{"id":55311,"date":"2006-02-11T00:00:00","date_gmt":"2006-02-11T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-de-la-hidronefrosis-congenita-factores-pronosticos-del-estudio-ecografico-prenatal\/"},"modified":"2006-02-11T00:00:00","modified_gmt":"2006-02-11T00:00:00","slug":"historia-natural-de-la-hidronefrosis-congenita-factores-pronosticos-del-estudio-ecografico-prenatal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/historia-natural-de-la-hidronefrosis-congenita-factores-pronosticos-del-estudio-ecografico-prenatal\/","title":{"rendered":"Historia natural de la hidronefrosis cong\u00e9nita: factores pron\u00f3sticos del estudio ecogr\u00e1fico prenatal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Bego\u00f1a Adiego Burgos <\/strong><\/h2>\n<p>Resumen: la dilataci\u00f3n del tracto urinario fetal es un hallazgo en el estudio prenatal rutinario con una preValencia estimada de 2-5%. Aunque las posibles causas subyacentes incluyen anomal\u00edas anat\u00f3micas, obstrucci\u00f3n o reflujo, en la mayor\u00eda de los casos la existencia de una dilataci\u00f3n no se asocia a estas patolog\u00edas y solo representa un agrandamiento \u00abfisiol\u00f3gico\u00bb del sistema colector. La detecci\u00f3n y seguimiento postnatal de las hidronefrosis prenatales persistentes permite la prevenci\u00f3n del da\u00f1o renal progresivo. En la actualidad no existe consenso en los criterios para diferenciar las dilataciones patol\u00f3gicas de las fisiol\u00f3gicas.  el prop\u00f3sito del presente trabajo es definir la preValencia y gravedad de la hidronefrosis cong\u00e9nita diagnosticada en nuestro medio, estudiar su historia natural y su pron\u00f3stico, definir las variables del estudio ecogr\u00e1fico prenatal capaces de predecir la presencia de patolog\u00eda postnatal significativamente considerando como tal la presencia de reflujo vesicoureteral, obstrucci\u00f3n o necesidad de cirug\u00eda, y valorar su asociaci\u00f3n con anomal\u00edas cromos\u00f3micas y otras alteraciones estructurales fetales.  se realiz\u00f3 un estudio prospectivo observacional longitudinal. La poblaci\u00f3n de estudio estuvo constitu\u00edda por un total de 358 casos diagnosticados a lo largo de 3 a\u00f1os, en los que se identific\u00f3 durante el estudio prenatal una dilataci\u00f3n de la v\u00eda excretora fetal definida como una pelvis renal igual o superior a 4 mm antes de la 33 semana e igual o superior a 7 mm a partir de la 33 semana. La evaluaci\u00f3n postnatal se realiz\u00f3 mediante ecograf\u00eda renal y otros m\u00e9todos como cums, nefrograma diur\u00e9tico y gammagraf\u00eda renal de acuerdo a un protocolo previamente establecido. Se obtuvo un seguimiento completo postnatal en el 90% de los casos durante un per\u00edodo entre 5 y 7 a\u00f1os. Las variables del estudio prenatal estudiadas fueron la severidad de la dilataci\u00f3n, graduada por la clasificaci\u00f3n de la suf, el di\u00e1metro<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Historia natural de la hidronefrosis cong\u00e9nita: factores pron\u00f3sticos del estudio ecogr\u00e1fico prenatal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Historia natural de la hidronefrosis cong\u00e9nita: factores pron\u00f3sticos del estudio ecogr\u00e1fico prenatal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Bego\u00f1a Adiego Burgos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/11\/2006<\/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 Antonio Vidart Arag\u00f3n<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Manuel Escudero Fernandez <\/li>\n<li>Francisco J. Gonz\u00e1lez G\u00f3mez (vocal)<\/li>\n<li>Antonio Gonz\u00e1lez Gonz\u00e1lez (vocal)<\/li>\n<li>Juan  Ignacio \u00e1lvarez De Los Heros (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Bego\u00f1a Adiego Burgos Resumen: la dilataci\u00f3n del tracto urinario fetal es un hallazgo en el estudio [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1],"tags":[4193,4419,5180,7116,5027,122205],"class_list":["post-55311","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-antonio-gonzalez-gonzalez","tag-francisco-j-gonzalez-gomez","tag-jose-antonio-vidart-aragon","tag-juan-ignacio-alvarez-de-los-heros","tag-manuel-escudero-fernandez","tag-maria-begona-adiego-burgos"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/55311","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=55311"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/55311\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=55311"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=55311"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=55311"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}