{"id":115270,"date":"2018-03-11T10:43:42","date_gmt":"2018-03-11T10:43:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-del-tratamiento-endoscopico-del-reflujo-vesico-ureteral-en-pacientes-con-lesion-medular\/"},"modified":"2018-03-11T10:43:42","modified_gmt":"2018-03-11T10:43:42","slug":"factores-pronosticos-del-tratamiento-endoscopico-del-reflujo-vesico-ureteral-en-pacientes-con-lesion-medular","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia\/factores-pronosticos-del-tratamiento-endoscopico-del-reflujo-vesico-ureteral-en-pacientes-con-lesion-medular\/","title":{"rendered":"Factores pron\u00f3sticos del tratamiento endosc\u00f3pico del reflujo vesico-ureteral en pacientes con lesi\u00f3n medular"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eduardo Bolufer Moragues <\/strong><\/h2>\n<p>Introducci\u00f3nel reflujo vesicoureteral (rvu) constituye una complicaci\u00f3n importante en pacientes con lesi\u00f3n medular por su frecuencia y morbilidad. Una de las opciones terap\u00e9uticas m\u00e1s extendidas es la inyecci\u00f3n endosc\u00f3pica de sustancias obliterantes en el meato ureteral.Objetivoanalizar los factores pron\u00f3sticos del tratamiento del rvu mediante sustancias obliterantes en pacientes con lesi\u00f3n medular.Material y m\u00e9todosse realiz\u00f3 un estudio prospectivo en una cohorte de 76 pacientes (edad 48,9 m\u00e1s-menos 14,4 a\u00f1os), de ambos sexos, con lesi\u00f3n medular sometidos a tratamiento endosc\u00f3pico del rvu, durante los a\u00f1os 2008 a 2011. A todos los pacientes se les realiz\u00f3 una historia cl\u00ednica y un estudio videourodin\u00e1mico preoperatorio y a los 7,32 meses (desviaci\u00f3n t\u00edpica: 6,28 meses) de la intervenci\u00f3n. El tratamiento consisti\u00f3 en la inyecci\u00f3n endosc\u00f3pica de copol\u00edmero de \u00e1cido hialur\u00f3nico (62 casos) y polidimetilsiloxano. Las pruebas estad\u00edsticas aplicadas fueron el test exacto de fisher y la prueba de comparaci\u00f3n de medias de la t de student. El nivel de significaci\u00f3n se fij\u00f3 en el 95 por ciento bilateral.Resultadosla resoluci\u00f3n del rvu se consigui\u00f3 en 46 casos (61 por ciento). Los factores pron\u00f3sticos estad\u00edsticamente significativos fueron la edad (menor edad en los pacientes curados), la bilateralidad y el grado del reflujo (mayor grado y bilateralidad los casos de persistencia del reflujo) y la presencia de hiperactividad neur\u00f3gena del detrusor (mayor porcentaje en el caso de persistencia del reflujo), la incontinencia urinaria de esfuerzo (mayor porcentaje en pacientes curados), la potencia contr\u00e1ctil (menor en pacientes curados) y la resistencia uretral (mayor en pacientes curados).Conclusionesentre los factores pron\u00f3sticos que influyen en el resultado del tratamiento endosc\u00f3pico del rvu en pacientes con disfunci\u00f3n neur\u00f3gena del tracto urinario inferior (dntui) se encuentran tanto factores anat\u00f3micos como funcionales.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pron\u00f3sticos del tratamiento endosc\u00f3pico del reflujo vesico-ureteral en pacientes con lesi\u00f3n medular<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pron\u00f3sticos del tratamiento endosc\u00f3pico del reflujo vesico-ureteral en pacientes con lesi\u00f3n medular <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eduardo Bolufer Moragues <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/02\/2014<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jes\u00fas Salinas Casado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio  jose Torres Garc\u00eda <\/li>\n<li>Fernando Teba del pino (vocal)<\/li>\n<li>Antonio Gomez rodriguez (vocal)<\/li>\n<li>carmen Gonz\u00e1lez enguita (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eduardo Bolufer Moragues Introducci\u00f3nel reflujo vesicoureteral (rvu) constituye una complicaci\u00f3n importante en pacientes con lesi\u00f3n medular por [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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