{"id":86716,"date":"2018-03-10T00:11:20","date_gmt":"2018-03-10T00:11:20","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-add-back-prequirurgico-de-los-miomas-mediante-goserelina-y-tibolona-en-mujeres-en-edad-fertil\/"},"modified":"2018-03-10T00:11:20","modified_gmt":"2018-03-10T00:11:20","slug":"tratamiento-add-back-prequirurgico-de-los-miomas-mediante-goserelina-y-tibolona-en-mujeres-en-edad-fertil","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-add-back-prequirurgico-de-los-miomas-mediante-goserelina-y-tibolona-en-mujeres-en-edad-fertil\/","title":{"rendered":"Tratamiento add-back prequir\u00fargico de los miomas mediante goserelina y tibolona en mujeres en edad f\u00e9rtil."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Rita Espejo Catena <\/strong><\/h2>\n<p>El tratamiento hormonal complementario a la administraci\u00f3n de agonistas de gnrh (tratamiento add-back) trata de minimizar los efectos adversos derivados del hipoestronismo inducido por estas mol\u00e9culas cuando se utilizan a largo plazo en patolog\u00edas hormonodependientes como la miomaosis uterina.  en este estudio se evalua la edicacia de una mol\u00e9cula sint\u00e9tica de acci\u00f3n hormonal, tibolona, como tratamiento add-back en diferentes reg\u00edmenes de adminsitraci\u00f3n.  un total de 113 pacientes, mujeres en edad f\u00e9rtil, diagnosticadas de miomatosis uterina y subsidiarias de tratamiento quir\u00fargico son incluidas en un estadio prospectivo, randomizado y aleatrio en el que se evaluan las modificaciones en el tama\u00f1o uternio, sintomatolog\u00eda climat\u00e9rica y diferentes par\u00e1metros hem\u00e1ticos bioqu\u00edmicos y hormonale sinducidos por la adminsitraci\u00f3nde 3 dosis de goserelina depot (an\u00e1logo-agonista de gnrh), s\u00f3la o combinada con tratamiento add-back con estr\u00f3genos conjugados equinos (ece) o tibolona en diferentes protocolos de tratamiento.  el control cl\u00ednico, ecogr\u00e1fico y anal\u00edtico de las pacientes se realiz\u00f3 antes de iniciar el tratamiento y previamente a la intervenci\u00f3n quir\u00fargica, tras completar la \u00faltima dosis de goserelina detpot.  cualquiera de los regines de tratmiento add-back ensayado elimin\u00f3 la sintomatolog\u00eda cl\u00ednica asociada a la adminsitraci\u00f3n de goserlina depot y facilit\u00f3 la recuperaci\u00f3n de la serie roja hem\u00e1tica. Respecto al tama\u00f1o uterino, la administraci\u00f3nde goserelina depot 3 meses consigui\u00f3 reducir un 30,1% el volumen del utero miomatoso.  la terapia add-back con ece inte rfiri\u00f3 en la reducci\u00f3n del tama\u00f1o del \u00fatero miomatoso, limit\u00e1ndola a un 5%. Sin embargo, el tratamiento hormonal complementario contibolona influy\u00f3 m\u00ednimamente en la disminuci\u00f3n del volumen del \u00fatero miomatoso promovido por 3 dosis de agonista de gnrh.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento add-back prequir\u00fargico de los miomas mediante goserelina y tibolona en mujeres en edad f\u00e9rtil.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento add-back prequir\u00fargico de los miomas mediante goserelina y tibolona en mujeres en edad f\u00e9rtil. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Rita Espejo Catena <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 30\/09\/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> Santonja Lucas Jos\u00e9 Juan<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Tortajada Martinez <\/li>\n<li>Juan  Jos\u00e9 Parrilla paricio (vocal)<\/li>\n<li>jordi Xercavins montosa (vocal)<\/li>\n<li> Vidart aragon Juan  Antonio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Rita Espejo Catena El tratamiento hormonal complementario a la administraci\u00f3n de agonistas de gnrh (tratamiento add-back) 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