{"id":85367,"date":"2018-03-10T00:09:49","date_gmt":"2018-03-10T00:09:49","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/utilidad-de-la-ecografia-en-el-diagnostico-y-seguimiento-de-la-poliquistosis-renal-autosomica-dominante-pqrad\/"},"modified":"2018-03-10T00:09:49","modified_gmt":"2018-03-10T00:09:49","slug":"utilidad-de-la-ecografia-en-el-diagnostico-y-seguimiento-de-la-poliquistosis-renal-autosomica-dominante-pqrad","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/utilidad-de-la-ecografia-en-el-diagnostico-y-seguimiento-de-la-poliquistosis-renal-autosomica-dominante-pqrad\/","title":{"rendered":"Utilidad de la ecografia en el diagnostico y seguimiento de la poliquistosis renal autosomica dominante (pqrad)"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carlos Nicolau Molina <\/strong><\/h2>\n<p>Hipotesis: evaluar si la ecografia es util en el diagnostico y seguimiento clinico de sujetos con pqrad.  objetivos. Determinar el rendimiento diagnostico de la ecografia, evaluar la preValencia de quistes hepaticos, pancreaticos y de aneurismas de aorta abdominal en estos pacientes, evaluar si el tama\u00f1o renal es un buen indicador de la funci\u00f3n renal y de las manifestaciones extrarenales y por ultimo comparar los hallazgos ecograficos entre sujetos con mutacion genetica pkd1 y sujetos con mutaci\u00f3n pkd2 y los hallazgos ecograficos entre sujetos con pqrad y sujetos con poliquistosis renal autosomica recesiva (pqrar).  metodos: se ha realizado ecografia abdominal, historia clinica completa y estudio genetico a 400 sujetos pertenecientes a 85 familias con antecedentes de pqrad y a 4 sujetos con pqrar.  resultados: la ecografia mostr\u00f3 una sensibilidad del 97% y especificidad del 100% para el diagnostico y no presento falsos positivos ni falsos negativos en sujetos mayores de 30 a\u00f1os. La preValencia global de quistes pancreaticos es del 5.34%. No existe una mayor preValencia de aneurismas de aorta abdominal en pacientes con pqrad. El tama\u00f1o renal se correlaciona con la edad, funcion renal y cln la hipertension (p&lt;0.05). No existen diferencias ecograficas entre los sujetos pkd1 y pkd2 excepto que la aparici\u00f3n de nefromegalia y de quistes hepaticos ocurrem\u00e1s tardiamente en los sujetos pkd2. Los adultos con pqrar presentan ri\u00f1ones de tama\u00f1o normal y quistes de peque\u00f1o tama\u00f1o y siempre presentar anomalias ecograficas hepaticas: fibrosis periportal y\/o dilataciones de la via biliar (enfermedad de caroli).  conclusiones: la ecografia puede usarse como metodo de screening de la pqrad por su elevado rendimiento diagnostico, excepto en la primera decada de la vida. Los quistes hepaticos son muy frencuentes mientras que los pancreaticos son infrecuentes. Los aneurismas de aorta abdominal no son m\u00e1s frecuentes en este grupo de poblaci\u00f3<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Utilidad de la ecografia en el diagnostico y seguimiento de la poliquistosis renal autosomica dominante (pqrad)<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Utilidad de la ecografia en el diagnostico y seguimiento de la poliquistosis renal autosomica dominante (pqrad) <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carlos Nicolau Molina <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 28\/06\/2000<\/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>Concepcio Bru Saumell<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Luis Revert torrellas <\/li>\n<li>lLuis Donoso bach (vocal)<\/li>\n<li>pere Barcelo reverter (vocal)<\/li>\n<li>carmen Ayuso colella (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carlos Nicolau Molina Hipotesis: evaluar si la ecografia es util en el diagnostico y seguimiento clinico de [&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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