Home>>2022 10 issue list
[901£­906] Application of evoked electromyography in selecting spinal nerve roots during selective dorsal rhizotomy
[Xiao Bo, Jiang Wenbing, Wang Junlu, Zhan Qijia]
DOI:10.3760/cma.j.cn101785-202206009-001
[Absract] Objective Partially resecting some spinal dorsal nerve roots can effectively lower abnormally heightened excitability of ¦Á motor neurons in anterior horns of spinal cord,directly causing corresponding muscle spasticity in patients with spastic cerebral palsy.Therefore such surgical procedure has potentials of reducing muscle tone of spastic muscles and improving motor functions.Due to the fact that several scores of root candidates are associated with sensory input from lower extremiti... [MORE...]
[PDF:2046KB](184)
[907£­910] Application of intraoperative neurophysiological monitoring during pediatric neurosurgery
[Xu Xinke, Li Fangcheng]
DOI:10.3760/cma.j.cn101785-202203022-002
[Absract] Objective Intraoperative neurophysiological monitoring (IONM) has become an indispensable and important auxiliary technology during modern mini-invasive neurosurgery.It provides real-time intraoperative monitoring of nerve function through various technical means,helping to determine the scope of resection and minimize neurological damage.Pediatric nervous system stays within the stage of growth and development.Disease spectrum,electrophysiological characteristics and parameters of ION... [MORE...]
[PDF:2798KB](123)
[911£­916] Application of intraoperative flash visual evoked potential monitoring in children with sellar region tumors
[Liu Yu, Liu Jiangang, Wang Junlu, Wei Min, Li Sen, Xiao Bo]
DOI:10.3760/cma.j.cn101785-202205044-003
[Absract] Objective Objective To explore the application value of flash visual evoked potential (F-VEP) monitoring during operations of sellar region tumors in children.Methods From January 2020 to December 2021,clinical data were retrospectively reviewed for 20 hospitalized children undergoing operations for sellar region tumors.They were divided into two age groups of 1-6-year and 7-14-year (n=10 each).Tumor resection was performed under intravenous plus inhalation ane... [MORE...]
[PDF:3636KB](151)
[917£­922] Effect of intraoperative neurophysiological monitoring on lumbar 5 selective posterior rhizotomy in patients with cerebral palsy
[Fan Juan1, Wang Xiaodong2, Miao Suhua1, Hu Xinxin1, Chen Yao3, Chen Ying1, Wang Jici1, Wang Shijie1]
DOI:10.3760/cma.j.cn101785-202205022-004
[Absract] Objective Objective To explore the effect of intraoperative electrophysiological monitoring on transection proportion of lumbar 5 spinal nerve posterior root,examine the effect on muscle tonus of hamstring,and triceps muscle groups and provide reliable rationales for the significance of intraoperative electrophysiological monitoring on multi-level selective spinal nerve posterior rhizotomy.Methods From November 2020 to March 2022,clinical data was retrospectively revi... [MORE...]
[PDF:4161KB](162)
[923£­928] Application of neurophysiological monitoring in spinal canal space-occupying disease surgery in children
[Wu Tian1, Su Jun1, Li Hao1, Jiang Wenbin2, Wu Shuihua1]
DOI:10.3760/cma.j.cn101785-202204097-005
[Absract] Objective Objective To explore the early warning effect of intraoperative neurophysiological monitoring on spinal cord and nerve root functional injury in children with intraspinal space-occupying diseases.Methods From January 2019 to April 2022,retrospective review was performed for clinical data of 75 children hospitalized with space-occupying disease in spinal canal at Hunan Children¡¯s Hospital.They were divided into three age groups of<1 year (A,n=32),1-... [MORE...]
[PDF:4913KB](134)
[929£­935] Application of somatosensory evoked potential during operations of fatty filum
[Jiang Wenbin1, Wang Junlu1, Zhan Qijia1, Mei Rong2, Wu Tian3, Xiao Bo1]
DOI:10.3760/cma.j.cn101785-202204096-006
[Absract] Objective Objective To explore the value of somatosensory evoked potential (SSEP) during operations in children with fatty filum (FT).Methods From January 2016 to December 2021,clinical data were retrospectively reviewed for 48 FT children operated at Shanghai Children¡¯s Hospital.There were 29 boys and 19 girls with an age range from 2 months to 12 years old.The major symptoms included lower urinary tract/bladder symptoms (n=25),low back pain (n=3) and o... [MORE...]
[PDF:6140KB](142)
[936£­940] Impact of curve patterns on intraoperative neurophysiological monitoring during correction surgery for adolescent idiopathic scoliosis
[Liu Wanyou1,2, Qiu Junyin2, Shi Benlong1,2, Li Yang2, Liu Zhen1,2, Sun Xu1,2, Zhu Zezhang1,2, Qiu Yong1,2]
DOI:10.3760/cma.j.cn101785-202203027-007
[Absract] Objective Objective To compare the results of intraoperative neurophysiological monitoring (IONM) during posterior spinal correction surgery for adolescent idiopathic scoliosis (AIS) patients with different curve patterns and examine the impact of curve pattern on IONM results.Methods From June 2015 to December 2019,400 AIS females undergoing operations were retrospectively reviewed,including single thoracic curve (ST,n=100),thoracolumbar/lumbar curve (TL/L,... [MORE...]
[PDF:3185KB](148)
[941£­946] Application of intraoperative neuroelectrophysiological monitoring during operations for pediatric brainstem glioma
[Wang Yongqiang1, Wang Hangzhou1, Han Yong1, Xiang Yongjun1, Yuan Bin1, Zhao Chongshun1, Wang Qian2, Wu Jiawei2, Chen Min1]
DOI:10.3760/cma.j.cn101785-202204053-008
[Absract] Objective Objective To explore the application of intraoperative neuroelectrophysiological monitoring during operations for pediatric brainstem glioma.Methods From January 2016 to September 2021,clinical data were retrospectively reviewed for 18 children with brainstem glioma undergoing operations with intraoperative neuroelectrophysiological monitoring.The age range was 1 to 14 years.The contents of intraoperative monitoring included mapping,somatosensory evoked pote... [MORE...]
[PDF:4424KB](146)
[947£­952] Application of bispectral index during single-level selective dorsal rhizotomy
[Wang Guoqing1, Wang Junlu2, Jiang Wenbin2, Liu Junjun1]
DOI:10.3760/cma.j.cn101785-202205053-009
[Absract] Objective Objective To summarize the application of bispectral index (BIS) during single-level selective dorsal rhizotomy (SL-SDR) for children with cerebral palsy (CP).Methods From March 2019 to March 2022,retrospective review was performed for 43 CP children undergoing SL-SDR.BIS was monitored during SL-SDR.They were divided into two groups of D (disturbance) and N (normal) according to the presence or absence of electromyographic disturbance.Gender,age,weight,type ... [MORE...]
[PDF:3635KB](139)
[953£­957] Application of "telescopic rod" in combined surgical technique for the treatment of congenital pseudarthrosis of the tibia in children
[Liu Yaoxi, Tan Qian, Liu Kun, Wu Jiangyan, Xie JianHui, Yang Ge, Huang Yiyong, Zhu Guanghui, Mei Haibo]
DOI:10.3760/cma.j.cn101785-202105042-010
[Absract] Objective Objective To explore the initial efficacy of a new telescopic rod in the treatment of congenital pseudarthrosis of tibia in children.Methods A new type of telescopic rod for children was designed and its clinical results were evaluated.There were 9 cases of congenital pseudarthrosis of tibia on the right and 6 cases on the left;There were 6 females and 9 males.The average operative age was 35.5(19-72) months.There were 12 cases with neurofibromatosis type 1 ... [MORE...]
[PDF:3695KB](143)
[958£­967] Clinical efficacies of congenital anorectal malformation with rectovestibular fistula in girls: a Meta-analysis
[Su Fan, Yang Heying, Yue Ming, Yuan Yuhang, Guo Zhiheng, Liu Xiaoming, Zhang Guofeng, Ding Daokui]
DOI:10.3760/cma.j.cn101785-202110006-011
[Absract] Objective Objective To evaluate the surgical efficacy of anal dimple anorectoplasty (ADARP),anterior sagittal anorectoplasty (ASARP) and posterior sagittal anorectoplasty (PSARP) for congenital anorectal malformation with rectovestibular fistula through a Meta-analysis.Methods From 2002 to 2020,a literature search was performed within the databases of Wanfang,CNKI,PubMed and Web of Science regarding the treatment of congenital anorectal malformation with rectovestibul... [MORE...]
[PDF:8337KB](162)
[968£­973] Analysis of augmentation cystoplasty plus ureter reimplantation for children with neurogenic bladder
[Wang Bingrui, Zhang Qian, Li Ji, Wang Lei, Guo Lihua, Sun Quan, Cui Zhange, Fu Shuqi]
DOI:10.3760/cma.j.cn101785-202201019-012
[Absract] Objective Objective To explore the efficacy of augmentation cystoplasty and simultaneous ureteral reimplantation for neurogenic bladder in children with concurrent ureteral reflux.Methods From January 2014 to August 2020,36 children with neurogenic bladder and vesicoureteral reflux were recruited.According to whether or not ureteral reimplantation was performed simultaneously as augmentation cystoplasty,they were divided into two groups of augmentation cystoplasty (gr... [MORE...]
[PDF:926KB](156)
[974£­979] Clinical outcomes of pediatric en bloc kidney transplantation
[Shi Xiaofeng, Du Qing, Tu Jinpeng, Feng Gang, Zheng Jianming, Zhao Jie, Wang Zhen, Song Weni, Mo Chunbai]
DOI:10.3760/cma.j.cn101785-202202044-013
[Absract] Objective Objective To summarize the clinical outcomes of en bloc kidney transplantation (EBKT) from pediatric donors at a single center and summarize the experiences and lessons.Methods Thirty-six pediatric to adult EBKTs were performed between July 2011 and February 2022.The primary outcome variable was en-bloc allograft survival rate.Secondary outcome variables included incidence of graft failure and incidence of urological complications.The postoperative occurrenc... [MORE...]
[PDF:4010KB](126)
[980£­986] Relationship between portal vein patency and changes of portal hemodynamics and portal venous pathology
[Zhang Jinshan, Li Long]
DOI:10.3760/cma.j.cn101785-202105061-014
[Absract] Objective Objective To explore the impact of portal vein patency on the changes of portal hemodynamics and portal venous pathology.Methods Eighteen New Zealand white rabbits were randomly divided into three groups of normal control (NC),extra-hepatic portal venous obstruction (EHPVO) and r-EHPVO (reversible extra-hepatic portal venous obstruction).They were created respectively by dissecting main portal vein after laparotomy,narrowing main portal vein with a cannula a... [MORE...]
[PDF:4714KB](169)
[987£­990] Current applications and future perspectives of sirolimus in the treatment of kaposiform hemangioendothelioma
[Ding Yingjing, Li Kai]
DOI:10.3760/cma.j.cn101785-202008017-015
[Absract] Objective Kaposiform hemangioendothelioma (KHE) is a rare childhood vascular tumor.A frequent complication,Kasabach-Merritt phenomenon (KMP),may be life-threatening.Medicine is a major treatment.Sirolimus,a mTOR inhibitor,is a novel effective treatment for KMP and it has acceptable side effects.This review summarized the latest domestic and international researches on KHE from the perspectives of current status and limitations of traditional treatments,the principles and advantages of ... [MORE...]
[PDF:3027KB](179)
[991£­994] Recent advances of clinical application of near infrared spectroscopy technology for pediatric intestinal diseases
[Chen Xiaoqing, Zhu Libin]
DOI:10.3760/cma.j.cn101785-202111025-016
[Absract] Objective Intestinal diseases are one of the most common diseases in children.Due to atypical clinical manifestations and indistinct oral expressions in young children,the diagnosis of pediatric intestine is mostly delayed while intestinal ischemia and hypoxia occur frequently as a clinical emergency.Near infrared spectroscopy (NIRS) is a noninvasive optical imaging tool of indirectly assessing intestinal hemodynamics through near-infrared light for measuring the concentration changes ... [MORE...]
[PDF:3316KB](160)
[995£­997] Peutz-Jeghers syndrome complicated with ovarian annular tubule chordoma in a child: a case report
[Wu Yujia1, Zeng Qi1, Wang Dayong2]
DOI:10.3760/cma.j.cn101785-202012026-017
[PDF:2549KB](164)
[998£­1000] Surgery for tracheo-oesophageal fistula caused by button battery: a report of two cases
[Rao Jiao, Tang Yuanping, Liu Qin, Huang Jingsi, Xu Weibin, Sun Shanquan]
DOI:10.3760/cma.j.cn101785-202011008-018
[PDF:2862KB](128)