{"id":6693,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/diagnostico-prenatal-de-hidronefrosis-estudio-y-tratamiento-postnatal\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"diagnostico-prenatal-de-hidronefrosis-estudio-y-tratamiento-postnatal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/diagnostico-prenatal-de-hidronefrosis-estudio-y-tratamiento-postnatal\/","title":{"rendered":"Diagnostico prenatal de hidronefrosis. estudio y tratamiento postnatal."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Manuel Garcia Merida <\/strong><\/h2>\n<p>La dilatacion fetal de pelvis y\/o calices (dpc) no es una situacion patologica siempre. Solo en algunos casos se debe a estenosis de la union pieloureteral (epu) con repercusion adversa, de tipo obstructivo, sobre el parenquima renal. El objetivo de trabajo es diferenciar entre dilatacion obstructiva y no obstructiva lo mas precozmente posible.  durante 8 a\u00f1os (85-93) se ha realizado un estudio prospectivo en 51 recien nacidos vivos en los que se diagnostico prenatalmente dpc en 65 ri\u00f1ones. Esto supone el 46% de todas las uropatias de diagnostico prenatal (dp). Todos los ni\u00f1os se sometieron al mismo protocolo diagnostico. El dp se realizo con ultrasonidos (us) a una edad gestacional media de 30 semanas (rango 20-39). El diagnostico postnatal se efectuo con us en la primera semana de vida, y urografia intravenosa (uiv) y renograma isotopico diuretico (rd) en la 4 semana. Segun los resultados se clasificaron inicialmente en ri\u00f1ones obstruidos 24 (37%), no obstruidos 26 (40%) y de dudosa obstruccion 15 (23%). Los ri\u00f1ones obstruidos se operaron.  los 41 ri\u00f1ones restantes fueron controlados, no apareciendo obstruccion en ninguno de los diagnosticados de dilatacion no obstructiva, mientras que 5 de los dudosos (33%) desarrollaron obstruccion en su evolucion.  la clasificacion final, por tanto, fue obstruccion en 29 ri\u00f1ones (45%) y no obstruccion en 36 (55%). El seguimiento total ha tenido una media de 42 meses (rango 12 a 102).  todos los datos prenatales, neonatales, la informacion de us, uiv, rd, tratamiento, evolucion y resultados se codificaron (113 variables), se informatizaron (programa spss) y fueron sometidos a diversos estudios estadisticos. Comparando los resultados de la valoracion diagnostica de recien nacido se encuentran diferencias estadisticamente significativas entre los ri\u00f1ones obstruidos y los no obstruidos en:  1) grado de dilatacion del ri\u00f1on fetal: el 91% de los obstruidos tenian una dilatacion mayor<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diagnostico prenatal de hidronefrosis. estudio y tratamiento postnatal.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diagnostico prenatal de hidronefrosis. estudio y tratamiento postnatal. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Manuel Garcia Merida <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 M\u00e1laga<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1995<\/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 M\u00e1rtinez Valverde<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Parra Guijosa <\/li>\n<li>Eduardo Narbona Lopez (vocal)<\/li>\n<li>Eduardo Sanchez De Badajoz Chamorro (vocal)<\/li>\n<li>Jes\u00fas Gracia Romero (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Manuel Garcia Merida La dilatacion fetal de pelvis y\/o calices (dpc) no es una situacion patologica siempre. [&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":[155,9,7834,161,971],"tags":[2402,3396,10591,24737,24736,24735],"class_list":["post-6693","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-malaga","category-pediatria","category-urologia","tag-antonio-Martinez-valverde","tag-eduardo-narbona-lopez","tag-eduardo-sanchez-de-badajoz-chamorro","tag-jesus-gracia-romero","tag-luis-parra-guijosa","tag-manuel-garcia-merida"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/6693","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=6693"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/6693\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=6693"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=6693"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=6693"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}