Home>>2023 10 issue list
[901£­907] Several focal issues in the treatment of vesicoureteral reflux in children
[Yang Yi, Liu Xin]
DOI:10.3760/cma.j.cn101785-202302027-001
[Absract] Objective As pediatric urologists and nephrologists gradually deepen their understandings of pediatric vesicoureteral reflux (VUR),the overall treatment mode has also undergone a great transformation in China.Clinical outcomes of VUR children vary greatly and are influenced by various factors.Based upon risk stratifications,individualized assessment and managements are mandatory.How to monitor and prevent the occurrence of febrile urinary tract infections,evaluate the risk of renal sca... [MORE...]
[PDF:5914KB](217)
[908£­910] Fully understanding the complexity of managing vesicoureteral reflux in children
[Xie Hua, Chen Fang]
DOI:10.3760/cma.j.cn101785-202304050-002
[Absract] Objective Proper management of vesicoureteral reflux (VUR) has remained one of the most controversial and complex issues in pediatric urology.Selecting management strategies and surgical indications of VUR should be based upon age,gender,grading,etiology,bladder function,heredity,urinary tract infection and renal status.And VUR patients should be stratified into different risk levels.And according to individual differences and risk factors,optimal treatments are devised to effectively ... [MORE...]
[PDF:2148KB](187)
[911£­916] Related factors predicting breakthrough febrile urinary tract infection in children with vesicoureteral reflux
[Liu Xin, Liu Ge, Yang Yi]
DOI:10.3760/cma.j.cn101785-202307033-003
[Absract] Objective Objective To evaluate the feasibility of individual patient-related related factors as the predictive factors for breakthrough febrile urinary tract infection (UTI) in children with vesicoureteral reflux (VUR).Methods For this retrospective study,140 children with primary VUR and detailed data of voiding cystourethrogram (VCUG) were identified from 2018 to 2022.There were 78 boys and 62 girls with a median age of 4 months at initial febrile UTI.Clinical char... [MORE...]
[PDF:3816KB](197)
[917£­923] Role of distal ureteral diameter ratio in predicting early breakthrough urinary tract infections in children with primary vesicoureteral reflux
[Sun Jie, Sun Ning, Zhang Weiping, Song Hongcheng, Tian Jun, Li Minglei]
DOI:10.3760/cma.j.cn101785-202305019-004
[Absract] Objective Objective To evaluate the application value of distal ureter diameter ratio as a predictive factor for breakthrough urinary tract infection (BT-UTI) in children with primary vesicoureteral reflux (VUR).Methods From January 2018 to December 2020,retrospective review was performed for the clinical features of 102 VUR children.Clinical data were collected for identifying the predictors of BT-UTI.Demographics,VUR grade,laterality,distal ureter diameter and UDR w... [MORE...]
[PDF:4817KB](166)
[924£­929] Value of contrast-enhanced voiding urosonography in the diagnosis of vesicoureteral reflux and urethrovaginal diseases in children
[Yang Xiuzhen1, Fu Junfen2, Ye Jingjing1, Xu Zheming3, Shen Yiding3]
DOI:10.3760/cma.j.cn101785-202204058-005
[Absract] Objective Objective To explore the value of contrast-enhanced voiding urosonography (CeVUS) in the diagnosis of vesicoureteral reflux (VUR) and urethrovaginal diseases in children.Methods From September 2020 to December 2021,the relevant clinical data were retrospectively reviewed for 207 children with suspected VUR examined by CeVUS.And CeVUS was performed by SonoVue (Bracco,Italy) and intravesical administration via catheter while urethrovaginal examinations were pe... [MORE...]
[PDF:4306KB](181)
[930£­936] Comparison of clinical efficacy of single-port robot-assisted laparoscopic ureteral reimplantation versus laparoscopic ureteral reimplantation for primary vesicoureteral reflux in children
[Chen Jingyi1,2, He Shaohua2, Xu Di2, Lin Shan2, Chen Jianglong2]
DOI:10.3760/cma.j.cn101785-202304072-006
[Absract] Objective Objective To compare the clinical efficacy of single-port robot-assisted laparoscopic ureteral reimplantation (RALUR) versus laparoscopic ureteral reimplantation (LUR) for primary vesicoureteral reflux (VUR) in children.Methods From January 2017 to April 2022,the relevant clinical data were retrospectively reviewed for 70 VUR children.According to surgical approaches,they were assigned into two groups of robot (n=30) and laparoscopy (n=40).Two ... [MORE...]
[PDF:5152KB](182)
[937£­943] Research advances on risk factors and preventions of renal scar associated with primary vesicoureteral reflux
[Shi Shengkun, Yang Yi]
DOI:10.3760/cma.j.cn101785-202305011-007
[Absract] Objective As a common urinary system anomaly in children,vesicoureteral reflux (VUR) has attracted growing attention from scholars at both home and abroad.A particular focus is irreversible renal scar of VUR.Numerous studies have examined its risk factors and preventive measures.After the Randomized Intervention for Children with Vesicoureteral Reflux (RIVUR) trial in 2007,the results of relevant trials and statistical studies have been published successively.New concepts have been pro... [MORE...]
[PDF:5039KB](168)
[944£­947] Laparoscopic ¡°spindle¡± repositioning approach for neonatal congenital intestinal malrotation
[Zou Chanjuan1, Li Bo1, Dong Jie2, Xia Renpeng1, Xu Guang1, Li Ming1, Li Bixiang1, Zhou Chonggao1]
DOI:10.3760/cma.j.cn101785-202306041-008
[Absract] Objective Objective To introduce a new laparoscopic "spindle" repositioning approach for managing neonatal congenital intestinal malrotation (CIM) and analyze its efficacy and feasibility.Methods From January 2015 to June 2021,228 CIM children were collected.There were 96 boys and 132 girls with an age range of 8(3-28) days and a weight range of 3.5(2.0-4.3) Kg.Perioperative data and follow-up outcomes were recorded.Measurements with a normal distribution were describ... [MORE...]
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[948£­955] Autologous bone graft in situ as anterior reconstruction after posterior hemivertebra resection for congenital kyphoscoliosis
[Guo Dong1, Luo Yanzhong1, Hou Hao1, Yao Ziming1, Liu Haonan1, Rui Yan2, Zhang Xuejun1]
DOI:10.3760/cma.j.cn101785-202309009-009
[Absract] Objective Objective To explore the application of intervertebral autologous bone graft in situ in hemivertebral resection surgery in children. Methods A retrospective study was conducted for 70 children undergoing single-level hemivertebral resection due to congenital scoliosis.According to different surgical approaches,they were divided into control group and observation group (n=35 each).The control group underwent traditional posterior hemivertebral resectio... [MORE...]
[PDF:5815KB](133)
[956£­960] Application of ventricular type intracranial pressure monitoring in children with severe brain injury at different ages
[Jing Junjie1, Zhao Qingshuang1, Ying Jianbin1, Chen Fan1, Zhang Taotao1, Zhang Shangming2, Zeng Zihuan2, Song Yunhai1]
DOI:10.3760/cma.j.cn101785-202206021-010
[Absract] Objective Objective To explore the application outcomes of ventricular intracranial pressure (ICP) monitoring at different ages and explore its role in the treatment of severe brain injury in children.Methods From June 2017 to March 2022,retrospective review was performed for 26 children with severe brain injury.ICP was successfully monitored.With a male-to-female ratio of 16¡Ã10,they had an average age of 1.3 years (37 days to 6 years).Based upon age,they were assigne... [MORE...]
[PDF:3525KB](159)
[961£­965] Prediction of testicular activity by platelet distribution width in children with testicular torsion
[Tian Yanjun1, Su Zeli2, Xing Xinran2, Gao Yan2, Yin Heqing1, Li Mengke1, Zeng Xiaoxu1, Du Yong2]
DOI:10.3760/cma.j.cn101785-202211015-011
[Absract] Objective Objective To explore the values of hematological parameters in predicting testicular activity in children with testicular torsion (TT).Methods The relevant clinical data were retrospectively reviewed for 66 TT children at Department of Pediatric Surgery from 2011 to 2022.According to actual operative procedures,they were assigned into two groups of reduction & fixation (n=21) and orchiectomy (n=45).The inter-group differences in course of d... [MORE...]
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[966£­970] Clinical features and operative efficacies of juvenile onset laryngeal papilloma
[Wang Hongqin1,2, Huang Min2, Hu Binya2, Li Yun2, Xie Jun2, Xie Lihua2, Liu Guangliang2, Zhao Sijun2]
DOI:10.3760/cma.j.cn101785-202301017-012
[Absract] Objective Objective To explore the clinical features,surgical approaches and curative efficacies of children with juvenile onset laryngeal papilloma over the last decade.Methods From January 2013 to October 2022,63 children hospitalized with laryngeal papilloma at Hunan Children¡¯s Hospital were recruited as research subjects.The relevant clinical data were retrospectively reviewed,including general profiles,initial presentations and the results of electronic fiber lar... [MORE...]
[PDF:3493KB](162)
[971£­976] Application of Da Vinci robot-assisted endoscopic technique for intradiaphragmatic pulmonary sequestration in children
[Liang Liang, Tan Zheng, Huang Ting, Gao Yue, Zhang Jian, Yu Jiangen]
DOI:10.3760/cma.j.cn101785-202211024-013
[Absract] Objective Objective To explore the application of robot-assisted endoscopic surgery for intradiaphragmatic pulmonary sequestration (IDPS) in children.Methods Clinical data were retrospectively reviewed for 10 IDPS children admitted into Children¡¯s Hospital of Zhejiang University School of Medicine from May 2020 to August 2022.There were 4 boys and 6 girls with a median age of 11(6-60) month and an average weight of (10.97¡À3.07)(7.4-16.6) kg.Except for 2 cases accident... [MORE...]
[PDF:4456KB](148)
[977£­981] Comparison of efficacy between laparoscopy versus traditional open surgery for pediatric duplex kidney
[Liu Zhiyuan, Yu Chengjun, Luo Jin, He Xingyue, Wen Sheng, Hua Yi, Liu Xing, Wei Guanghui]
DOI:10.3760/cma.j.cn101785-202301012-014
[Absract] Objective Objective To analysis and compare the efficacy of laparoscopy versus open upper pole heminephrectomy (OUHN) for duplex kidney.Methods A retrospective analysis was performed for 127 children undergoing upper pole heminephrectomy (UHN) from January 2012 to December 2021.They were assigned into two groups of laparoscopy (n=87) and open surgery (n=40).Operative duration,volume of blood loss,hospitalization stay,symptom relief rate,collapse of urete... [MORE...]
[PDF:3163KB](156)
[982£­987] Clinical results of ultra-early plaster removal after percutaneous needle fixation for supracondylar humeral fractures in children
[Sun Liang, Cui Xiaolong, Liu Wanlin, Zhao Zhenqun, Wang Yong, Bai Rui]
DOI:10.3760/cma.j.cn101785-202103020-015
[Absract] Objective Objective To explore the clinical safety and efficacy of ultra-early removal of external plaster fixation (2 weeks post-operation) after percutaneous needle fixation for supracondylar humeral fracture in children.Methods A prospective analysis was conducted for 100 Gartland ¢ò/¢ó children with extended supracondylar humeral fractures from January 2018 to December 2020.A total of 88 children fulfilled the inclusion criteria,including 52 boys and 33 girls.All of... [MORE...]
[PDF:4157KB](167)
[988£­991] Ultrasound-guided hydrostatic reduction versus fluoroscopy-guided air reduction for pediatric primary intussusception: a single-center retrospective study of 949 cases
[Li Huan, Wang Xin, Yang Hu, Bian Hongqiang, Duan Xufei, Yang Jun]
DOI:10.3760/cma.j.cn101785-202203072-016
[Absract] Objective Objective To compare the efficacy and safety of ultrasound-guided hydrostatic reduction (UGHR) versus fluoroscopy-guided air reduction (FGAR) for primary intussusception in children.Methods A single-center retrospective analysis was performed for 949 children with primary intussusception from July 2019 to December 2020.According to the reduction approaches,they were assigned into two groups of UGHR (n=471) and FGAR (n=478).Gender,age,onset time... [MORE...]
[PDF:2438KB](186)
[992£­996] Recent advances of surgery for children with neurogenic bladder
[Sun Xiaogang, Wang Ruoyi]
DOI:10.3760/cma.j.cn101785-202108051-017
[Absract] Objective Neurogenic bladder in children cause urinary incontinence,urinary tract infection and renal dysfunction.Bladder augmentation is indicated for children with a poor response to conservative measures and serious impairment of bladder function.Bladder augmentation may effectively expand bladder capacity,improve quality-of-life and protect upper urinary tract function.However,there are many perioperative and long-term complications.Various procedures have been attempted for enlarg... [MORE...]
[PDF:4119KB](155)
[997£­1000] Diagnostic and therapeutic advances of ureteral injury in children
[Zhang Chun, Huang Liqu, Deng Yongji]
DOI:10.3760/cma.j.cn101785-202304031-018
[Absract] Objective Ureteral injury is rare in children.However,its missed diagnosis may result in serious complications and even mortality.Early diagnosis and timely are particularly important.Hematuria is an unreliable clinical manifestation of ureteral injury.Retrograde pyelography has been a gold standard for ureteral injury in children.Optimal managements of ureteral injury require individualized surgery based upon its etiology,severity,course and site. [MORE...]
[PDF:3488KB](179)