{"id":143947,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-de-la-litiasis-biliar-mediante-ondas-de-choque-extracorporeas-estudio-comparativo-en-funcion-de-las-caracteristicas-radiologicas-de-los-calculos\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"tratamiento-de-la-litiasis-biliar-mediante-ondas-de-choque-extracorporeas-estudio-comparativo-en-funcion-de-las-caracteristicas-radiologicas-de-los-calculos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-de-la-litiasis-biliar-mediante-ondas-de-choque-extracorporeas-estudio-comparativo-en-funcion-de-las-caracteristicas-radiologicas-de-los-calculos\/","title":{"rendered":"Tratamiento de la litiasis biliar mediante ondas de choque extracorporeas. estudio comparativo en funcion de las caracteristicas radiologicas de los calculos."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Gomez Rosado Juan  Carlos <\/strong><\/h2>\n<p>Objetivo: ante el exito augurado por algunos grupos en el tratamiento de calculos biliares mediante litotricia extracorporea, y la exclusion por la mayoria de los otros de los calculos con calcificacion, planteamos estudio comparativo segun distribucion y cantidad de calcio detectado en radiolog\u00eda. Mat. Y metodo: comparamos 4 grupos; i: radiotransparentes (n=59), ii: calcificacion en moteado (n=8), iii: calcificacion periferica (n=12), iv: calcificacion mayor del 50% (n=12). Los criterios de inclusion son: colelitiasis sintomatica, vesicula contrastada en colecistografia oral, contraccion postboyden 30%; ocupacion vesicular &lt;30%, calculos &lt; 3 cm, no complicacion aguda, vias biliares permeables. Los pacientes son tratados con piezolith, 2300 y disolucion oral con acidos biliares. Se consideran resueltos con fragmentos menores de 4 mm.  utilizamos test de chi2 con la correccion de yates, t de student, analisis de la varianza y coeficiente de correlacion de pearson.  resultados: la tasa de resolucion en los distintos grupos muestra diferencias estadisticamente significativas (p=0,027). El indice de correlacion entre la cantidad de calcio y la resolucion es r= -0,2509 estadisticamente significativo (p=0.019).  la comparacion de los antecedentes, tama\u00f1o, numero de calculos, ondas de choque\/mm necesarias para la resolucion, complicaciones y tiempo de aclaramiento no muestra diferencias estadisticamente significativas.  conclusiones: los calculos radiotrasnparentes se resuelven en el 89,83% de los casos. Existen correlacion inversa entre el grado de calcificacion detectable en rx y la tasa de resolucion: a mayor grado de calcificacion menor resolucion esperable. Los calculos con calcificacion mayor del 50% (grupo iv) no han de ser tratados con litotricia. No cabe esperar que, en los calculos con opacidades radiologicas (grupos ii, iii y iv) que se resuelvan, el numero de ondas de choque\/mm, tiempo de aclaramiento y complicac<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento de la litiasis biliar mediante ondas de choque extracorporeas. estudio comparativo en funcion de las caracteristicas radiologicas de los calculos.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento de la litiasis biliar mediante ondas de choque extracorporeas. estudio comparativo en funcion de las caracteristicas radiologicas de los calculos. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Gomez Rosado Juan  Carlos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1993<\/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>Antonio Herrerias Gutierrez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Mar\u00eda Garcia Gil <\/li>\n<li>Jos\u00e9 Mar\u00eda Ortega Bevia (vocal)<\/li>\n<li>Jos\u00e9 Cantillana Martinez (vocal)<\/li>\n<li>Salvador Sanchez-gey Venegas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Gomez Rosado Juan Carlos Objetivo: ante el exito augurado por algunos grupos en el tratamiento de calculos [&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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