{"id":140754,"date":"2026-01-12T17:57:15","date_gmt":"2026-01-12T17:57:15","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-critico-de-la-infiltracion-epidural-como-metodo-terapeutico-del-dolor-lumbar\/"},"modified":"2026-01-12T17:57:15","modified_gmt":"2026-01-12T17:57:15","slug":"estudio-critico-de-la-infiltracion-epidural-como-metodo-terapeutico-del-dolor-lumbar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-critico-de-la-infiltracion-epidural-como-metodo-terapeutico-del-dolor-lumbar\/","title":{"rendered":"Estudio critico de la infiltracion epidural como metodo terapeutico del dolor lumbar."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Rull Bartomeu <\/strong><\/h2>\n<p>Considerando que el factor inflamatorio y vascular tienen un papel fundamental como causa del dolor radicular, nos hemos planteado los siguientes objetivos: analizar la vigencia actual de la tecnica, delimitar indicaciones segun clinica, analizar via y farmacos. Se han seleccionado 149 pacientes con clinica de ramo anterior de nervio raquideo irritativa o deficitaria moderada, que han sido tratados con tres infiltraciones epidurales con corticoides a intervalos de diez dias. El corticoide utilizado ha sido: metilprednisolona (80 mgr\/ infiltracion) y la solucion anestesica bupivacaina 0,25%, 8 &#8211; 10 ml.  los resultados se han valorado con un score que cuantifica clinica (dolor, deficit, sensitivo, deficit motor) incorporacion al trabajo y toma de analgesicos.  los resultados a corto plazo han sido: buenos 66%, regulares 17%, y malos 16%. A largo plazo y valorados en 120 pacientes los resultados son buenos 78%, regulares 18% malos 5%. Los mejores resultados se han encontrado en pacientes menores de 45 a\u00f1os, afectos de hernia discal irritativa, con menos de 1 mes de evolucion y personalidad normal. Los resultados son peores en pacientes con estenosis de canal y clinica de ramo mixto, aunque el porcentaje de mejoria no es despreciable, seleccionando las indicaciones quirurgicas.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio critico de la infiltracion epidural como metodo terapeutico del dolor lumbar.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio critico de la infiltracion epidural como metodo terapeutico del dolor lumbar. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Rull Bartomeu <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1992<\/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>Rodrigo Miralles Marrero<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Navarro Quilis <\/li>\n<li>Carmen Gomar Sancho (vocal)<\/li>\n<li>Manuel Martinez Vazquez (vocal)<\/li>\n<li>Santiago Suso Vergara (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Rull Bartomeu Considerando que el factor inflamatorio y vascular tienen un papel fundamental como causa del [&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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