Home>>2024 12 issue list
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[1101£­1105] Several critical issues in the management of congenital diaphragmatic hernia from prenatal to postoperative period
[He Qiuming, Xia Huimin]
DOI:10.3760/cma.j.cn101785-202410002-001
[Absract] Objective As a common congenital structural anomaly,congenital diaphragmatic hernia (CDH) may cause pulmonary hypoplasia,pulmonary hypertension and cardiac dysfunction.It has been one common cause of neonatal mortality or long-term complications.Current management model of CDH is evolving from merely surgery to prenatal-intrapartum-perioperative-postoperative integrated mode.Based upon the latest global researches,this review summarized the management of CDH,including prenatal assessme... [MORE...]
[PDF:6385KB](155)
[1106£­1116] Expert Consensus on the Clinical Diagnosis and Treatment of Congenital Pseudarthrosis of the Tibia (2024 Edition)
[Pediatric Orthopedics Group, Chinese Society of Pediatric Surgery]
DOI:10.3760/cma.j.cn101785-202412029-002
[Absract] Objective Congenital pseudarthrosis of the tibia (CPT) is a rare congenital disorder that is challenging to treat and has a high disability rate.Affected children experience tibial fractures at birth or shortly after,and once the fracture occurs,it rarely heals spontaneously,ultimately leading to pseudarthrosis.Currently,no standardized and clinically practical guidelines for CPT management exist.To standardize the diagnosis and treatment of CPT and to guide clinical practice,the Pedia... [MORE...]
[PDF:1534KB](153)
[1117£­1124] Application and effect analysis of multidisciplinary treatment throughout perinatal period of fetal sacrococcygeal teratoma
[Hou Longlong1, Xu Suting2, Xia Bo2, Lyu Junjian2, He Qiuming1, Zhong Wei1]
DOI:10.3760/cma.j.cn101785-202410006-003
[Absract] Objective Objective To summarize the multidisciplinary treatment model for the whole process of prenatal and postpartum period and outcomes of fetal sacrococcygeal teratoma (FSCT). Methods A retrospective study was conducted for the relevant clinical data of FSCT neonates diagnosed antenatally and managed with a perinatal multidisciplinary diagnostic and therapeutic mode from January 2015 to June 2024.Prenatal data were collected,including ultrasonic assessment parame... [MORE...]
[PDF:7621KB](153)
[1125£­1132] Integrated pre-and post-natal differential diagnosis of cystic biliary atresia
[Tong Mingxin1, Xie Hua2, Tang Weibing2, Liu Xiang3, Yang Heying4, Li Yingchao5, Pan Yongkang6, Zhan Jianghua7, Lyu Zhibao8, Ren Hongxia9, Gao Zhigang10, Feng Jiexiong11, Chen Qi12, Yu Mei13, Zhang Zhibo1]
DOI:10.3760/cma.j.cn101785-202403047-004
[Absract] Objective Objective Cystic Biliary Atresia (CBA) is a special type of Biliary Atresia (BA) that can be detected prenatally through ultrasound examination.It is easily confused with Choledochal Cyst (CC),and there is a certain challenge in differentiating between the two in early diagnosis.The purpose of this study is to explore the differences in prenatal ultrasonic imaging characteristics between CBA and CC cases,and to evaluate the value of conjugated bilirubin (CB) and to... [MORE...]
[PDF:7789KB](162)
[1133£­1137] Childbirth cooperation integrated diagnosis and treatment of giant omphalocele
[Lyu Chengjie1, Wang Peng1, Ma Dong1, Lai Dengming1, Chen Zheng2, Ying Liyang3, Tan Zhen4, Wang Liquan5, Tou Jinfa1]
DOI:10.3760/cma.j.cn101785-202409081-005
[Absract] Objective Objective To explore the application of childbirth cooperative management model of giant omphalocele (GO). Methods From January 2020 to December 2023,prenatal,prenatal and postpartum treatment data were retrospectively reviewed for 76 GO neonates.During a follow-up period of (9-36) month,healing of abdominal wall incision,feeding and growth were recorded. Results Prenatal ultrasonography offered a definite diagnosis and prenatal chromosome and genetic... [MORE...]
[PDF:4835KB](125)
[1138£­1143] Clinical characteristics and outcomes of children of meconium peritonitis in perinatal integrated management model
[He Weijing, Sun Song, Zheng Shan, Dong Kuiran, Shen Chun]
DOI:10.3760/cma.j.cn101785-202410001-006
[Absract] Objective Objective Meconium peritonitis (MP) is a common neonatal surgical emergency.This study explores the clinical characteristics of MP diagnosed prenatally under a perinatal integrated management model and the model¡¯s impact on outcomes for MP patients. Methods A retrospective study was conducted on MP cases treated at the Children¡¯s Hospital of Fudan University from January 2014 to December 2023.Patients were divided into a prenatal diagnosis group (n=10... [MORE...]
[PDF:5530KB](127)
[1144£­1148] Analysis of clinical features of neonatal intestinal atresia complicated with meconium peritonitis in children of short bowel syndrome
[Zou Chanjuan1, Li Bo1, Dong Jie2, Li Ming1, Feng Yong1, Xia Renpeng1, Zhou Chonggao1]
DOI:10.3760/cma.j.cn101785-202308020-007
[Absract] Objective Objective To explore the clinical characteristics of intestinal atresia (IA) complicated by meconium peritonitis (MP) in neonatorum with short bowel syndrome (SBS). Methods From January 2019 to May 2023,the relevant clinical data were retrospectively reviewed for 33 IA children with MP.A total of 14 patients failing to disintegrate from intravenous nutrition at Day 4 post-operation were included in short bowel syndrome (SBS) group.There were 7 boys and 7 gir... [MORE...]
[PDF:4677KB](131)
[1149£­1154] Application value of natal ultrasonographic combined with gamma-glutamyl transpeptidase testing in assessing the risk of choledochal cyst perforation
[Li Siyuan, Diao Mei, Li Long]
DOI:10.3760/cma.j.cn101785-202405033-008
[Absract] Objective Objective To explore the value of combining natal ultrasonographic and serum gamma-glutamyl transpeptidase (GGT) testing from pregnancy to pre-surgery in assessing the risk of choledochal cyst (CDC) perforation diagnosed prenatally. Methods Data were collected from 435 children diagnosed prenatally with CDC,including natal ultrasonographic data from pregnancy to per-surgery and pre-surgical liver function indicators.The 435 children were randomly divided int... [MORE...]
[PDF:5453KB](117)
[1155£­1159] Application value of multi-index combined detection in early differential diagnosis of choledochal cyst and cystic biliary atresia
[Wang Tixue1, Feng Lin1, Sun Mingxuan2, Tian Yu3,4, Li Long3,4, Sun Jinsong1]
DOI:10.3760/cma.j.cn101785-202310018-009
[Absract] Objective Objective To explore the application value of biochemical indicators and combined multi-index detection in an early differential diagnosis of choledochal cyst (CC) and cystic biliary atresia (CBA). Methods A retrospective analysis was conducted on the clinical data of 99 infants under 45 days of age with hepatic hilar cysts,treated from January 2013 to December 2022 at the Pediatric Surgery Department of Jining Medical University Affiliated Hospital and Gene... [MORE...]
[PDF:4763KB](137)
[1160£­1165] Managements of paravertebral tumors with spinal canal involvement in children:a report of 75 cases at a single center
[Wang Qi1, Wang Jinhu1,2, Tang Yinbing1, Li Yawen1, Ji Zhaonian1, Ding Zheyu1, Shu Qiang1,2]
DOI:10.3760/cma.j.cn101785-202403033-010
[Absract] Objective Objective To explore the clinical diagnoses and treatments of paravertebral tumors plus spinal canal involvement (SCI) and evaluate the safety of intraspinal lesion resection and the effectiveness of tumor local control. Methods For this retrospective study,the relevant clinical data were reviewed for 75 childrens with paravertebral tumors plus SCI undergoing intraspinal lesion resection from April 2015 to March 2023.Pathological types,neurological function ... [MORE...]
[PDF:6039KB](106)
[1166£­1173] Effect of pressure-controlled ventilation-volume guaranteed mode on preschool children undergoing thoracic surgery:a randomized controlled study
[Wang Lei, Xiao Ting, Du Zhen, Zhu Yi, Zhu Shili, Qu Shuangquan]
DOI:10.3760/cma.j.cn101785-202409055-011
[Absract] Objective Objective This study aims to evaluate the effect of the pressure-controlled ventilation-volume guaranteed (PCV-VG) mode on postoperative pulmonary complications,oxygenation,and ventilator-associated lung injury in preschool children undergoing thoracic surgery. Methods This prospective randomized controlled trial included 71 preschool children undergoing thoracic surgery between April 2020 and June 2021.Participants were randomized in a 1:1 ratio using a com... [MORE...]
[PDF:6903KB](122)
[1174£­1179] Application of auricular acupoint therapy after multimodal postoperative analgesia for lower extremity osteotomy in children
[Liang Mingchao, Xiao Ting, Li Haixia, Du Zhen, Tang Kexiang, Qu Shuangquan]
DOI:10.3760/cma.j.cn101785-202310042-012
[Absract] Objective Objective To evaluate the efficacy of auricular acupressure plus sufentanil after multimodal postoperative analgesia for lower extremity osteotomy in children and provide clinical evidence for its application in postoperative pain management. Methods For this prospective randomized controlled study,100 children aged 6-12 years with ASA physical status grade ¢ñ-¢ò undergoing elective lower extremity osteotomy were selected.They were randomized into two groups o... [MORE...]
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[1180£­1185] Comparison of the efficacy of lidocaine hydrochloride gel paste versus compound lidocaine cream in alleviating pharyngeal adverse reactions in children after general anesthesia with laryngeal mask airway
[Zhang Xuemei, Gao Zhengzheng, Sun Lan, Wang Xinyu, Cao Xinxin, Wang Fang, Zhang Jianmin, Li Lijing]
DOI:10.3760/cma.j.cn101785-202312032-013
[Absract] Objective Objective To observe the efficacy of lidocaine hydrochloride gel paste versus compounded lidocaine cream as surface lubricants in reducing adverse pharyngeal reactions after general anesthesia by laryngeal mask in children. Methods For this single-center prospective single-blind randomized controlled study,90 children underwent elective removal of internal fixation after funnel chest surgery from May 2023 to August 2023.Aged 8 to 15 years with ASA classifica... [MORE...]
[PDF:5404KB](132)
[1186£­1190] Biomechanical finite element analysis of ureteral tunnel during ureteral bladder replantation
[Wan Long1, Li Manyuan2, Wu Wenbo1]
DOI:10.3760/cma.j.cn101785-202405014-014
[Absract] Objective Objective To explore the biomechanical effect of ureteral submucosal tunnel during ureteral reimplantation. Methods Different vesicoureteral models were established with ANSYS 2020 R2 software.Finite element analysis (FEA) of biomechanics during storage and urination periods was conducted for evaluating the stress and strain distribution of vesicoureteral junction under different models. Results Simulation results indicated that during urine storage p... [MORE...]
[PDF:5163KB](145)
[1191£­1193] Rescues and reflections of an injured child with falling from the 20th floor
[Liu Xinglyu, Wang Tao, Yu Tian, Yang Le, Zeng Saizhen, Zhu Yimin]
DOI:10.3760/cma.j.cn101785-202403009-015
[PDF:3610KB](136)
[1194£­1196] Airway management in children with Pierre Robin sequence during root canal treatment:one case report
[An Xiaohui1,2, Tang Lin2, Hu Chunkui2, Zheng Mingzhi2, Peng Junmin2]
DOI:10.3760/cma.j.cn101785-202407057-016
[PDF:3135KB](108)
[1197£­1200] Research advances of exosomes in the treatment of neonatal necrotizing enterocolitis
[Zhu Ledao1, Chen Yang2, Zhou Ling2, Ren Feng2]
DOI:10.3760/cma.j.cn101785-202211007-017
[Absract] Objective Necrotizing enterocolitis (NEC) is one of the most serious gastrointestinal diseases in neonates.Although many treatment methods have been developed for NEC,its incidence rate and serious complications show no significant reduction.Therefore developing new treatment of NEC have remained hotspots.Recently using exosomes as a cell-free treatment attracted growing attention.The characteristics and the latest advances of exosomes in the treatment of NEC were comprehensively revie... [MORE...]
[PDF:4831KB](134)