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Home>>2023 11 issue list

[1001－1007] Diagnoses and treatments of congenital cervical spinal deformities in children

[Luo Yanzhong, Zhang Xuejun]

DOI:10.3760/cma.j.cn101785-202307002-001

[Absract] Objective Cervical spine deformities are rare and the incidence rate remains low in children.Usually the characteristics of complex etiology and a sporadic onset make it more difficult to systematically classify congenital cervical spine deformities.And it is difficult to fully acquire accurate information about the deformity.And it is also problematic to evaluate the prognosis of deformity development and apply precise follow-up interventions.With greater popularization of molecular b... [MORE...]

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[1008－1014] Surgery for lower cervical/cervicothoracic congenital spinal deformities in children aged under 10 years:clinical outcomes and complications

[Li Chenkai, Wang Shengru, Zhang Jianguo, Tian ye, Cai Siyi, Yang Yang, Du You, Zhao Yiwei, Zhang Haoran]

DOI:10.3760/cma.j.cn101785-202307025-002

[Absract] Objective Objective To evaluate the clinical outcomes and complications of surgery for lower cervical/cervicothoracic congenital spinal deformities in children.Methods A total of 19 children with lower cervical/cervicothoracic congenital spinal deformity were hospitalized from April 2011 to March 2023.Observation parameters included demographics,surgical related parameters and radiological parameters.Surgical related parameters included surgical approach,operative dur... [MORE...]

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[1015－1020] Characteristics of rotated separation angle of atlanto-axial and occipito-atlantal joint in atlantoaxial rotatory dislocation in children

[Lan Qifeng^1,2, Zhou Xingyu^1,2, Yan Ming^1,3,4, Wang Shenglin^1,3,4, Tian Yinglun^1,3,4, Xu Nanfang^1,3,4]

DOI:10.3760/cma.j.cn101785-202307018-003

[Absract] Objective Objective To acquire the computed tomography (CT) data of children with atlanto-axial rotatory dislocation (AARD) and explore the characteristics of rotated separation angles of atlanto-axial and occipito-atlantal joints in AARD children.Methods For this retrospective study,19 AARD children hospitalized were selected as subjects at Department of Orthopedics of Peking University Third Hospital from June 2016 to June 2023.Preoperative CT images,preoperative di... [MORE...]

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[1021－1028] Challenges and experiences of managing cervical kyphosis in children:a single-centre retrospective summary of 16 cases

[Zhang Hanwen, Yao Ziming, Guo Dong, Liu Haonan, Li Chengxin, Zhang Xuejun]

DOI:10.3760/cma.j.cn101785-202307020-004

[Absract] Objective Objective To explore the clinical characteristics and surgical efficacies of children with cervical kyphosis (CK) and improve its therapeutic efficiency.Methods The relevant clinical data were retrospectively reviewed for 16 CK children operated from January 2013 to January 2023.The causes of deformity,imaging characteristics,surgical approaches and outcomes were summarized.Results There were 7 boys and 9 girls with a mean age of (8.2±4.7)(11/12-15.75... [MORE...]

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[1029－1033] Posterior screw-plate system fixation and fusion atlantoaxial instability and dislocation in children

[Liu Hu, Guo Dong, Zhang Xuejun, Yao Ziming]

DOI:10.3760/cma.j.cn101785-202307012-005

[Absract] Objective Objective To evaluate the efficacy of posterior atlantoaxial screw-plate fixation and autologous bone graft fusion for atlantoaxial instability and dislocation in children.Methods From March 2019 to October 2022,22 children with atlantoaxial instability and dislocation were retrospectively reviewed.There were 12 boys and 10 girls with an age range of (8.2±2.8)(4-14) year.Degree and improvement of spinal cord injury before and after surgery were assessed by t... [MORE...]

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[1034－1038] Efficacy of laparoscopy versus open surgery for patent omphalomesenteric duct in neonates

[Zou Chanjuan, Li Bo, Xiao Yong, Li Ming, Feng Yong, Xia Renpeng, XuGuang, Zhou Chonggao]

DOI:10.3760/cma.j.cn101785-202305014-006

[Absract] Objective Objective To introduce a novel surgical laparoscopic approach for treating patent omphalomesenteric duct (POMD) and compare its efficacy with that of open surgery to understand its advantages.Methods From January 2019 to October 2022,retrospective review was performed for 24 operated POMD children.Based upon different surgical approaches,all eligible children were assigned into two groups of laparoscopy (n=13) and open surgery (n=11).General pr... [MORE...]

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[1039－1044] Analysis of risk factors for cholangitis after Kasai procedure in biliary atresia children

[Wang Lei¹, Lan Zhaoping², Gao Qi¹, Li Mingming¹, Xie Weike¹, Wang Qi¹, Pan Yongkang¹, Lu Zhaoxiang¹]

DOI:10.3760/cma.j.cn101785-202211061-007

[Absract] Objective Objective To explore the risk factors of cholangitis after Kasai procedure for BA children.Methods Retrospective analysis of clinical data of 109 infants undergoing Kasai surgery for BA admitted to Xi’an Jiaotong University Affiliated Children’s Hospital from January 2018 to September 2020.Collect and record gender,operative age[＜60 d、60~90 d(60 d)、≥90 d],operating age,preoperative weight,cardiovascular malformations,Epstein-Barr virus infection,CMV infectio... [MORE...]

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[1045－1049] Middle/long-term prognosis and influencing factors of Kasai portoenterostomy on type Ⅲ biliary atresia

[Zheng Lulu, Wu Yibo, Wu Wei, Gong Zhenhua, Sheng Qingfeng, Huang Xiong, Liu Jiangbin, Xu Weijue, Lyu Zhibao]

DOI:10.3760/cma.j.cn101785-202203017-008

[Absract] Objective Objective To explore the middle/long-term native liver survival and examine its influencing factors of Kasai portoenterostomy for type Ⅲ biliary atresia (BA).Methods From January 2011 to December 2020,single-center retrospective analysis was performed for 234 type Ⅲ BA children undergoing Kasai portoenterostomy.Gender,operative age,liver function test,blood routine test,cytomegalovirus (CMV) IgM examination and aspartate aminotransferase-to-platelet ratio in... [MORE...]

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[1050－1054] Epidemiological survey and influencing factors of developmental dysplasia of the hip in Tibetan children of Sichuan and Tibet

[Sun Qiang, Ye Jiajun, Zhou Ying]

DOI:10.3760/cma.j.cn101785-202204079-009

[Absract] Objective Objective The construction of animal models of neonatal necrotizing enterocolitis (NEC) is still not uniform,and animal modeling approaches that are more relevant to the actual clinical situation of NEC childern should be clarified.Methods Fifty-four neonatal mice were randomly divided into five groups: control group (Ctrl),hypoxia + artificial feeding group (HF),hypoxia + artificial feeding + cold stimulation group (Cold),hypoxia + artificial feeding + lipo... [MORE...]

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[1055－1059] Treatment of congenital pseudarthrosis of the tibia with proximal tibial epiphyseal plate extension and subphyseal plate extension

[Tan Qian, Liu Yaoxi, Yi Yinzhi, Tan Xiaoqian, Yang Ge, Hu Xiongke, Hu Xin, Liu Kun, Zhu Guanghui, Mei Haibo]

DOI:10.3760/cma.j.cn101785-202303055-010

[Absract] Objective Objective To evaluate the healing status and complications of proximal tibial epiphyseal plate lengthening using Ilizarov external fixation device in children with congenital pseudarthrosis of the tibia (CPT).Methods Retrospective analysis was conducted for clinical data of 61 CPT children undergoing tibial lengthening surgery using Ilizarov external fixation device from February 2012 to June 2020.According to surgical method,they were assigned into two grou... [MORE...]

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[1060－1064] Diagnostic value of Alvarado score,C-reactive protein,neutrophil lymphocyte ratio in children with perforated appendicitis

[Ding Zhili, Bao Jingfeng, Sun Hailiang, Zhuang Wenjun, Tang Qiang]

DOI:10.3760/cma.j.cn101785-202201022-011

[Absract] Objective Objective To explore the diagnostic value of Alvarado score (AS),C-reactive protein (CRP) and neutrophil lymphocyte ratio (NLR) in children with perforated appendicitis (PA).Methods For this retrospective study,120 children hospitalized with acute appendicitis from September 2018 to September 2020 were selected.According to the pathological results,they were assigned into two groups of perforated (n=60) and non-perforated (n=60).The inter-group... [MORE...]

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[1065－1071] Application of accelerated rehabilitation surgical management plus erector spinal plane block during postoperative analgesia of children with tethered spinal cord

[Zhang Li¹, Wang Junlu¹, Gu Zhiqing², Xiao Bo¹]

DOI:10.3760/cma.j.cn101785-202304029-012

[Absract] Objective Objective To explore the clinical efficacy of enhanced recovery after surgery (ERAS) plus erector spinae plane block (ESPB) for post-untethering analgesia in children.Methods The relevant clinical data were retrospectively reviewed for 79 children with tethered cord syndrome (TCS) from January 2020 to November 2022.A total of 40 cases were in conventional administration group from January 2020 to March 2021 and 39 cases in ERAS+ESPB group from April 2021 to ... [MORE...]

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[1072－1076] Application of laparoscope-assisted in vitro gonadal biopsy for celiac type gonad disorders of sex development

[Hu Jianjun, Zhao Yaowang, Chen Yifu, Wang Zhi, He Tianqu, Peng Liucheng]

DOI:10.3760/cma.j.cn101785-202304058-013

[Absract] Objective Objective To evaluate the clinical applications and techniques of laparoscopically assisted in vitro gonadal biopsy for celiac type gonadal disorders of sex development (DSD).Methods From January 2020 to March 2023,17 cases of celiac gonadal DSD were retrospectively reviewed.Laparoscopically assisted gonadal biopsy was utilized for harvesting gonadal tissue in vitro.Surgical procedures were designed.Social gender,gonadal location,age,height,chromosomal karyo... [MORE...]

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[1077－1081] Thoracoscopic repair of giant congenital diaphragmatic hernia with bovine pericardial patch

[Tian Song, Li Yan, Chen Jiaying, Zhu Xiaocun, Xiao Shangjie, Ge Wuping]

DOI:10.3760/cma.j.cn101785-202203020-014

[Absract] Objective Objective To investigate the feasibility and safety of repair large congenital diaphragmatic hernia with bovine pericardial mesh under thoracoscopy,and to evaluate the long-term efficacy of diaphragmatic hernia surgery.Methods From June 2018 to January 2020,the clinical data of 5 cases with large CDH were collected.All the patients were repaired with bovine pericardial patch under thoracoscope,and were followed up by outpatient service or telephone after dis... [MORE...]

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[1082－1085] Treatment of abdominal compartment syndrome with extracorporeal membrane oxygenation support during neonatal diaphragmatic hernia surgery: one case report with a literature review

[Tang Wenfeng, He Qiuming, Zhong Wei, Lu Junjian, Lin Tulian, Hou Longlong, Xie Xiaoli]

DOI:10.3760/cma.j.cn101785-202203064-015

[Absract] Objective Objective To summarize the experiences of diagnosing and treating abdominal compartment syndrome (ACS) after patch repairing of neonatal congenital diaphragmatic hernia (CDH) under extracorporeal membrane oxygenation (ECMO). Methods Retrospective reviews were conducted for the clinical data of ACS neonates due to CDH undergoing patch repairing under ECMO.Management and surgical procedure of ACS were systematically summarized.The databases of PubMed,Web of Sc... [MORE...]

[PDF:2647KB](146)

[1086－1088] Denosumab treatment of pelvic aneurysmal bone cyst in children:one case report with a literature review

[Li Hui¹, Shi Dongliang², Ni Xiaoyan², Li Qingxing¹, Teng Guoliang³]

DOI:10.3760/cma.j.cn101785-202203037-016

[PDF:2494KB](133)

[1089－1091] Acute Salmonella osteomyelitis complicated by septic arthritis:one case report

[Tang Zidan, Zhou You, Xu Taotao, Lu Chan, Kang Xiaopeng]

DOI:10.3760/cma.j.cn101785-202203037-017

[PDF:2338KB](136)

[1092－1094] Cerebral metastases of rhabdomyosarcoma in children:one case report with a literature review

[Peng Li, Shen Zhipeng, Wang Jinhu]

DOI:10.3760/cma.j.cn101785-202203037-018

[PDF:2597KB](145)

[1095－1100] Research progress on the genetics and molecular regulatory mechanisms of developmental hip dysplasia

[Zhao Zhenhui, Xiong Zhu, Zeng Shuaidan, Qiu Xin, Deng Hansheng, Tang Shengping]

DOI:10.3760/cma.j.cn101785-202210022-019

[Absract] Objective Developmental dysplasia of the hip (DDH) is one of the common musculoskeletal malformations in pediatric orthopedics.Its abnormalities mainly include instability,subluxation and even a complete dislocation of hip joint.Mild dysplasia may disappear by itself.However,other hip deformities misdiagnosed and improperly treated during an early stage worsen progressively,leading to hip pain,limited movement,abnormal gait and ultimately adult degenerative arthritis.DDH may be caused ... [MORE...]

[PDF:4827KB](149)