{"id":129943,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efectos-de-las-ondas-de-choque-sobre-los-calculos-urinarios-enzimas-y-electrocardiograma\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"efectos-de-las-ondas-de-choque-sobre-los-calculos-urinarios-enzimas-y-electrocardiograma","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efectos-de-las-ondas-de-choque-sobre-los-calculos-urinarios-enzimas-y-electrocardiograma\/","title":{"rendered":"Efectos de las ondas de choque sobre los calculos urinarios, enzimas y electrocardiograma."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Espinosa Olmedo Francisco Javier <\/strong><\/h2>\n<p>La litotricia extracorporea por ondas de choque ha supuesto un importante avance en el tratamiento de los calculos urinarios, aunque no esta exenta de efectos adversos sobre el ri\u00f1on y otros organos adyacentes. En 500 casos tratados evaluamos los efectos de las ondas de choque sobre los calculos en funcion de su localizacion, tama\u00f1o y composicion quimica, y sobre los tejidos, a traves de las variaciones enzimaticas sericas y urinarias, y de los cambios electrocardiograficos que inducen.  entre los calculos caliciales, han sido los del caliz inferior los que han precisado mayor numero de sesiones y ondas para su fragmentacion, con una mayor proporcion de fragmentos residuales no expulsables. Entre los calculos ureterales solo se ha encontrado diferencias significativas en la proporcion de fragmentos residuales expulsables, que ha sido menor en los del segmento iliaco. Los calculos caliciales y pielicos han mostrado similar proporcion de eliminacion completa; significativamente mayor que los ureterales. Los calculos molde han precisado el mayor numero de sesiones y ondas, con una menor proporcion de eliminacion completa y mayor de fragmentos no expulsables. Los calculos de diametro superior a 30 mm han mostrado peores proporciones de fragmentacion y eliminacion. La \u00absuperficie litiasica\u00bb ha sido el parametro que mejor ha representado la carga litiasica. Los calculos de oxalato calcico dihidrato se han mostrado mas fragiles que los de otros compuestos calcicos, correspondiendo la menor fragmentacion y eliminacion a los de fosfato amonico magnesico.  solo se han observado variaciones significativas y transitorias en los niveles de amilasa, bilirrubina, gpt y ggt, aunque dentro del rango de normalidad y favorecidas por un factor dilucional. Las variaciones de enzimas urinarios han dependido mas de la presencia del calculo que del efecto de las ondas de choque. No se ha observado interaccion con la excitabilidad cardiaca.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efectos de las ondas de choque sobre los calculos urinarios, enzimas y electrocardiograma.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efectos de las ondas de choque sobre los calculos urinarios, enzimas y electrocardiograma. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Espinosa Olmedo Francisco Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/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>Fernando Garcia Matilla<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas Loscertales Abril <\/li>\n<li>Jes\u00fas Casti\u00f1eiras Fern\u00e1ndez (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Ortega Bevia (vocal)<\/li>\n<li>Antonio Leal Lopez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Espinosa Olmedo Francisco Javier La litotricia extracorporea por ondas de choque ha supuesto un importante avance en [&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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