{"id":76645,"date":"2005-11-10T00:00:00","date_gmt":"2005-11-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diagnostico-prenatal-de-hidronefrosis-renograma-isotopico-en-el-seguimiento-postnatal\/"},"modified":"2005-11-10T00:00:00","modified_gmt":"2005-11-10T00:00:00","slug":"diagnostico-prenatal-de-hidronefrosis-renograma-isotopico-en-el-seguimiento-postnatal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/diagnostico-prenatal-de-hidronefrosis-renograma-isotopico-en-el-seguimiento-postnatal\/","title":{"rendered":"Diagn\u00f3stico prenatal de hidronefrosis: renograma isot\u00f3pico en el seguimiento postnatal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Garc\u00eda Alonso M. Pilar <\/strong><\/h2>\n<p>La pr\u00e1ctica sistem\u00e1tica de la ecograf\u00eda en el seguimiento de la mujer gestante conlleva un incremento en la detecci\u00f3n precoz del as malformaciones cong\u00e9nitas; la hidrnefrosis es la anomal\u00eda detectada con mayor frecuencia suponiendo, aproximadamente, el 50% de todas las lesiones que se encuentran. Hasta en un 1-2% de los embarazos se detecta hidronefrosis en el feto, y, aproximadamente, el 50% de \u00e9stas est\u00e1n causadas por estenosis de la uni\u00f3n pieloureteral.     el mayor beneficio del diagn\u00f3stico prenatal de la hidronefrosis est\u00e1 en la identificaci\u00f3n de aquellos pacientes con riesgo de p\u00e9rdida dela funci\u00f3n renal secundaria a uropat\u00eda obstructiva.     en la actualidad, la detecci\u00f3n de obstrucci\u00f3n de la uni\u00f3n pieloureteral asintom\u00e1tica ha alterado la historia natural de esta patolog\u00eda; el grado de obstrucci\u00f3n dictar\u00e1 el curso cl\u00ednico de la misma pretendi\u00e9ndose, en todo momento, la conservaci\u00f3n de la funci\u00f3n renal.     a pesar de que cuanto mayor sea la magnitud de la pelvis renal mayor probabilidad de exista obst4rucci\u00f3n, la ecograf\u00eda no establece el diagn\u00f3stico de obstrucci\u00f3n ni predice la evoluci\u00f3n de la hidronefrosis hacia la  resoluci\u00f3n espont\u00e1nea o su progresi\u00f3n. La hidronefrosis es una alteraci\u00f3n anat\u00f3mica que requiere evaluaci\u00f3n funcional debido a su amplio espectro cl\u00ednico: desde una obstrucci\u00f3n completa o parcial hasta la simple dilataci\u00f3n sin obstrucci\u00f3n.     el renograma isot\u00f3pico diur\u00e9tico proporciona informaci\u00f3n simult\u00e1nea sobre la funci\u00f3n renal relativa y el drenaje del tracto urinario, por lo que parece razonable utilizarlo para determinar el significado funcional de la hidronefrosis.     en nuestro trabajo estudiamos, de forma cuantitativa y cualitativa, el papel del renograma isot\u00f3pico diur\u00e9tico en la estratificaci\u00f3n del riesgo de p\u00e9rdida de funci\u00f3n renal y en el manejo de los pacientes con diagn\u00f3stico prenatal de hidronefrosis unilateral. en 40 de los 44 pacientes que estudiamos deb\u00eda des<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Diagn\u00f3stico prenatal de hidronefrosis: renograma isot\u00f3pico en el seguimiento postnatal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Diagn\u00f3stico prenatal de hidronefrosis: renograma isot\u00f3pico en el seguimiento postnatal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Garc\u00eda Alonso M. Pilar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/10\/2005<\/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>Mercedes Mitjavila Casanovas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Carreras delgado <\/li>\n<li>Luis Diez jimenez (vocal)<\/li>\n<li>vicente Pedraza muriel (vocal)<\/li>\n<li> Martinez pereves m. felisa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Garc\u00eda Alonso M. Pilar La pr\u00e1ctica sistem\u00e1tica de la ecograf\u00eda en el seguimiento de la mujer gestante [&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":[165316,1812,107684,165317,156609,3714],"class_list":["post-76645","post","type-post","status-publish","format-standard","hentry","category-sin-categoria","tag-garcia-alonso-m-pilar","tag-jose-luis-carreras-delgado","tag-luis-diez-jimenez","tag-Martinez-pereves-m-felisa","tag-mercedes-mitjavila-casanovas","tag-vicente-pedraza-muriel"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76645","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=76645"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/76645\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=76645"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=76645"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=76645"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}