{"id":6759,"date":"1995-01-01T00:00:00","date_gmt":"1995-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1995\/01\/01\/estudio-clinico-prospectivo-de-la-utilizacion-de-los-a-gnrh-en-el-tratamiento-del-mioma-uterino-evolucion-a-corto-y-largo-plazo\/"},"modified":"1995-01-01T00:00:00","modified_gmt":"1995-01-01T00:00:00","slug":"estudio-clinico-prospectivo-de-la-utilizacion-de-los-a-gnrh-en-el-tratamiento-del-mioma-uterino-evolucion-a-corto-y-largo-plazo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-clinico-prospectivo-de-la-utilizacion-de-los-a-gnrh-en-el-tratamiento-del-mioma-uterino-evolucion-a-corto-y-largo-plazo\/","title":{"rendered":"Estudio clinico prospectivo de la utilizacion de los a-gnrh en el tratamiento del mioma uterino. evolucion a corto y largo plazo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlota Abril Alcobas <\/strong><\/h2>\n<p>Se estudian 32 pacientes premenopausicas con utero miomatoso, a las que se administra un analogo de la gnrh durante 4 meses. Se hace un seguimiento clinico, analitico y ecografico durante el tiempo que dura el tratamiento y en el a\u00f1o y medio siguiente.  los agonistas de la gnrh producen una supresion del eje hpf-gonadal en la mayoria de las pacientes con reduccion media del volumen del mioma del 52.7% y disminucion significativa de la sintomatolog\u00eda asociada. La maxima reduccion se obtiene en los miomas submucosos y peque\u00f1os sin correlacion con los niveles de estradiol. Se incrementa la hemoglobina y el hematocrito y no se alteran el metabolismo lipidico ni calcico. Del seguimiento a largo plazo de nuestras pacientes se extraen las siguientes indicaciones de los a-gnrh en el mioma uterino: como tratamiento previo a la cirugia en casos concretos: en anemias severas, en miomas grandes y en cirugia conservadora y vaginal. Estan indicados a corto plazo en premenopausicas con sintomatolog\u00eda leve o contraindicacion de cirugia. La recidiva en el tama\u00f1o del mioma ocurre en el 100% de las pacientes y la recidiva clinica en el 52.6% a los 2 a\u00f1os.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio clinico prospectivo de la utilizacion de los a-gnrh en el tratamiento del mioma uterino. evolucion a corto y largo plazo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio clinico prospectivo de la utilizacion de los a-gnrh en el tratamiento del mioma uterino. evolucion a corto y largo plazo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlota Abril Alcobas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/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>Lorenzo Abad Martinez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Javier Parache Hern\u00e1ndez <\/li>\n<li>Juan Meseguer Martinez (vocal)<\/li>\n<li>Miguel Tortajada Martinez (vocal)<\/li>\n<li>Vicente Vicente Ortega (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlota Abril Alcobas Se estudian 32 pacientes premenopausicas con utero miomatoso, a las que se administra 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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