{"id":14031,"date":"2018-03-09T09:00:33","date_gmt":"2018-03-09T09:00:33","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-diagnostica-de-la-gammagrafa%c2%ada-secuencial-con-mibi-en-el-estudio-del-hiperparatiroidismo\/"},"modified":"2018-03-09T09:00:33","modified_gmt":"2018-03-09T09:00:33","slug":"utilidad-diagnostica-de-la-gammagrafa%c2%ada-secuencial-con-mibi-en-el-estudio-del-hiperparatiroidismo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-diagnostica-de-la-gammagrafa%c2%ada-secuencial-con-mibi-en-el-estudio-del-hiperparatiroidismo\/","title":{"rendered":"Utilidad diagn\u00f3stica de la gammagraf\u00edasecuencial con mibi en el estudio del hiperparatiroidismo"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Lape\u00f1a Gutierrez <\/strong><\/h2>\n<p>La utilizaci\u00f3n de la exploraci\u00f3n de paratiroides con 99mtc-sestamibi se ha ido incrementando hasta llegar a convertirse hoy d\u00eda en la t\u00e9cnica de elecci\u00f3n para la localizaci\u00f3n preoperatoria del hiperparatiroidismo primario. El objetivo de este trabajo es establecer, a la vista de la evidencia cient\u00edfica disponible y siguiendo criterios de la medicina basada en la evidencia mbe, la contribuci\u00f3n relativa de la gammagraf\u00eda de paratiroides secuencial con 99mtc-mibi en el manejo de pacientes con sospecha de hiperparatioridismo y todo ello compararlo con nuestra experiencia y resultados con esta t\u00e9cnica y en dicha enfermedad.  para ello se fijaron tres objetivos:  1,- an\u00e1lisis de la experiencia y resultados en nuestros pacientes np: se ha realizado una revisi\u00f3n en 126 pacientes con diagn\u00f3stico de sospecha de hperparatiroidismo primarioa los que se realiz\u00f3 estudio de paratiroides secuencial con 99mtc-mibi en nuestro hospital en los \u00faltimo 5 a\u00f1os (1996-2000).  2,- an\u00e1lisis de una revisi\u00f3n sistem\u00e1tica (rs) de la literatura cient\u00edfica de los \u00faltimos cinco a\u00f1os conforme a una metodolog\u00eda expl\u00edcita siguiendo criterios de la mbe.  3,- an\u00e1lisis estad\u00edstico comparativo de los resultados en nuestros pacientes np y los de la revisi\u00f3n sistem\u00e1tica (rs).  una vez realizados los an\u00e1lisis de todos y cada uno de los tres apartados  se han obtenido las siguientes conclusiones:  1,- la gammagraf\u00eda secuencial con 99mtc-mibi est\u00e1 indicada para la localizaci\u00f3n de las gl\u00e1ndulas paratiroideas en pacientes con hiperparatiroidismo primario persistente, en pacientes con hiperparatiroidismo primario recurrente, en pacientes con sospecha de adenoma ect\u00f3pico o mediast\u00ednico, en pacientes con cirug\u00eda previa en el cuello.  2,- la gammagraf\u00eda secuencial con 99mtc-sestamibi es el m\u00e9todo de imagen m\u00e1s sensible, espec\u00edfico y exacto con el diagn\u00f3stico de adenoma de paratiroides.  3,- la gammagraf\u00eda secuencial con 99mtc-mibi supera a<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad diagn\u00f3stica de la gammagraf\u00edasecuencial con mibi en el estudio del hiperparatiroidismo<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad diagn\u00f3stica de la gammagraf\u00edasecuencial con mibi en el estudio del hiperparatiroidismo <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Lape\u00f1a Gutierrez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 26\/11\/2001<\/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>Jos\u00e9 Luis Carreras Delgado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jes\u00fas \u00e1lvarez fern\u00e1ndez-represa <\/li>\n<li>Mar\u00eda  teresa Delgado macias (vocal)<\/li>\n<li>Antonio Mateo navarro (vocal)<\/li>\n<li>Jos\u00e9 ramon Garcia talavera fernandez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Lape\u00f1a Gutierrez La utilizaci\u00f3n de la exploraci\u00f3n de paratiroides con 99mtc-sestamibi se ha ido incrementando hasta [&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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