{"id":33656,"date":"1998-01-01T00:00:00","date_gmt":"1998-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/factores-pronosticos-en-el-resultado-funcional-del-tratamiento-quirurgico-de-la-enfermedad-de-graves-basedow\/"},"modified":"1998-01-01T00:00:00","modified_gmt":"1998-01-01T00:00:00","slug":"factores-pronosticos-en-el-resultado-funcional-del-tratamiento-quirurgico-de-la-enfermedad-de-graves-basedow","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/factores-pronosticos-en-el-resultado-funcional-del-tratamiento-quirurgico-de-la-enfermedad-de-graves-basedow\/","title":{"rendered":"Factores pronosticos en el resultado funcional del tratamiento quirurgico de la enfermedad de graves-basedow."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marta Amat Soley <\/strong><\/h2>\n<p>El objetivo de la tiroidectom\u00eda subtotal bilateral en el tratamiento de la enfermedad de graves-basedow (e gb) es lograr que el paciente quede eutiroideo con una m\u00ednima incidencia de recurrencia de la enfermedad (hipertiroidismo). Este estudio se ha realizado con el prop\u00f3sito de determinar las causas de disfunci\u00f3n tiroidea despu\u00e9s de la cirug\u00eda practicada para el tratamiento de la e gb.  la influencia en la funci\u00f3n tiroidea postoperatoria de la edad, sexo, oftalmopat\u00eda, tiempo de evoluci\u00f3n de la enfermedad, duraci\u00f3n del tratamiento previo a la cirug\u00eda, t\u00edtulo de anticuerpos antitiroideos, peso de la gl\u00e1ndula tiroides y peso del remanente tiroideo es estudiada en 107 pacientes afectos de e gb tratados con una tiroidectom\u00eda subtotal bilateral con un seguimiento postoperatorio de 2 a\u00f1os. La t\u00e9cnica quir\u00fargica ha sido estrictamente estandarizada caracterizada por la preservaci\u00f3n de las arterias tiroideas inferiores y la determinaci\u00f3n del peso del remanente. Tambi\u00e9n se ha analizado el tiempo de aparici\u00f3n del hipotiroidismo postoperatorio y las complicaciones de la cirug\u00eda practicada. El \u00fanico factor relacionado con la funci\u00f3n tiroidea postoperatoria ha sido el peso del remanente.  cuando el peso del remanente es de 7 a 10 gramos se reduce de forma importante la incidencia de hipotiroidismo (17%) alcanz\u00e1ndose el mayor \u00edndice de eutiroidismo (79%) a los dos a\u00f1os de la cirug\u00eda. El 96% de los hipotiroidismos se manifiestan en el primer a\u00f1o postoperatorio la incidencia de complicaciones con la t\u00e9cnica quir\u00fargica empleada es baja.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Factores pronosticos en el resultado funcional del tratamiento quirurgico de la enfermedad de graves-basedow.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Factores pronosticos en el resultado funcional del tratamiento quirurgico de la enfermedad de graves-basedow. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marta Amat Soley <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1998<\/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 Rafecas Renau<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan S\u00e1nchez-lloret Tortosa <\/li>\n<li>Antonio Alastrue Vidal (vocal)<\/li>\n<li>Roger Pla Farnos (vocal)<\/li>\n<li>Carlos Villabona Artero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marta Amat Soley El objetivo de la tiroidectom\u00eda subtotal bilateral en el tratamiento de la enfermedad de [&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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