{"id":156265,"date":"2026-01-12T17:27:43","date_gmt":"2026-01-12T17:27:43","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/efecto-de-la-quimopapaina-sobre-el-nucleo-pulposo-de-los-discos-intervertebrales-lumbares-estudio-anatomico-y-ultraestructural\/"},"modified":"2026-01-12T17:27:43","modified_gmt":"2026-01-12T17:27:43","slug":"efecto-de-la-quimopapaina-sobre-el-nucleo-pulposo-de-los-discos-intervertebrales-lumbares-estudio-anatomico-y-ultraestructural","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/efecto-de-la-quimopapaina-sobre-el-nucleo-pulposo-de-los-discos-intervertebrales-lumbares-estudio-anatomico-y-ultraestructural\/","title":{"rendered":"Efecto de la quimopapaina sobre el nucleo pulposo de los discos intervertebrales lumbares: estudio anatomico y ultraestructural."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Luis Rafael Ramos  Pascua <\/strong><\/h2>\n<p>La quimionucleolisis como tratamiento de las hernias discales sintomaticas rebeldes al tratamiento conservador continua siendo un procedimiento muy debatido. A traves de un estudio estadistico se dedujeron unos factores de mal pronostico y otros que no resultaron tales, discrepando de otros autores. El estudio tomodensitometrico practicado tras la quimionucleolisis fue la base de tales discrepancias.  el analisis ultraestructural de los fallos de la tecnica evidencian que la quimionucleolisis por quimopapaina incrementa la proporcion de celulas necroticas, desorganiza la trama fibrilar; y distorsiona la sustancia fundamental del tejido discal. Hipoteticamente despues de la quimionucleolisis, se reduciria la tension superficial de la hernia discal al desestructurarse su armanzon y la raiz nerviosa dejaria de comprimirse.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Efecto de la quimopapaina sobre el nucleo pulposo de los discos intervertebrales lumbares: estudio anatomico y ultraestructural.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Efecto de la quimopapaina sobre el nucleo pulposo de los discos intervertebrales lumbares: estudio anatomico y ultraestructural. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Luis Rafael Ramos  Pascua <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Salamanca<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1991<\/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>Luis Mar\u00eda Ferrandez Portal<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Alberto Gomez Alonso <\/li>\n<li>Fernando Seral I\u00f1igo (vocal)<\/li>\n<li>Antonio L\u00f3pez Alonso (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Luis Rafael Ramos Pascua La quimionucleolisis como tratamiento de las hernias discales sintomaticas rebeldes al tratamiento conservador [&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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