Home>>2022 04 issue list
[301£­305] Neonatal necrotizing enterocolitis:advances and challenges
[Wang Jiang]
DOI:10.3760/cma.j.cn101785-202203032-001
[Absract] Objective Necrotizing enterocolitis(NEC)is one of the most destructive inflammatory bowel diseases in neonates.Its incidence and mortality rate have remained high.This review summarized the latest researches of NEC diagnosis and treatment.Single or multi-omic approaches may aid in its prediction or early diagnosis.Bowel ultrasound(BUS)proves promising in improving its diagnostic accuracy.Due attention should be devoted to nutritional supports after enterostomy.Amniotic fluid stem cells... [MORE...]
[PDF:964KB](322)
[306£­309] Necrotizing enterocolitis:From an interpretation of Bell staging to an identification of indications for acute surgery
[Zhang Zhibo]
DOI:10.3760/cma.j.cn101785-202201045-002
[Absract] Objective Over the past decades,necrotizing enterocolitis(NEC)has gradually become the most common acute abdomen in neonatal surgery.Due to a lack of specific diagnostic indicators,it is difficult to accurately diagnose and identify NEC in an early stage.Formulating the corresponding therapeutic strategies according to the degree of disease development has been a clinical challenge.Bell¡¯s staging method grades NEC according to its progression and severity as judged by clinical manifest... [MORE...]
[PDF:871KB](272)
[310£­314] Risk factors of high-output stoma after enterostomy in necrotizing enterocolitis
[Lin Tulian, Wu Qiang, Peng Yanfen, L¨¹ Junjian, He Qiuming, Zhong Wei]
DOI:10.3760/cma.j.cn101785-202201058-003
[Absract] Objective ObjectiveTo explore the risk factors of high-output stoma(HOS)after enterostomy in infants with necrotizing enterocolitis(NEC).MethodsFrom July 1,2017 to June 30,2021,76 neonates undergoing enterostomy due to NEC were retrospectively reviewed.They were divided into two groups of HOS(n=25)and non-HOS(n=51)according to whether or not HOS occurred after enterostomy.General demographics,intraoperative findings and prognosis of two groups were compared.Univariate and... [MORE...]
[PDF:812KB](222)
[315£­319] Clinical characteristics and risk factors of extensive necrotizing enterocolitis in preterm infants
[Su Pengjun, Zhang Zhibo]
DOI:10.3760/cma.j.cn101785-202201059-004
[Absract] Objective ObjectiveTo explore the clinical characteristics of extensive necrotizing enterocolitis (NEC-T) in preterm infants and the related factors of total intestinal necrosis.MethodsFrom January 2011 to December 2020,clinical data were reviewed retrospectively for 42 NEC-T preterm infants (NEC-T group).And,during the same period,no necrotizing enterocolitis totalis (NEC-nonT) preterm infants (NEC-nonT group,including operation and non-operation sub-groups) were compared.The related ... [MORE...]
[PDF:949KB](197)
[320£­324] Analysis of risk factors for intestinal stenosis after neonatal necrotizing enterocolitis
[Xia Renpeng, Zou Chanjuan, Zhao Fan, Ma Tidong, Xiao Yong, Peng Kun, Xu Guang, Li Bixiang, Zhou Chonggao]
DOI:10.3760/cma.j.cn101785-202109042-005
[Absract] Objective ObjectiveTo explore the risk factors of intestinal stenosis after neonatal necrotizing enterocolitis (NEC).MethodsFrom January 2013 to January 2018,retrospective analysis was performed for clinical data of post-NEC intestinal stenosis children and normal controls during the same period.ResultsA total of 132 children were assigned into tow groups of post-NEC intestinal stenosis (stenosis,n=65) and non-stenosis (control,n=67).No inter-group statistical difference ... [MORE...]
[PDF:665KB](166)
[325£­330] Role of ultrasound in surgical decision making for neonatal necrotizing enterocolitis
[Ma Ya, Wang Zhengrong, Liu Qin, Zhang Weiwei, Ren Hongyan]
DOI:10.3760/cma.j.cn101785-202111057-006
[Absract] Objective ObjectiveTo explore the clinical value of ultrasonography (US) in surgical decision making in infants with neonatal necrotizing enterocolitis (NEC) by assessing morphological characteristics,vascularity and peristalsis of bowel wall of abdominal US imaging.MethodsFrom September 2017 to March 2020,US findings and other clinical data were retrospectively analyzed for 45 hospitalized NEC children undergoing US examination.They were assigned into non-surgical (n=30) and su... [MORE...]
[PDF:1519KB](180)
[331£­335] Research advances in models of necrotizing enterocolitis in vivo and in vitro
[Gao Runnan, Zhu Haitao, Shen Chun]
DOI:10.3760/cma.j.cn101785-202009024-007
[Absract] Objective Necrotizing enterocolitis (NEC) has been a leading cause of gastrointestinal emergencies in premature infants.Over the last 50 years,a large variety of experimental models have been developed for examining the pathophysiology of NEC and testing the effectiveness of new therapeutic strategies.Current etiological studies of NEC have employed intestinal epithelial cells and animal models.However,cell models cannot mimic the biological characteristics of intestinal tissues in chi... [MORE...]
[PDF:663KB](213)
[336£­340] Efficacy of one-stage bone transport and two-stage wrapped bone grafting in the treatment of large bone defect after congenital tibial pseudoarthroplasty in children
[Lei Ting, Zhu Guanghui, Mei Haibo, Liu Kun, Tang Jin, Wu Jiangyan, Zhao Weihua]
DOI:10.3760/cma.j.cn101785-202110044-008
[Absract] Objective ObjectiveTo evaluate the clinical effects of one-stage bone transport and two-stagewrapped bone grafting in the treatment of large bone defect after congenital tibial pseudoarthroplasty in children.MethodsA retrospective analysis was performed on the cases of large bone defect after pseudoarthroplasty in children,who was treated with one-stage bone transport and two-stagewrapped bone grafting.One-stage tibial bone transport was performed in all cases with follow-up at every 2... [MORE...]
[PDF:1220KB](146)
[341£­346] Comparison of single ureteral reimplantation and ipsilateral ureteroureterostomy for ureteral duplication in Children
[Wang Jinbin, Fang Xiaoliang, Chen Zhoutong, Geng Hongquan]
DOI:10.3760/cma.j.cn101785-202104010-009
[Absract] Objective ObjectiveTo compare the safety and efficacy of single ureteral bladder replantation versus end-to-side ureteral anastomosis for pediatric duplication of ureteral malformations.MethodsFrom January 2010 to December 2018,retrospective analysis of clinical data was performed for 92 children with duplication of ureteral malformation undergoing single ureteral bladder replantation (n=42) versus end-to-side ureteral anastomosis (n=50).Operative duration,postoperative l... [MORE...]
[PDF:679KB](176)
[347£­352] Regional homogeneity in children with severe and non-severe primary monosymptomatic nocturnal enuresis using resting-state functional magnetic resonance imaging
[Wang Chuanyu1, Jia Zhiming1, Zhu Wen1, Zhang Chenyang1, Che yingyu2, Wu Yue2, Zhang Jing2, Zhang QinYong1, Wang Yan1, Wen Jianguo1, Wang qingwei<]
DOI:10.3760/cma.j.cn101785-202110026-010
[Absract] Objective ObjectiveTo explore the change and difference of regional homogeneity (ReHo) in children with severe and non-severe primary monosymptomatic nocturnal enuresis (PMNE) using resting-state functional magnetic resonance imaging (Rs-fMRI).MethodsA total of 39 PMNE children were selected as research subjects.There were 20 boys and 19 girls with an age range of (11.9¡À2.6) years.And 33 children with normal lower urinary tract function confirmed by conventional urodynamic and requirin... [MORE...]
[PDF:1254KB](145)
[353£­357] Analysis of imaging Features of different Chung type of Wassel type ¢ô congnital thumb polydactyly
[Lin Nan, Gao Weiyang, Zhou Zongwei]
DOI:10.3760/cma.j.cn101785-202012051-011
[Absract] Objective ObjectiveTo evaluate the imaging features of different Chung types of Wassel type ¢ô congenital thumb polydactyly.MethodsFrom June 2015 to June 2018,40 children hospitalized with Wassel type ¢ô polydactyly were selected as research subjects.Radiography,magnetic resonance imaging(MRI)and intraoperative diagnosis were collected.Axial angle and basal spacing on anteroposterior and lateral radiographs were measured and angle¡Áinterspace distance on anteroposterior and lateral film a... [MORE...]
[PDF:1289KB](157)
[358£­363] Application of biofeedback and pelvic floor exercise in the treatment of functional fecal incontinence in children
[Wang Keke, Song Cuiping, Zhang HaiYang, Rao Wang, Liu Hui, Liu Hongxia, Su Dan]
DOI:10.3760/cma.j.cn101785-202011036-012
[Absract] Objective ObjectiveTo explore the effect and therapeutic value of biofeedback and pelvic floor exercise on functional fecal incontinence in children.MethodsFrom June 2018 to June 2020,a total of 32 children of functional fecal incontinence were recruited,There were 19 boys and 13 girls with a mean age of 7.93(6-13) years.Daily 40-min biofeedback therapy of pelvic floor muscle was provided by Laborie biofeedback instrument.One cycle was composed of 10 sessions and all given 1 course of ... [MORE...]
[PDF:730KB](122)
[364£­369] Influencing factors for early extubation in neonates and young infants following surgical repair of complex congenital heart disease
[Zeng Min1,3, Li Shengli1, Duan Leilei1, Li Shoujun2, Yan Jun2, Hua Zhongdong2, Wang Xu1,3]
DOI:10.3760/cma.j.cn101785-202104018-013
[Absract] Objective ObjectiveTo analyze the clinical outcomes and to explore the feasibility and influencing factors of early extubation (EE) in neonates and young infants after congenital heart disease (CHD) repair.MethodsWe conducted a retrospective analysis of neonate and young infants with CHD who underwent cardiac surgery at Fuwai Hospital between January 1,2017,and December 31,2019.A total of 391 patients were included.According to the mechanical ventilator time (MVT) after admitted to the... [MORE...]
[PDF:1097KB](152)
[370£­373] Application of hierarchical and multi-point suspension technique during laparoscopic pyeloplasty
[Yu Xiaofang, Liu Wei, Cao Zengcai, Zhou Tingting, Wang Dongming, Zhang Qiangye, Wang Jian, Li Aiwu]
DOI:10.3760/cma.j.cn101785-202108015-014
[Absract] Objective ObjectiveTo explore the clinical value of hierarchical and multi-point suspension technique during laparoscopic pyeloplasty (LP) for children with congenital ureteropelvic junction obstruction (UPJO).MethodsTaking 138 children with UPJO as the resrch object who received LP treatment in Qilu Hospital of Shandeng University from March 2017 to December 2020.The hierarchical and multi-point suspension technique was applied.There were 114 boys and 24 girls with an average age of 3... [MORE...]
[PDF:1215KB](130)
[374£­379] Disease distributions and imaging features of proximal femoral bone lesions in children
[Gao Zhipeng, Lin Gang, Ju Li]
DOI:10.3760/cma.j.cn101785-202007016-015
[Absract] Objective ObjectiveTo explore the disease distributions,clinical manifestations and imaging features of proximal femoral bone lesions in children.MethodsFrom February 2012 to May 2020,a total of 82 pathologically confirmed children with proximal femoral bone lesions were reviewed retrospectively.Disease distributions,clinical manifestations and imaging features were analyzed.ResultsThere were 55 boys and 27 girls with an average treatment age of(7.8¡À3.5)(47 days to 165 months).The lesi... [MORE...]
[PDF:765KB](126)
[380£­385] A child with massive hemoptysis successfully rescued by extracorporeal membrane oxygenation and literature review
[Wang Yanjun1, Kong Yanxia1, Quan Xueli1, Yuan Yanli1, Duan Yongtao2, Wang Feng1, Wang Jie1]
DOI:10.3760/cma.j.cn101785-202107055-016
[Absract] Objective ObjectiveTo summarize the indications and anticoagulation managements of extracorporeal membrane oxygenation (ECMO) for hemoptysis patients.MethodsA successful case of ECMO in the treatment of massive hemoptysis at our hospital was analyzed and the relevant literature retrieved for reviewing. The databases of PubMed, Science Citation Index and Embase were searched with the keywords of "massive hemoptysis; extracorporeal membrane oxygenation" or "hemoptysis; ECMO" in Wanfang, ... [MORE...]
[PDF:657KB](184)
[386£­389] Recent advances in the diagnosis and treatment of pediatric gastric volvulus
[Yan Jiayu, Pang Wenbo, Chen Yajun]
DOI:10.3760/cma.j.cn101785-202009051-017
[Absract] Objective As a rare condition,gastric volvulus occurs predominantly in neonates and infants.According to different etiologies,it may be classified into primary (about 30%) and secondary (about 70%) types.It is divided into three types based upon the rotation axis.Due to its multiple congenital associated malformations and non-specific clinical presentations,it is rather difficult to make a timely and accurate diagnosis,leading frequently to misdiagnosis and delayed diagnosis.Diagnostic... [MORE...]
[PDF:660KB](212)
[390£­393] Recent advances in surgical treatment of patent ductus arteriosus in premature infants
[Shi Xucong, Weng Jianbin, Li Jianhua]
DOI:10.3760/cma.j.cn101785-202009019-018
[Absract] Objective Patent ductus arteriosus(PDA)has a relatively high incidence in preterm infants,especially in extremely premature infants(EPI)with a gestational age under 28 weeks.Continuous opening of PDA with abnormal hemodynamics not only causes a series of complications,but also acts as an important factor for a rising mortality of premature infants.Managing PDA in premature infants has always been a hot spot in neonatal medicine.This review summarized intervention indications and surgic... [MORE...]
[PDF:902KB](140)
[394£­398] Research advances on poor prognostic factors of children with stage 4S neuroblastoma
[Wang Pengcheng, Dong Rui]
DOI:10.3760/cma.j.cn101785-202108053-019
[Absract] Objective Neuroblastoma is a common extracranial solid tumor in children.International Neuroblastoma Staging System (INSS) divided neuroblastoma into phase ¢ñ-¢ô and ¢ôs (or 4S).And 4S stage neuroblastoma is a special state characterized by high rates of metastasis and spontaneous regression.Generally stage 4S neuroblastoma has favorable clinical outcomes with 5-year overall survival (OS) of 84%-92% and 5-year event-free survival (EFS) of 82%.However some individuals have such poor progno... [MORE...]
[PDF:902KB](183)
[399£­400] One case report with a literature review of Turner syndrome
[Pan Weiwu, Qian Weite, Zhou Weizhong, Chen Congde]
DOI:10.3760/cma.j.cn101785-202105023-020
[PDF:1185KB](172)