{"id":22469,"date":"2003-07-04T00:00:00","date_gmt":"2003-07-04T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultado-de-la-timectomia-en-la-miastenia-gravis-correlaciones-con-variables-clinico-patologicas-de-interes-pronostico\/"},"modified":"2003-07-04T00:00:00","modified_gmt":"2003-07-04T00:00:00","slug":"resultado-de-la-timectomia-en-la-miastenia-gravis-correlaciones-con-variables-clinico-patologicas-de-interes-pronostico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultado-de-la-timectomia-en-la-miastenia-gravis-correlaciones-con-variables-clinico-patologicas-de-interes-pronostico\/","title":{"rendered":"Resultado de la timectomia en la miastenia gravis. correlaciones con variables clinico-patologicas de inter\u00e9s pron\u00f3stico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ester Mart\u00edn Garc\u00eda-almenta <\/strong><\/h2>\n<p>Introducci\u00f3n  las miastenia gravis es una enfermedad autoinmune caracterizad por la presencia de anticuerpos contra el receptor de acetilcolina en la uni\u00f3n neuromuscular. Actualmente a pesar de los avances conseguidos con la inmunoterapia, la timectom\u00eda est\u00e1 considerada un buen procedimiento terap\u00e9utico. Sin embargo diferentes variables cl\u00ednico-patol\u00f3gicas, la naturaleza fluctuante per se de los s\u00edntomas y las diferentes t\u00e9cnicas quir\u00fargicas empleadas hacen que los resultados que presentan distintas series no sean f\u00e1cilmente comparables.  objetivos  los objetivos de este trabajo han sido:  a,- analizar los resultados de remisi\u00f3n y paliaci\u00f3n obtenidos en nuestra poblaci\u00f3n en el tratamiento de los pacientes miast\u00e9nicos mediante timectom\u00eda transesternal.  b,- determinar qu\u00e9 influencia en el pron\u00f3stico a corto y largo plazo tras la realizaci\u00f3n de timectom\u00eda trasesternal presentan diferentes factores cl\u00ednicos y patol\u00f3gicos como: la edad del paciente, el g\u00e9nero, el tiempo de evoluci\u00f3n, la severidad de la enfermedad, la histolog\u00eda t\u00edmica, el tratamiento preoperatorio y los ac-antirach.  pacientes y m\u00e9todo  estudio observacional, retrospectivo y de cohortes de 52 pacientes diagnosticados de mg e intervenidos mediante timectom\u00eda transesternal en el periodo comprendido entre enero de 1974 hasta abril de 1998. Se ha analizado la respuesta a los 6 meses y a los 3 a\u00f1os, dividiendo a los pacientes en 4 grupos seg\u00fan una modificaci\u00f3n de la clasificaci\u00f3n de oosterhuis en: grupo i: remisi\u00f3n, grupo ii: cl\u00ednica leve o asintom\u00e1ticos: grupo iii cl\u00ednica moderada; grupo iv: progresi\u00f3n.  tras la selecci\u00f3n de las variables se ha realizado un an\u00e1lisis bivariante, bivariante ajustado y multivariante seg\u00fan los modelos log-lineales.  resultados  los resultados a corto plazo muestran buena respuesta (grupos i y ii) a la timectom\u00eda en el 76% de los pacientes y en el 82% a largo plazo (3 a\u00f1os). De los factores estudi<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Resultado de la timectomia en la miastenia gravis. correlaciones con variables clinico-patologicas de inter\u00e9s pron\u00f3stico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Resultado de la timectomia en la miastenia gravis. correlaciones con variables clinico-patologicas de inter\u00e9s pron\u00f3stico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ester Mart\u00edn Garc\u00eda-almenta <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 07\/04\/2003<\/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 Balibrea  Cantero<\/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> G\u00f3mez mart\u00ednez Ana Mar\u00eda (vocal)<\/li>\n<li> Ponseti bosch Jos\u00e9 Mar\u00eda (vocal)<\/li>\n<li>gonzalo Varela simo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ester Mart\u00edn Garc\u00eda-almenta Introducci\u00f3n las miastenia gravis es una enfermedad autoinmune caracterizad por la presencia de anticuerpos [&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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