Home>>2019 05 issue list
[345£­347] Paying great attention to understandings and treatments of chronic intestinal pseudo-obstruction in children
[Cai Wei]
DOI:10.3969/j.issn.1671-6353.2019.05.001
[Absract] Objective Pseudo-intestinal obstruction is a condition in which the intestinal tract does not have mechanical obstruction,but it cannot function to advance the intestinal contents.Patients with non-neoplastic onset symptoms can be diagnosed with chronic intestinal pseudo-obstruction (CIPO) for more than 6 months.Although the disease is rare,but because the condition is very serious,patients often can not maintain normal oral nutrition,which in turn leads to severe malnutrition,and the ... [MORE...]
[PDF:689KB](660)
[348£­351] Re-discussion on prevention and treatment of congenital megacolon enterocolitis
[Shi Chengren]
DOI:10.3969/j.issn.1671-6353.2019.05.002
[Absract] Objective Hirschsprung¡¯s disease associated enterocolitis (HAEC) is a serious complication of congenital megacolon.Its clinical manifestations vary in severity.Milder cases only have slight bloating and severe cases may be fatal septic shock with multiple organ failure.This article focuses upon recent research advances in the treatment and etiology of HAEC and provide rationales for further standardizing the diagnosis and treatment of HAEC. [MORE...]
[PDF:848KB](631)
[352£­355] Advances in the etiology, diagnosis and treatment of neonatal necrotizing enterocolitis
[Lv Zhibao, Sheng Qingfeng]
DOI:10.3969/j.issn.1671-6353.2019.05.003
[Absract] Objective Necrotizing enterocolitis (NEC) is a leading cause of death from gastrointestinal disease in premature and low-birth-weight infants.Early detection of severely ischemic or necrotic bowel before perforation is rather difficult.New techniques including multi-omics contribute to better understanding its underlying mechanisms and discovering different categories of biomarkers.Combination of clinical metrics such as seven components of metabolic derangement (CMD) may provide accur... [MORE...]
[PDF:847KB](709)
[356£­360] Research advances of neonatal intestinal microbiome and necrotising enterocolitis
[An Zongjian, Sun Yong]
DOI:10.3969/j.issn.1671-6353.2019.05.004
[Absract] Objective Necrotising enterocolitis (NEC) is a common and yet lethal intestinal inflammatory disease of neonates.In recent years,the incidence rate of NEC is rising.However,its underlying mechanism has remained elusive.Intensive researches have been conducted with emerging high-throughput sequencing technology.More and more studies have implicated a strong correlation between abnormal development of gut microbiota and its onset.This article reviewed recent researches of infantile gut m... [MORE...]
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[361£­367] Applicable value of operative opportunity for procalcitonin, interleukin-6 and C-reactive protein in neonatal necrotizing enterocolitis
[Zheng Zebing, Liu Yuanmei, Zhang Fan, Jin Zhu, MaoYuchen, Gao Mingjuan, Tang Chengyan, Wang Huilan]
DOI:10.3969/j.issn.1671-6353.2019.05.005
[Absract] Objective Objective To explore the applicable values of operative opportunity for procalcitonin (PCT),interleukin-6 (IL-6) and C-reactive protein (CRP) in neonatal necrotizing enterocolitis (NEC). Methods A total of 31 hospitalized NEC children were divided into non-operative group (n=33),operative group (n=47) and control group (n=36) according to treatment options. The samples of PCT,IL-6 and CRP were collected at 1 h,6 h and 12 h and analyzed b... [MORE...]
[PDF:1013KB](707)
[368£­371] Retrospectivestudy of indications for surgical intervention inneonatal necrotizingenterocolitis
[Du Jingbin, Chen Yongwei, Guo Weihong, Hou Dawei, Huang Jinshi, Li Yingzi]
DOI:10.3969/j.issn.1671-6353.2019.05.006
[Absract] Objective Objective To explore the effects of different surgical intervention indications on the prognosis of neonatal necrotizing enterocolitis (NEC). Methods From January 2006 to January 2016, retrospective analysis was performed for clinical data of 340 NEC children according to the changes of surgical indications of NEC. Absolute surgical indications in early group (from January 2006 to January 2011) and absolute and relative surgical indications in late group (fr... [MORE...]
[PDF:711KB](784)
[372£­375] Clinical characteristics of Necrotizing enterocolitis after neonatal intestinal surgery
[Liang Qionghe, Jiang Weiwei, Lu Changgui, Geng Qiming, Tang Weibing, Chen Huan]
DOI:10.3969/j.issn.1671-6353.2019.05.007
[Absract] Objective Objective To explore the clinical features and causes of necrotizing enterocolitis (NEC) after neonatal intestinal surgery and explore its early diagnosis and treatment experience.Methods A retrospective analysis was conducted for 6 hospitalized NEC children after intestinal surgery from September 2011 to November 2016.Their clinical manifestations,treatments and outcomes were analyzed for formulating treatment options for preventing NEC after neonatal intes... [MORE...]
[PDF:824KB](568)
[376£­380] Application of three-dimensional printing technology in vascular skeletal surgery for children with retroperitoneal neuroblastoma
[Yang Chao, Wang Shan, Li Changchun, Zhang Jun, Zhao Zhenzhen, Kong Xiangru, Deng Xiaobin, Peng Liang, Du Yifei, Zhou Jianwu]
DOI:10.3969/j.issn.1671-6353.2019.05.008
[Absract] Objective Objective To explore the value of three-dimensional (3D) printing in vascular skeletal surgery for children with retroperitoneal neuroblastoma.Methods From January 2016 to June 2018,hospitalized children with retroperitoneal neuroblastoma fulfilling the inclusion criteria were divided into 3D and non-3D print groups according to whether 3D tumor model was printed preoperatively.Tumor size,operative duration,surgical resection rate and complication rate were ... [MORE...]
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[381£­386] Efficacy of ultrasonic bone curette assisted osteotomy for pediatric hemivertebral deformity
[Li Hao, Zhang Xuejun, Qi Xinyu, Guo Dong, Bai Yunsong, Cao Jun, Yao Ziming, Chen Yajun]
DOI:10.3969/j.issn.1671-6353.2019.05.009
[Absract] Objective Objective To explore the efficacy of ultrasonic bone curette (UBC) assisted osteotomy for congenital spinal hemivertebral deformity in children.Methods The clinical and imaging data were analyzed retrospectively for surgical children with single hemivertebral deformities from March 2015 to October 2017.The same operator recorded the pre and post-operative values of operative duration (min),scoliosis Cobb¡¯s angle (DEG),red blood cell count and hemoglobin.Then... [MORE...]
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[387£­394] Preliminary study on gender assignments and related predictors of androgen insensitivity syndrome with AR gene mutation
[Wu Dehua1, Tian Hongjuan2, Tang Daxing2, Fu Junfen3, Dong Guanping3, Wu Dingwen4, Yuan Jinna3, Yang Rongwang5, Sun Liying6]
DOI:10.3969/j.issn.1671-6353.2019.05.010
[Absract] Objective Objective To explore the gender assignments of androgen insensitivity syndrome (AIS) patients and analyze the role of predictors related to clinical outcomes after puberty and external genital development in gender assignments. Methods Methods From November 2015 to October 2018,a total of 21 AIS inpatients with androgen receptor (AR) gene mutation were retrospectively analyzed.The average age was 49.7 (3-161) months.The primary diagnosis was female (<... [MORE...]
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[395£­399] Preventive significance of early screening for developmental dysplasia of the hip and its influencing factors
[Li Yanhua, Lv Xuemin, Zhang Yuchen, Fu Gang, Yang Nan, Dai Shaojun, Guo Yuan]
DOI:10.3969/j.issn.1671-6353.2019.05.011
[Absract] Objective Objective To explore the preventive significance and influencing factors of developmental dysplasia of the hip (DDH) for early screening.Methods A total of 1376 DDH children hospitalized from January 2009 to December 2013 were recruited and divided according to the age of initial visit and different treatment routes.Their parents were surveyed by an anonymous questionnaire of age of initial visit,family¡¯s wealth status,parental education level,medical insura... [MORE...]
[PDF:727KB](538)
[400£­403] Efficacy of EarWell¡¯s auricular appliance on congenital auricular morphological malformation
[Wang Min, Zhao Sijun, Xie Lihua, Huang Min, Peng Xiangyue, Li Yun, Zhao Weiliang]
DOI:10.3969/j.issn.1671-6353.2019.05.012
[Absract] Objective Objective To evaluate the efficacy of EarWell¡¯s auricular appliance in correcting congenital auricular morphological malformations.Methods Forty-eight hospitalized children with congenital auricle malformations from January 2017 to December 2017 were treated with EarWell auricular appliance.Treatment course,treatment efficacy,complication rate and recurrence rate of children of different ages were recorded.And curative effects were evaluated by physician and... [MORE...]
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[404£­408] Evaluation of postoperative anal sphincter with endoanal ultrasound in children with anorectal malformation
[Wu Xiaoxia, Sun Xiaobing, An Guoxian, Ren Hongxia, Jin Yuanyuan, Zhao Liang]
DOI:10.3969/j.issn.1671-6353.2019.05.013
[Absract] Objective Objective To evaluate the postoperative internal anal sphincter (IAS) and external anal sphincter (EAS) in children with anorectal malformation.The correlation between the sphincter damage degree of and postoperative anal function was analyzed.Methods From August 2014 to October 2016,122 cases of children who had undergone surgeries for anorectal malformation and 50 normal children were received endoanal ultrasound in our hospital.Their endoanal ultrasound d... [MORE...]
[PDF:936KB](466)
[409£­412] Surgical treatment for intractable epilepsy in infants
[Xu Xinke, Li Junliang, Chen Cheng, Chen Wei, Xie Yanping, Zheng Yaqi, Li Fangcheng]
DOI:10.3969/j.issn.1671-6353.2019.05.014
[Absract] Objective Objective To explore the surgical outcomes of intractable epilepsy in infants.Methods Retrospective analyses were performed for 28 infants with intractable epilepsy operated between 2014 to 2016.Through chart review,clinical course,seizure type,radiography,electroencephalography,surgical procedures,seizure-free status and surgical complications were examined.Engel classification was employed for evaluating the clinical outcomes.Results Twenty-eight pa... [MORE...]
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[413£­418] Efficacy of myoelectric biofeedback therapy on neonatal parturient brachial plexus injury
[He Jinhua, Liu Hua, Qin Rong, Luo Weihong, Yuan Liping, Xiong Yujuan, Zhou Hongtao]
DOI:10.3969/j.issn.1671-6353.2019.05.015
[Absract] Objective Objective To explore the clinical efficacy of myoelectric biofeedback therapy on neonatal parturient brachial plexus injury. Methods Retrospective analysis was performed for 162 neonates with parturient brachial plexus injury.They were divided into treatment and control groups according to whether or not their parents approved and cooperated in myoelectric biofeedback therapy.The control group received such comprehensive rehabilitations as exercise therapy,e... [MORE...]
[PDF:884KB](464)
[419£­423] Diagnosis and treatment strategy for infantile congenital heart disease complicated with tracheal stenosis in primary care institutions
[Shi Jingtian1, He Lunde1, Chen Tianfeng2]
DOI:10.3969/j.issn.1671-6353.2019.05.016
[Absract] Objective Objective To explore the diagnostic and therapeutic strategies of congenital heart disease (CHD) complicated with tracheal stenosis at primary hospitals.Methods Retrospective analysis was performed for medical records of 25 CHD children with tracheal stenosis from May 2014 to November 2015.For CHD children complicated with mild-moderate bronchial stenosis,operation was performed only for CHD and early postoperative extubation strategy was implemented.And CHD... [MORE...]
[PDF:1009KB](581)
[424£­428] Evaluation of clinical diagnosis and treatment of renal duplication in 56 children
[Lu Qiang, Ma Hong, Dong Shuquan, Liu Hong, Shang Xianhui, Luo Zhen, Liu Bin]
DOI:10.3969/j.issn.1671-6353.2019.05.017
[Absract] Objective Objective To investigate furtherly clinical standard diagnosis and treatment of renal duplication in children.Methods The clinical data of 56 cases of childrens,renal duplication were retrospectively analyzed in our hospital in the past more than 10 years. Their clinical manifestation,classification,diagnosis and treatment were summarized and analyzedResults Among of them,11 cases of renal duplication without hydronephrosis and normal IVU imaging were... [MORE...]
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[429£­431] A Case Report of Congenital brochobiliary fistula and Miss Diagnosis
[Wu Xiangming, Chen Yajun, Pang Wenbo, Huang Jinshi]
DOI:10.3969/j.issn.1671-6353.2019.05.018
[Absract] Objective Objective To investigate the clinical diagnosis and treatment of congenital bronchial bile duct fistula and reduce missed diagnosis. Methods A retrospective analysis of the clinical manifestations and findings of a congenital bronchial bile duct in a Beijing Children¡¯s Hospital affiliated to Capital Medical University was conducted to summarize the experience of the diagnosis and treatment of the disease.Results In this case, the abnormal opening of y... [MORE...]
[PDF:911KB](680)
[432£­436] Advances in molecular mechanisms of biliary atresia and hepatic fibrosis
[Sun Xue, Ren Hongxia]
DOI:10.3969/j.issn.1671-6353.2019.05.019
[Absract] Objective Biliary atresia (BA) is characterized by persistent internal and external inflammation of bile duct of liver with a rapid progress of liver fibrosis.Today the cause of BS has remained elusive.The occurrence of BS is so complex that various factors play important roles.This review has summarized the relevant literature reports over the last decade.The occurring mechanism,its relationship with various factors and development trends are thoroughly reviewed. [MORE...]
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