Home>>2022 06 issue list
[Ying Hao, Wang Lin]
[Absract] Objective Cerebral palsy is one of major diseases causing physical disability in children and spastic cerebral palsy is the most common form.Surgery has remained complex and controversial while surgical approaches and intervention opportunities vary greatly.Its early intervention of staged uniplanar surgery has been replaced by currently popular multiplanar surgery.Combining mini-invasive and three-dimensional nerve root lengthening surgery offers the advantages of better outcomes.The ... [MORE...]
[PDF:3394KB](151)
[Li Yu1, Kang Liehe1, Zhu Guanghui2, He Rongguo1]
[Absract] Objective Children with cerebral palsy hip disease generally require surgical interventions, including preventive, reconstructive and salvage surgery.The operative goals are to prevent lateral displacement of femoral head, reconstruct the stabilities of subluxation and dislocated hip joint, eliminate persistent pain caused by irreducible hip joint dislocation and then improve walking function so as to facilitate perineal nursing of children without standing and walking ability.By syste... [MORE...]
[PDF:3643KB](154)
[Chen Baisong, Ying Hao, Chen Mengjie]
[Absract] Objective Objective To quantitatively evaluate motor function of lower extremities in children with spastic cerebral palsy by using spatiotemporal and kinematic parameters of three-dimensional gait analysis, compare the differences in spatiotemporal and kinematic parameters of gait analysis with different motor function grades and provide quantitative method for severity assessment of spastic cerebral palsy.Methods According to the gross motor function classification ... [MORE...]
[PDF:4146KB](115)
[Zhang Yanyun1, Cai Haiqing2, Wang Zhigang2, Xu Chunxin3, Lu Yangyang3, Chen cen3, Shen Min3, Jin Sheng2]
[Absract] Objective Objective To summarize the preliminary experiences of multidisciplinary team (MDT) treating crouch gait in spastic cerebral palsy (CP) children.Methods From June 2018 to January 2020, a total of 29 children with spastic CP with crouch gait were recruited.There were 20 boys and 9 girls with an average age of 14.3(12-16.5) years.After three-dimensional gait analysis, treatment protocols were formulated jointly by orthopedic surgeons, gait analysis technicians ... [MORE...]
[PDF:5340KB](124)
[Zhan Qijia1, Wu Shuihua2, Xiao Bo1, Jiang Wenbing1, Wei Min1, Wang Junlu1, Yu Xidan3, Shen Min3, Hu Jihong4, Wu Tian2, Zhou Yudong5]
[Absract] Objective Objective To evaluate the efficacy of single-level laminectomy selective dorsal rhizotomy (SL-SDR) guided by novel neuroelectrophysiological monitoring protocol followed by intensive rehabilitation for children with spastic cerebral palsy.Methods For evaluating the changes of motor function, clinical data were retrospectively reviewed for 435 children with spastic cerebral palsy undergoing SL-SDR followed by intensive rehabilitation for at least 6 months fro... [MORE...]
[PDF:4951KB](141)
[Han Jinbao1,2,3, Yu Mengnan1, Liu Gang1, Li Guang1, Cao Jianying1, Duan Lian1, Huang Liuming1,2,3]
[Absract] Objective Objective To compare the recovery of neonatal necrotizing enterocolitis (NEC) with intestinal perforation and non-perforated bowel after surgical treatment to provide references for selecting operative timing and postoperative treatments of NEC.Methods From August 2009 to August 2019, retrospective analysis was performed for 237 children with surgical NEC.They were divided into two groups of non-perforated (n=172) and perforated group (n=65).Va... [MORE...]
[PDF:3034KB](203)
[Wang Rui, Li Bixiang, Zhao Sijun]
[Absract] Objective Objective To explore the clinical characteristics, short-term outcomes and prognostic factors of children with congenital anorectal malformations (ARMs) at a single center.Methods From January 2015 to December 2019, retrospective analysis of clinical data was performed for 488 hospitalized ARM children.The relevant details included age, malformation type, comorbidities, surgical approaches, postoperative complications and prognoses.Results There were ... [MORE...]
[PDF:3081KB](163)
[Yuan Yue1,2, Guan Zhiye1,2, Sun Jun1,2, Jin Bin1,2, Li Yang1,2]
[Absract] Objective Objective To explore the selection of surgical approaches for Song type ¢ó lateral humeral condylar fractures in children.Methods From January 2017 to August 2020, clinical data were retrospectively reviewed for 40 children with lateral humeral condylar fractures.According to different operative approaches, group A underwent open reduction and percutaneous Kirschner wire internal fixation while group B closed reduction and percutaneous Kirschner wire fixation... [MORE...]
[PDF:4447KB](129)
[Du Zhen, Wei Siwei, Xiang Zhen, Wu Lei, Qu Shuangquan]
[Absract] Objective Objective To evaluate the effect of sugammadex on reducing the incidence of respiratory complications immediately after extubation in children undergoing adenotonsillectomy.Methods A total of 90 children with adenoidectomy and/or tonsillectomy were randomly divided into neostigmine + atropine group (N) and sugammadex group (S) (n=45 each).Neuromuscular functions were monitored after anesthesia induction.Rocuronium of 0.6 mg/kg was injected intravenous... [MORE...]
[PDF:3437KB](106)
[Huang Yiyong, Yang Ge, Liu Yaoxi, Tan Qian, Liu Kun, Zhu Guanghui, Tang Jin, Mei Haibo]
[Absract] Objective Objective To explore the possible pathogenesis of congenital pseudarthrosis of tibia (CPT) through compare the differential protein expression in serum-derived exosomes (SDEs) between CPT and normal children.Methods SDEs were extracted from venous plasma of 6 CPT children and 4 normal controls.Then differentially expressed proteins were examined by tandem mass tag (TMT)-based proteomics.And proteomic information was acquired through Kyoto Encyclopedia of Gen... [MORE...]
[PDF:4137KB](127)
[Shi Hao, Lyu Zhibao, Chen Zhou]
[Absract] Objective Objective To explore the efficacy and safety of doxycycline injection for macrocystic and mixed-cystic lymphatic malformations in children.Methods From September 2018 to December 2020, retrospective review of clinical data was performed for 13 children hospitalized with marcocystic and mixed-cystic lymphatic malformations receiving doxycycline injection.There were 6 boys and 7 girls with an average age of (3.9¡À3.6)(0.25-13) years.Preoperative ultrasound and ... [MORE...]
[PDF:2896KB](132)
[Guo Yufeng, Zhang Qinming, Zhang Jing, Chen Dixiang]
[Absract] Objective Objective To assess the efficacy of high-pressure balloon dilation of ureterovesical junction for primary obstructive megaureter in children.Methods A total of 19 children with primary obstructive megaureter underwent high-pressure balloon dilation under general anesthesia from January 2015 to December 2020.Results Significant postoperative improvement of hydroureteronephrosis were noted in 12 cases after single treatment, 5 children achieved cure aft... [MORE...]
[PDF:1081KB](136)
[Fang Cheng, Dong Chenbin, Li Jun, Liu Xiangqi, Zhang Shuai]
[Absract] Objective Objective To summarize the clinical characteristics and management strategies of craniofacial non-midline dermoid cyst.Methods From January 2016 to December 2019, 109 surgical children of craniofacial non-midline dermoid cysts were divided into two groups of bone change and bone non-change according to the degree of bone alteration.Analyses were performed for such factors as gender, onset age, surgical age, cyst location, cyst mobility and cyst size, etc.... [MORE...]
[PDF:2846KB](122)
[Ding Cailin, Chen Yajun]
[Absract] Objective Biliary atresia (BA) is a severe hepatobiliary disease in infancy.If not operated timely, infants die of severe end-stage liver disease before an age of two.At present, the etiology of BA has remained unknown and eventually over 50% of children require liver transplantation.Early diagnosis and accurate assessment of the degree of liver fibrosis are vital for selecting treatments, gauging improvements and prognostic evaluations.As one of the most advanced clinical ultrasound e... [MORE...]
[PDF:4008KB](114)
[Li Xiangjie, Peng Wei]
[Absract] Objective With a rapid technological development of mechanical circulatory support (MCS), extracorporeal membrane oxygenation (ECMO) has been applied for such emergencies as cardiogenic shock, hypoxemia, respiratory failure and cardiopulmonary resuscitation.In recent years, its application during perioperative period of pediatric congenital heart disease (CHD) has attracted widespread attention, along with some limitations and complications.This review summarized the application progre... [MORE...]
[PDF:4800KB](91)
[Hu Menglong, Qi Jirong]
[Absract] Objective Enhanced recovery after surgery (ERAS) has been popular during adult surgery.Recently people have shifted their attention to children.Children¡¯s special disease spectrum and tolerance to anesthesia and surgery are different from those of adults.Thus it has challenged the focus of ERAS approach.The incidence of adverse reactions such as pain, bloating, psychological or eating disorders remains high during perioperative period of surgery for pediatric pectus excavatum (PE).Thus... [MORE...]
[PDF:3141KB](111)
[Ding Zheyu, Wang Jinhu, Wang Qi, Li Yawen, Xiong Jieni, Cai Jiabin, He Min, Guan Zhonghai, Shu Qiang]
[Absract] Objective Objective The purpose of the study is to analyze the related factors of hypertension and myocardial hypertrophy secondary to solid tumors in children and explore the diagnosis and treatment strategies.Methods Three cases of hypertension and myocardial hypertrophy secondary to solid tumors were admitted to Children¡¯s Hospital Zhejiang University School of Medicine from 2015 to 2020.The treatment process and clinical data were studied retrospectively.The relat... [MORE...]
[PDF:3272KB](109)
[Xu Shuqin1,2,3, Gai Jingci2,4, Zhang Zhixuan2,4, Lei Fengping2,3, Wang Yan2,3, Qiang Yin2,3, Lyu Yi1,2, Yan Xiaopeng1,2]
[Absract] Objective Objective To explore the diagnosis and treatment of gastrointestinal injury caused by button battery ingestion in children through a literature analyis.Methods Through searching the databases of WanFang, VIP and CNKI, all Chinese reports of ingestion of button batteries as foreign bodies published from May 2009 to December 2019 were collected.The research contents included age, gender, region, clinical manifestations, complications, diagnoses and treatments.... [MORE...]
[PDF:786KB](137)
[Shi Lexiang1, Zhang Yinan1, Zhang Wanli2]
[PDF:1178KB](120)