Home>>2022 09 issue list
[801£­804] Emphasis on early intervention of fetal structural defects and developing of maternal-fetal medicine
[Wang Jun, Shi Chenren]
DOI:10.3760/cma.j.cn101785-202208026-001
[Absract] Objective Fetal structural defects are the leading cause of death and congenital disability in infants and toddlers children.With the deeper understanding of fetal structural defects and recent advances in various of prenatal diagnostics methods, some fetal structural defects may be diagnosed prenatallybefore birth.With the rapid development of "maternal-fetal medicine", some fetal structural defects are managed early through fetal surgery for achieving better infants¡¯ prognosis and qu... [MORE...]
[PDF:3272KB](65)
[805£­810] Interpretations of Pediatric Surgical Expert Consensus on Prenatal Consulting of Common Fetal Structural Malformations
[Neonatal Surgery Group, Pediatric Surgery Society, Chinese Medical Association]
DOI:10.3760/cma.j.cn101785-202205077-002
[PDF:5292KB](165)
[811£­814] Understandings of medical interventions for fetal malformations
[Shen Chun, Zheng Shan]
DOI:10.3760/cma.j.cn101785-202205017-003
[Absract] Objective As an newly emerging field, fetal surgery includes correctly diagnosing the structural malformations; objectively evaluating the severity and prognosis of disease and providing scientific and reasonable prenatal counseling and assisting pregnant women and their families in make rational decisions.In different regions in China, the understandings of prenatal management of fetuses with structural malformations show great differences.And there are also a lack of guidelines and h... [MORE...]
[PDF:2903KB](76)
[815£­819] Effect of prenatal examination and surgical strategy for shunt outcome in neonatal hydrocephalus
[Zhang Yi1, Shen Chun2, Xue Ping1, Zhao Rui1, Shi Wei1, Li Hao1]
DOI:10.3760/cma.j.cn101785-202204092-004
[Absract] Objective Objective To explore the relationship of prenatal examinations, surgical strategies and the occurrences of shunt dysfunction in children with neonatal hydrocephalus undergoing ventriculoperitoneal shunt (VPS) and identify the related risk factors.Methods From January 2013 to August 2020, 53 children undergoing VPS due to neonatal hydrocephalus were recruited.They were divided into two groups according to the occurrence of shunt dysfunction.General profiles o... [MORE...]
[PDF:3449KB](72)
[820£­826] Clinical characteristics of gastrointestinal malformations during neonatal period and discussion on early diagnostic methods
[Li Hongxing, Tang Weibing]
DOI:10.3760/cma.j.cn101785-202205033-005
[Absract] Objective Objective To explore effective early detection methods, promote the early diagnosis and intervention of gastrointestinal malformations and improve the prognosis through examining the major clinical features of gastrointestinal malformations during neonatal period.Methods From January 2019 to December 2021, complete clinical data were retrospectively reviewed for 507 neonates with surgically confirmed gastrointestinal malformations. Gender, age at admission, ... [MORE...]
[PDF:4601KB](121)
[827£­832] Prenatal identification of hernia sac in congenital diaphragmatic hernia and its effect on prognosis
[Hou Longlong, Lin Tulian, He Qiuming, Lyu Junjian, Zhong Wei, Huang Li, Liu Hongsheng]
DOI:10.3760/cma.j.cn101785-202206003-006
[Absract] Objective Objective To evaluate the accuracy identification of hernia sac in congenital diaphragmatic hernia (CDH) by fetal magnetic resonance and examine the prognostic effect of hernia sac on CDH.Methods From January 1, 2013 to December 31, 2020, 62 CDH neonates receiving fetal magnetic resonance (MR) and undergoing surgical intervention were selected as subjects.According to the presence or absence of hernia sac, they were divided into two groups of hernia sac (... [MORE...]
[PDF:3998KB](83)
[833£­837] Comparison of intrapartum versus non-intrapartum operations for congenital abdominal wall defects
[Wang Dajia1, Zhang Zhibo1, Bai Yuzuo2, Liu Caixia3]
DOI:10.3760/cma.j.cn101785-202206003-007
[Absract] Objective Objective To compare the safety and efficacy of intrapartum operation with those of non-intrapartum operation in neonates with congenital abdominal wall defects.Methods From January 2009 to December 2021, clinical data were retrospectively for 70 neonates with congenital abdominal wall defects.There were gastroschisis (n=12) and omphalocele (n=58).Intrapartum (n=34) and non-intrapartum (n=36) operations were performed.Staging oper... [MORE...]
[PDF:3232KB](54)
[838£­843] Prognostic values of different parameters acquired from fetal magnetic resonance imaging in congenital diaphragmatic hernia
[Gao Qiong1, Huang Qiang2, Mao Cuiping3, Gao Ya2, Wang Yudu4, Li Peng2]
DOI:10.3760/cma.j.cn101785-202206003-008
[Absract] Objective Objective To perform retrospective analysis of fetal magnetic resonance imaging (MRI) to examine the prognostic values of measurement and evaluation parameters for predicting the neonatal survival of congenital diaphragmatic hernia (CDH).Methods From 2011 to 2020, MRI findings were reviewed for 50 fetuses prenatally diagnosed as CDH.Involved side was left (n=37) and right (n=13).Observed-to-expected (O/E) values of total lung volume (TLV), lung... [MORE...]
[PDF:4415KB](88)
[844£­849] Prenatal diagnosis and multidisciplinary treatment of neonatal sacrococcygeal teratoma
[Tian Song, Zhu Xiaocun, Xiao Shangjie, Li Yan, Yuan Like, Ge Wuping]
DOI:10.3760/cma.j.cn101785-202206003-009
[Absract] Objective Objective To explore the prenatal diagnosis and multidisciplinary treatment (MDT) of neonatal sacrococcygeal teratoma (SCT).Methods From April 2015 to January 2021, clinical data were retrospectively reviewed for 35 children of neonatal SCT.The MDT team consisted of neonatal surgeons, prenatal physicians, ultrasonic specialists, obstetricians, neonatologists and pathologists.According to the tumor diameter, 34 children were divided into giant teratoma group ... [MORE...]
[PDF:4053KB](108)
[850£­854] Application of targeted next-generation sequencing for syndromic congenital heart defects with novel mutations in CHARGE syndrome
[Wu Xun1, Song Jie2, Tang Mi1]
DOI:10.3760/cma.j.cn101785-202206003-010
[Absract] Objective Objective To analyze the clinical and genetic characteristics of three children with CHARGE syndrome (PMID:10590394) caused by CHD7 (OMIM# 214800) gene mutation, and to explore the application of targeted sequencing in the study of CHARGE syndrome.Methods Genetic diagnostics were performed using a targeted next-generation sequencing panel of 445 candidate genes.New mutations were confirmed by Sanger sequencing.Three CHARGE syndrome patients were further exam... [MORE...]
[PDF:3390KB](45)
[855£­858] Influencing factors for perioperative hypothermia in children undergoing scoliosis correction surgery
[Zhou Xiaosong, Hu Jing, Li Duoyi, Zhang Jianmin, Ren Yi, Wang Fang, Li Lijing, Liu Guoliang]
DOI:10.3760/cma.j.cn101785-202110002-011
[Absract] Objective Objective To explore the risk factors in children undergoing scoliosis correction surgery.Methods From January 2019 to January 2020, clinical data were reviewed for 200 children with scoliosis.According to whether hypothermia occurred intraoperatively, they were divided into two groups of hypothermia (n=147) and normal body temperature (n=53).Clinical characteristics of two groups were compared and the potential risk factors of hypothermia exam... [MORE...]
[PDF:2558KB](66)
[859£­865] Diagnostic value of combining pediatric appendicitis score with high-frequency ultrasound for appendicitis typing in children aged above 5 years
[Guo Hongxi, Yang Jun, Bian Hongqiang, Yang Hu, Guo Qin, Sun Beibei]
DOI:10.3760/cma.j.cn101785-202107022-012
[Absract] Objective Objective To explore the diagnostic value of combining pediatric appendicitis score (PAS) with high-frequency ultrasound for appendicitis types in children over 5 years of age.Methods Retrospective analysis was performed for 394 hospitalized appendicitis children fulfilling the inclusion criteria from January 2018 to December 2020.There were 270 boys and 124 girls with a mean age of (8.94¡À2.28) years.Depending on intraoperative finding and the final histolog... [MORE...]
[PDF:4487KB](81)
[866£­870] Flexible ureteroscopic lithotripsy for upper urinary tract calculi in children
[Liu Li, Li Chuangye, Zhao Yaowang, Tu Lei, Tong Fangyun, He Tianqu]
DOI:10.3760/cma.j.cn101785-202205066-013
[Absract] Objective Objective To evaluate the efficacy and safety of flexible ureteroscopy for upper urinary tract calculi in children.Methods Between March 2015 to March 2021, clinical data were retrospectively reviewed for 215 children with upper urinary tract calculi undergoing flexible ureteroscopy. With a total of 239 involved sides, there were 141 boys and 74 girls with a mean age of 4.6(1.2-14.4) years. There were renal calculi (n=179;bilateral n=19) and up... [MORE...]
[PDF:3531KB](65)
[871£­875] Clinical application of self-inflicted ligation line during transumbilical laparoscopic single-hole appendectomy in children
[Hu Tao, Huang Guangbin, Gao Heyun, Guo Yunkai, Xu Deqiang, Liu Yifan, Li Gen, Du Guowei, Zhang Wen]
DOI:10.3760/cma.j.cn101785-202201023-014
[Absract] Objective Objective To assess the efficacy and safety of self-inflicted ligation line for transumbilical single-hole laparoscopic appendectomy in children.Methods From May 2019 to September 2021, a total of 64 cases of children with appendicitis treated with single-hole laparoscopic surgery were retrospectively analyzed, divided into observation group and control group.The observation group was homemade SMC knot or Nicky¡¯s ligature cord ligation of the root of the app... [MORE...]
[PDF:4319KB](109)
[876£­880] Analysis of psychological status, efficacy, safety and prognostic factors of modified Brent surgery in children with microtia
[Kuang Yuting, Zhao Sijun, Huang Min, Luo Xinyou, Xie Jiang]
DOI:10.3760/cma.j.cn101785-202207026-015
[Absract] Objective Objective To investigate the efficacy and complications of modified Brent surgery in the treatment of microtia, and to analyze the influencing factors of poor prognosis.Methods A total of 52 children with microtia admitted to Hunan Children¡¯s Hospital from January 2020 to March 2021 were selected as the research objects and divided into Brent surgery group and modified Brent surgery group according to the random number table method, with 26 cases in each gro... [MORE...]
[PDF:3190KB](61)
[881£­885] Clinical treatment strategies of vesicoureteral reflux secondary to neurogenic bladder in children
[Xu Zheming, Tang Daxing]
DOI:10.3760/cma.j.cn101785-202111029-016
[Absract] Objective Neurogenic bladder (NB) is a dysfunction of bladder and urethra caused by abnormal central or/and peripheral nervous system of regulating urinary function. Vesicoureteral reflux (VUR) is one of the most common complications of NB. Since the underlying etiology of VUR secondary to NB is rather complicated and many pathogenic factors affects each other with the progress of the disease, a proper treatment of the disease has always been a clinical dilemma. This review summarized ... [MORE...]
[PDF:4252KB](84)
[886£­889] Research advances of lumbar spondylolisthesis with scoliosis in children
[Zhu Weiwei1, Ye Wensong1, Zhang Baihui2, Xu Lujie1, Li Li1, Xu Jingfang1, Li Haibing1]
DOI:10.3760/cma.j.cn101785-202006051-017
[Absract] Objective Lumbar spondylolisthesis with scoliosis is defined as children with lumbar spondylolisthesis plus scoliosis with a Cobb angle of >10¡ã. It is rarer in children than adults and pediatric lumbar spondylolisthesis with scoliosis is rather uncommon. A proper selection of its diagnosis, classifications and treatments remains challenging for pediatric spinal surgeons. This review of the relevant literatures summarized the experiences of epidemic, diagnosis, classification and tre... [MORE...]
[PDF:3254KB](80)
[890£­894] Robot-assisted laparoscopy for retroperitoneal schwannoma in children: one case report with a literature review
[Wang Yaping, Zhou Lijun, Chen Fang, Xie Hua]
DOI:10.3760/cma.j.cn101785-202204070-018
[Absract] Objective Objective To explore the efficacy and safety of robotic-assisted laparoscopy for children with retroperitoneal schwannoma.Methods A hospitalized 15-year-old girl with retroperitoneal schwannoma in October 2020 was selected and the relevant clinical data were retrospectively reviewed.Results Intermittent low back pain was a major symptom.Imaging examination revealed a right retroperitoneal mass with a distinct boundary and no obvious tumor infiltration... [MORE...]
[PDF:3924KB](67)
[895£­897] Compound surgery of interventional embolism plus craniotomy for giant atypical parafalcine teratoid/rhabdoid tumor in children: one case report
[Wu Shuihua, Chen Zhaohui, Zhang Jinwei, Zou Xin]
DOI:10.3760/cma.j.cn101785-202203049-019
[PDF:2639KB](50)
[898£­900] A case report of pediatric inverted papilloma of the bladder with bladder stone
[Liu Lili, Wang Xiaojia, Chen Ziying, Xu Haihua, Liu Xiaobo, Xu Guodong]
DOI:10.3760/cma.j.cn101785-202102021-020
[PDF:2237KB](63)