoring for Hirschsprung¡¯s disease in infants
[Cheng Tianran1, Ma Ya2, Li Qi1]
DOI:10.3760/cma.j.cn101785-202209044-005
[Absract] Objective Objective To summarize and share our institutional experience in the conservative managements of anastomotic leak in infants under ultrasonic monitoring for Hirschsprung¡¯s disease (HD) over the last two years. Methods From January 2020 to December 2021,a HD child underwent pull-through and conservative treatment was offered for anastomotic leak.Under ultrasound monitoring,anal dilatation,catheter drainage,systemic and local anti-infection and placing anal tu... [MORE...]
[PDF:4843KB](146)
[830£­836] Comparisons of animal models of Hirschsprung-associated enterocolitis
[Wang Tingting1, Xu Lingqi2, Gong Yuan2, Li Na2, Yang Xian3, Zhou Huiting2, Huang Shungen1]
DOI:10.3760/cma.j.cn101785-202402017-006
[Absract] Objective Objective To employ different modeling approaches for animal models of Hirschsprung-associated enterocolitis (HAEC) to identify a more dependable model for elucidating the pathogenesis of HAEC. Methods A total of 24 21-day-old Sprague Dawley (SD) rats were randomized into experimental group treated with 0.5% benzalkonium chloride and control group treated with saline.After 3-week modeling,experimental group was gavaged with E.coli JM83 1x109 CFU/d... [MORE...]
[PDF:8101KB](146)
[837£­840] Arthroscopic gastrocnemius aponeurotic release for the treatment of spastic equinus deformity
[Xiao Baohui, Xiao Han, Lei Ting, Liu Zheng, Cai Haojie, Liu Kun, Ye Weihua, Tang Jin, Mei Haibo, Zhao Weihua, Zhu Guanghui, Yan An]
DOI:10.3760/cma.j.cn101785-202310043-007
[Absract] Objective Objective To evaluate the clinical efficacy of arthroscopic gastrocnemius aponeurotic release in the treatment of spastic equinus deformity. Methods A retrospective analysis was conducted on the clinical data of 17 pediatric patients with spastic equinus deformity who underwent arthroscopic gastrocnemius aponeurotic release in the Department of Orthopedics at Hunan Children¡¯s Hospital from December 2020 to November 2022.The maximum passive dorsiflexion angle... [MORE...]
[PDF:4181KB](114)
[841£­849] Surgery for omental lymphatic malformations in children: a single-center experience of 13 years
[Yan Jiayu, Pang Wenbo, Zhang Dan, Chen Yajun]
DOI:10.3760/cma.j.cn101785-202307051-008
[Absract] Objective Objective To summarize the clinical characteristics,preoperative complications and clinical outcomes of omental lymphatic malformations (OLMs) in children and examine the influencing factors of selecting surgical approaches. Methods From January 2010 to December 2022,the relevant clinical data were retrospectively reviewed for 76 OLMs children.Follow-ups were conducted until July 2023.Based upon cyst contents,they were assigned into subjects with or without ... [MORE...]
[PDF:7366KB](126)
[850£­856] Exploration of robot assisted laparoscopic single-port surgery in children with duplex kidney
[Guo Yunkai1, Gao Heyun1, Zhang Wen1, Song Xuemin2, Zhao Guoyan3, Yu Shanzhen1, Hu Tao1, Li Geng1, Du Guowei1]
DOI:10.3760/cma.j.cn101785-202401001-009
[Absract] Objective Objective To explore the applications and efficacy of IV generation Da Vinci (XI) robot assisted single-port laparoscopy in children of duplex kidney (DK). Methods From June 2020 to June 2023,the relevant clinical data were retrospectively reviewed for 10 DK girls undergoing robot assisted single port laparoscopy.Age range was (0.75-83) month.The clinical manifestations included fever (n=5),urinary tract infections (n=7),urethral discharge (... [MORE...]
[PDF:7613KB](126)
[857£­860] Clinical study on laparoscopic unroofing for the treatment of simple renal cyst in children
[Tong Fangyun, Zhao Yaowang, Liu Li, He Tianqu, Wang Zhi]
DOI:10.3760/cma.j.cn101785-202308026-010
[Absract] Objective Objective To investigate the clinical efficacy of laparoscopic unroofing for the treatment of simple renal cysts in children. Methods A retrospective analysis was conducted on the clinical data of 44 children with simple renal cysts treated at the Department of Urology,Hunan Children¡¯s Hospital,from February 2017 to September 2022.The patients were divided into three groups based on the location of the renal cysts:upper pole group (22 cases),middle pole grou... [MORE...]
[PDF:4007KB](127)
[861£­865] Comparison and analysis of the effectiveness of two surgical treatments for tuberculous meningoencephalitis complicated with hydrocephalus
[Ma Hongtu, Zhou Jianjun, Ji Wenyuan, Jiang Tingting, Yang Yunying, Liang Ping, Zhai Xuan, Li Lusheng]
DOI:10.3760/cma.j.cn101785-202304073-011
[Absract] Objective Objective To evaluate the clinical efficacy of long tunnelled external ventricular drainage (LTEVD) versus Ommaya reservoir implantation and external drainage in treating tuberculous meningoencephalitis complicated with hydrocephalus. Methods A retrospective analysis of clinical data from children treated surgically for tuberculous meningoencephalitis complicated with hydrocephalus at Children¡¯s Hospital of Chongqing Medical University from January 2016 to M... [MORE...]
[PDF:4875KB](97)
[866£­871] Study on the effect of prophylactic analgesia with ibuprofen injection on awakening period pain in children after tonsillectomy
[Wang Xiaoxue, Gao Zhengzheng, Ma Yangwei, Zhang Fuzhou, Cai Liming, Zhang Jianmin]
DOI:10.3760/cma.j.cn101785-202406040-012
[Absract] Objective Objective To observe the effect of prophylactic use of ibuprofen injection during tonsillectomy (with or without adenoidectomy) on alleviating postoperative awakening period pain in children. Methods This study was a prospective,single-center,double-blind,randomized controlled trial.A total of 106 children,aged 3 to 9 years (57 males and 49 females),who underwent tonsillectomy (with or without adenoidectomy) under general anesthesia at Beijing Children¡¯s Hos... [MORE...]
[PDF:5432KB](104)
[872£­877] Exploration of factors related to laryngospasm during anesthesia recovery period in children undergoing adenoidectomy and tonsillectomy and intervention strategies
[Tang Kexiang, Xiao Ting, Fu Guangli, Du Zhen]
DOI:10.3760/cma.j.cn101785-202407069-013
[Absract] Objective Objective To observe the occurrence of laryngospasm during the anesthesia recovery period in children undergoing adenoidectomy and tonsillectomy,analyze the causes of laryngospasm,and propose corresponding management strategies. Methods This retrospective study included 1,200 pediatric patients who underwent adenoidectomy and tonsillectomy in the Department of Otolaryngology-Head and Neck Surgery at Hunan Children¡¯s Hospital.After surgery,patients were trans... [MORE...]
[PDF:5231KB](116)
[878£­882] Clinical characteristics of playground slide-related fractures in children: a report of 120 cases
[Zhang Chen, Fu Guibing, Gu Zhenkun, Liu Shizhe, Wang Shuaiyin, Huang Zilong, Li Jiahui]
DOI:10.3760/cma.j.cn101785-202305029-014
[Absract] Objective Objective To explore the clinical characteristics of fracture associated with slide in children and discuss the corresponding preventive strategies. Methods From September 2021 to October 2022,a retrospective descriptive study was conducted for demographic profiles,fracture locations and treatments of 120 children of fracture associated with sliding.There were 86 boys (71.7%) and 34 girls (28.3%) with a mean age of 6.6 (1.6-13.5) year. Results A total... [MORE...]
[PDF:4168KB](108)
[883£­885]
[Zhang Yu,Wang Fan,Pan Jiang]
DOI:10.3760/cma.j.cn101785-202306050-015
[PDF:3455KB](78)
[886£­892] Research advances of guided growth technique in the correction of bone angular deformities in children
[Zhou Xiaoyu, Zhu Guanghui, Mei Haibo]
DOI:10.3760/cma.j.cn101785-202311027-016
[Absract] Objective Pediatric bone angular deformity (ADB) is caused by a variety of factors due to uneven bone development.A major clinical manifestation is an abnormality of extremity physical line.Guided growth technique (GGT) is a surgical technique of fixing part of epiphyseal plate for preventing the growth of fixed side bone and retaining the contralateral growth of the same bone so as to gradually correct the angular deformity of extremities.GGT offers the advantages of simple operation,... [MORE...]
[PDF:8283KB](118)
[893£­897] Research advances of biomarkers related to congenital hydronephrosis
[Fu Shuqi, Li Ji, Wang Lei, Guo Lihua, Sun Quan, Cui Zhange]
DOI:10.3760/cma.j.cn101785-202308037-017
[Absract] Objective Congenital hydronephrosis (CHn) is a common urinary system disease in children.Currently there is no consensus on the severity of CHn and the optimal evaluation strategy for its surgical indications.Domestic and foreign researchers are trying to seek breakthroughs in biomarkers.This review summarized common or potentially suggestive biomarkers for CHn. [MORE...]
[PDF:6051KB](121)
[898£­900] Research advances the correlation between adolescent idiopathic scoliosis and paravertebral muscle imbalance
[Wang Peixin, Zhao Jun, Wang Xingsheng, Xu Shihong, Jiang Zhaoyang, Wang Xiaoqiang, Yang Hongjuan]
DOI:10.3760/cma.j.cn101785-202302028-018
[Absract] Objective As a three-dimensional spinal deformity consisting of lateral deviation and axial rotation of spine,adolescent idiopathic scoliosis (AIS) is the most common generalized musculoskeletal disorder affecting the development of spine.The influencing factors of AIS are rather diverse and complex.It has a serious impact on the quality-of-life and physical and mental health of children and adolescents.Especially the influence of paraspinal muscles on AIS has attracted growing attenti... [MORE...]
[PDF:3460KB](117)