{"id":91533,"date":"2009-06-02T00:00:00","date_gmt":"2009-06-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/una-nueva-tecnica-de-uretrografa%c2%ada\/"},"modified":"2009-06-02T00:00:00","modified_gmt":"2009-06-02T00:00:00","slug":"una-nueva-tecnica-de-uretrografa%c2%ada","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/radiologia\/una-nueva-tecnica-de-uretrografa%c2%ada\/","title":{"rendered":"Una nueva t\u00e9cnica de uretrograf\u00eda"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  De Dios Bern\u00e1 Mestre <\/strong><\/h2>\n<p>Objetivo: describir una nueva t\u00e9cnica de uretrograf\u00eda para evaluar anomal\u00edas uretrales en el var\u00f3n. Material y m\u00e9todos: se estudiaron de forma prospectiva 122 pacientes con sospecha de estenosis uretral, que se dividieron en dos estudios: en el primer estudio (n=42) se utiliz\u00f3 una nueva t\u00e9cnica de uretrograf\u00eda: el m\u00e9todo clamp, mediante un dispositivo perfeccionado y un sistema de infusi\u00f3n para introducir el contraste en la uretrograf\u00eda retr\u00f3grada (ugr) y cistouretrograf\u00eda miccional seriada (cums); en el segundo estudio (n=80) se compara el m\u00e9todo convencional de uretrograf\u00eda con sonda de foley (grupo control, n=36) vs la nueva t\u00e9cnica (grupo clamp, n=44), utilizando una escala verbal descriptiva (evd) y una escala visual anal\u00f3gica (eva) para recoger el nivel de dolor referido por los pacientes respecto a las t\u00e9cnicas. Resultados: en el primer estudio se realiz\u00f3 con \u00e9xito la ugr en todos los casos, y adem\u00e1s se consigui\u00f3 la repleci\u00f3n vesical necesaria para la cums de forma retr\u00f3grada en el 95% (40\/42). En el segundo estudio, en el grupo control la ugr se realiz\u00f3 con \u00e9xito en el 69% (25\/36), mientras que en el grupo clamp fue llevada a cabo en todos los casos, incluidos los 11 pacientes en que no se pudo utilizar el m\u00e9todo convencional. El nivel de dolor referido por los pacientes respecto al m\u00e9todo convencional fue evd: intenso, eva: 4.8\u00c2\u00b11.4 (sd) (range: 2.3-7.5), mientras que respecto al m\u00e9todo clamp el 69% (38\/55) refiri\u00f3 evd: no dolor (eva: 0) y el 31% (17\/55) restante evd: dolor leve, eva: 0.6\u00c2\u00b10.3 (sd) (range: 0.3-1.2). Conclusi\u00f3n: el m\u00e9todo convencional de uretrograf\u00eda es un procedimiento doloroso y en algunos casos no es \u00fatil. El m\u00e9todo clamp es una buena alternativa, ya que es simple, bien tolerado y puede realizarse en todos los casos, aumentando la comodidad del paciente al no utilizar jeringas ni sondas vesicales.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Una nueva t\u00e9cnica de uretrograf\u00eda<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Una nueva t\u00e9cnica de uretrograf\u00eda<\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  De Dios Bern\u00e1 Mestre <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/02\/2009<\/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>Juan  De Dios Berna Serna<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Ramon garcia <\/li>\n<li>Luis S\u00e1nchez mart\u00edn (vocal)<\/li>\n<li>Jos\u00e9 angel Santos sanchez (vocal)<\/li>\n<li>Luis oscar Fontana campiano (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan De Dios Bern\u00e1 Mestre Objetivo: describir una nueva t\u00e9cnica de uretrograf\u00eda para evaluar anomal\u00edas uretrales en [&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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