{"id":70361,"date":"2018-03-09T23:14:52","date_gmt":"2018-03-09T23:14:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-us-primer-escalon-diagnostico-de-la-it\/"},"modified":"2018-03-09T23:14:52","modified_gmt":"2018-03-09T23:14:52","slug":"el-us-primer-escalon-diagnostico-de-la-it","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-us-primer-escalon-diagnostico-de-la-it\/","title":{"rendered":"El us. primer escal\u00f3n diagn\u00f3stico de la it"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda  Gloria Del Pozo Garc\u00eda <\/strong><\/h2>\n<p>Objetivo  incrementar la precisi\u00f3n diagn\u00f3stica de la ultrasonograf\u00eda (us) en la invaginaci\u00f3n (it), contribuyendo a la disminuci\u00f3n de la radiaci\u00f3n y de los costes en su manejo, mediante la descripci\u00f3n de signos us caracter\u00edsticos, explicaci\u00f3n de que componentes de la it los conforman y valoraci\u00f3n de posibles cambios isqu\u00e9micos.  material y m\u00e9todos  se hizo una descripci\u00f3n comparativa entre el estudio ecogr\u00e1fico in vitro y el histol\u00f3gico en tres invaginaciones provocadas quir\u00fargicamente en animales, confront\u00e1ndose con los hallazgos en ni\u00f1os (44 casos). Por otro lado, se determin\u00f3 la presencia de l\u00edquido en el interior dela invaginaci\u00f3n (145 episodios).  resultados  en corte axial, la imagen ecogr\u00e1fica de la invaginaci\u00f3n presenta un patr\u00f3n en \u00abdoughnut\u00bb, en cuyo centro se visualiza una semiluna ecog\u00e9ncia debida al mesenterio abrazando el intussusceptum entrante.  en 20\/145 casos (14%) se observ\u00f3 l\u00edquido peritoneal atrapado en el interior de la it. Las tasas de reducci\u00f3n fueron del 81% (116 a 144) en total y del  26% (5 de 19) en los casos con l\u00edquido en el interior de la investigaci\u00f3n. en la cirug\u00eda no se observ\u00f3 isquemia en ninguno de los 14 casos sin l\u00edquido en el interior de la invaginaci\u00f3n, mientras que exist\u00eda en 10 de los 20 casos con l\u00edquido en el interior de la invaginaci\u00f3n llegando en dos a la necrosis (p menor 0.001). Cantidades significativas de l\u00edquido (14 por 5 mil\u00edmetros) se relacionaron fuertemente con irreductibilidad e isquemia (odds ratio: 67.5).  conclusion  definimos im\u00e1genes us caracter\u00edsticas: signo del \u00abcrescent-in-doughnut\u00bb y sus variaciones con correlaci\u00f3n precisa con los diferentes componentes anatomopatol\u00f3gicos de la invaginaci\u00f3n.  demostramos que puede haber l\u00edquido en el interior de la it: signo del \u00abdoble crescent-in-doughnut\u00bb, correspondiendo a ascitis atrapada que se relaciona con isquemia e irreductibilidad.  el us por su inocuidad y efectividad debe<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El us. primer escal\u00f3n diagn\u00f3stico de la it<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El us. primer escal\u00f3n diagn\u00f3stico de la it <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda  Gloria Del Pozo Garc\u00eda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 27\/09\/2004<\/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>Angel Nogales Espert<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Moro serrano <\/li>\n<li>benjamin Perce villacastin (vocal)<\/li>\n<li>Luis Berrocar frutos (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Gloria Del Pozo Garc\u00eda Objetivo incrementar la precisi\u00f3n diagn\u00f3stica de la ultrasonograf\u00eda (us) en la invaginaci\u00f3n [&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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