{"id":39285,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/nefropatia-por-reflujo-en-la-edad-pediatrica\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"nefropatia-por-reflujo-en-la-edad-pediatrica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/nefropatia-por-reflujo-en-la-edad-pediatrica\/","title":{"rendered":"Nefropatia por reflujo en la edad pediatrica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Del Mar Espino Hernandez <\/strong><\/h2>\n<p>La tesis doctoral \u00abnefropat\u00eda por reflujo en la edad pedi\u00e1trica\u00bb es un trabajo de investigaci\u00f3n cl\u00ednica. El dise\u00f1o es transversal con un estudio caso control (retrospectivo) y un estudio de cohorte (prospectivo). Incluye 100 pacientes afectos de reflujo vesicoureterla y\/o inestabilidad vesical, con un tiempo medio de seguimiento de 27 meses (rango 1-5 a\u00f1os). La nefropat\u00eda por reflujo se diagnostic\u00f3 mediante gammagraf\u00eda renal con dmsa-tc99m. Se analiza la preValencia de la enfermedad en la consulta de un hospital terciario. Se recogen los datos antropom\u00e9tricos. El estudio retrospectivo analiza los factores de riesgo de desarrollar nefropat\u00eda por reflujo, utilizando como control los pacientes sin cicatrices renales en la gammagraf\u00eda renal. El estudio prospectivo valora el riesgo de detenci\u00f3n del crecimiento renal, medido por ecograf\u00eda, que implica el diagn\u00f3stico de cicatriz renal en la gammagraf\u00eda, en la urograf\u00eda intravenosa y en la ecograf\u00eda. Se analiza la repercusi\u00f3n de la nefropat\u00eda por reflujo sobre el filtrado glomerular, la funci\u00f3n tubular, la proteinuria y la tensi\u00f3n arterial, determinando la relaci\u00f3n de estos par\u00e1metros con el crecimiento renal. Los resultados permiten concluir que: la preValencia de la nefropat\u00eda por reflujo en la consulta de un hospital terciario es del 57%, no se puede considerar que el reflujo vesicouereteral y\/o la inestabilidad vesical sean causa de retraso pondoestatural; el principal factor de riesgo para desarrollar la enfermedad es el reflujo vesicoureteral; el diagn\u00f3stico gammagr\u00e1fico de nefropat\u00eda por reflujo indica un riesgo elevado de detenci\u00f3n del crecimiento renal; la repercusi\u00f3n de la enfermedad sobre el filtrado glomerular y la tensi\u00f3n arterial, a corto plazo, es excepcional; la alteraci\u00f3n del manejo tubular de sodio, del potasio y\/o del agua se asocian con crecimiento renal enlentecido; las fracciones de excreci\u00f3n de sodio y potasio elevadas se correl<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Nefropatia por reflujo en la edad pediatrica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Nefropatia por reflujo en la edad pediatrica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Del Mar Espino Hernandez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Pedro Aljama Garcia<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro S\u00e1nchez guijo <\/li>\n<li> Martin-niclos govantes Juan  Jos\u00e9 (vocal)<\/li>\n<li>angel Nogales espets (vocal)<\/li>\n<li>Antonio Cano s\u00e1nchez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Del Mar Espino Hernandez La tesis doctoral \u00abnefropat\u00eda por reflujo en la edad pedi\u00e1trica\u00bb es un [&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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