{"id":145091,"date":"1993-01-01T00:00:00","date_gmt":"1993-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/quimionucleosis-con-quimopapaina-chymodiactin-r-en-el-tratamiento-de-la-hernia-discal-lumbar\/"},"modified":"1993-01-01T00:00:00","modified_gmt":"1993-01-01T00:00:00","slug":"quimionucleosis-con-quimopapaina-chymodiactin-r-en-el-tratamiento-de-la-hernia-discal-lumbar","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/quimionucleosis-con-quimopapaina-chymodiactin-r-en-el-tratamiento-de-la-hernia-discal-lumbar\/","title":{"rendered":"Quimionucleosis con quimopapaina (chymodiactin r) en el tratamiento de la hernia discal lumbar"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Roger Sancho Navarro <\/strong><\/h2>\n<p>Se describen los resultados del tratamiento de 200 pacientes con hernia discal lumbar (hdl) sometidos a quimionucleosis (qv) con quimopapaina (qp) siguiendo un estricto protocolo. Se analizan los resultados a corto (3m) medio (1a) y largo plazo (5a). Se comparan los resultados de la qn (100 pacientes) con los de la clasica cirugia-discectomia (100 pacientes). Se trata de buscar factores pronosticos de buenos resultados mediante analisis estadistico informatizado. Se valora el riesgo alergologico de la quimopapaina, su preValencia de sensibilizacion pre-qn y post-qn y la eficacia de cada metodo de deteccion de sensibilizacion (prick test- rast test).  los resultados demuestran que la qn es un metodo seguro efectivo a corto y medio plazo (83% de br) y con un minimo deterioro a largo plazo (82%). Sus resultados son semejantes a la clasica cirugia pero ofrece ventaja sobre esta en estancia hospitalaria, recuperacion laboral, complicaciones y costos. Los unicos factores pronosticos \u00aba priori\u00bb que se pueden valorar son el correcto seguimiento del protocolo con el test de mc nab. La preValencia de sensibilizados en la poblacion general ha resultado ser del 1,9% y en la poblacion atopica del 3,3%. El pricktest y rastest tienen una efectividad y concordancia semejante pre y post qn por lo que el pricktest es suficiente para la deteccion de sensibilizados, siendo ademas superior al rast en costos, facilidad y rapidez.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Quimionucleosis con quimopapaina (chymodiactin r) en el tratamiento de la hernia discal lumbar<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Quimionucleosis con quimopapaina (chymodiactin r) en el tratamiento de la hernia discal lumbar <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Roger Sancho Navarro <\/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\/1993<\/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>Antonio Navarro Quilis<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Xavier Rius Cornado <\/li>\n<li>Tomas Franquet Casas (vocal)<\/li>\n<li>Robert Ramon Soler (vocal)<\/li>\n<li>Jordi Ordo\u00f1ez Llanos (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Roger Sancho Navarro Se describen los resultados del tratamiento de 200 pacientes con hernia discal lumbar (hdl) [&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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